Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Emma Pendleton Bradley Hospital, Children's Inpatient Treatment Program, East Providence, RI, USA.
Child Psychiatry Hum Dev. 2022 Dec;53(6):1281-1292. doi: 10.1007/s10578-021-01209-3. Epub 2021 Jun 22.
Childhood maltreatment is linked to deleterious outcomes, whereby post-traumatic stress disorder (PTSD) has been identified as one of the most debilitating. This retrospective chart review examined whether self-reported affective measures (anxiety, depression, trauma), type of maltreatment (sexual, physical, emotional/verbal abuses), and demographics predicted a diagnosis of anxiety or PTSD among 169 children in a psychiatric inpatient hospital. Secondly, this study identified significant predictors of a PTSD diagnosis. Results indicated self-reported anxiety predicted a diagnosis of PTSD, while self-reported depression predicted PTSD only in maltreated children. Self-reported trauma predicted an anxiety diagnosis. PTSD risk variables including duration of stay, sex, self-reported anxiety, presence of sexual abuse, and presence of emotional/verbal abuse, showed sound sensitivity/specificity as predictors of risk for a PTSD diagnosis in an inpatient setting. Clinical implications are discussed.
儿童期虐待与不良后果有关,其中创伤后应激障碍(PTSD)已被确定为最具危害性的疾病之一。本回顾性图表研究旨在探讨 169 名精神病住院患儿的自述情感测量(焦虑、抑郁、创伤)、虐待类型(性虐待、身体虐待、情感/言语虐待)和人口统计学数据是否可预测焦虑或 PTSD 的诊断。其次,本研究确定了 PTSD 诊断的显著预测因素。结果表明,自述焦虑可预测 PTSD 诊断,而自述抑郁仅可预测受虐待儿童的 PTSD 诊断。自述创伤可预测焦虑诊断。包括住院时间、性别、自述焦虑、性虐待的存在和情感/言语虐待的存在等 PTSD 风险变量,作为住院环境中 PTSD 诊断风险的预测指标,具有良好的敏感性/特异性。本文讨论了临床意义。