患有慢性身体疾病的儿童和青少年的创伤后应激症状及障碍：一项荟萃分析
Posttraumatic Stress Symptoms and Disorders in Children and Adolescents with Chronic Physical Illnesses: a Meta-Analysis.
作者信息
Pinquart Martin
机构信息
Department of Psychology, Philipps University, Gutenbergstr. 18, D-35032 Marburg, Germany.
出版信息
J Child Adolesc Trauma. 2018 Jun 28;13(1):1-10. doi: 10.1007/s40653-018-0222-z. eCollection 2020 Mar.
Abstract
The aim of the present meta-analysis was to compare levels of posttraumatic stress symptoms (PTSS) and the prevalence of posttraumatic stress disorders (PTSD) in individuals with and without pediatric chronic physical illnesses, and to analyze correlates of these symptoms. In total, 150 studies were identified that provided relevant data. On average, 11.5% of the participants with pediatric chronic physical illnesses met the criteria of PTSD (Odds Ratio 2.70). PTSS were also more common in this group than in control groups without chronic physical illnesses. While the PTSS levels did not differ across physical diseases, we found positive associations of PTSS with illness severity and duration/intensity of treatment, as well as negative associations with duration of illness, time since last treatment, treatment adherence, and family functioning. We conclude that individuals with pediatric chronic physical illnesses who experienced traumatic events should be screened for PTSS and receive psychological interventions when needed.
摘要
本荟萃分析的目的是比较患有和未患有儿童慢性躯体疾病的个体的创伤后应激症状（PTSS）水平和创伤后应激障碍（PTSD）的患病率，并分析这些症状的相关因素。总共确定了150项提供相关数据的研究。平均而言，患有儿童慢性躯体疾病的参与者中有11.5%符合PTSD标准（优势比2.70）。该组中的PTSS也比没有慢性躯体疾病的对照组更常见。虽然PTSS水平在不同躯体疾病之间没有差异，但我们发现PTSS与疾病严重程度、治疗持续时间/强度呈正相关，与疾病持续时间、上次治疗后的时间、治疗依从性和家庭功能呈负相关。我们得出结论，经历过创伤事件的患有儿童慢性躯体疾病的个体应接受PTSS筛查，并在需要时接受心理干预。
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2
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3
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