Department of Trauma Surgery and Harald-Tscherne Laboratory, University Hospital Zurich, University of Zurich, Ramistr. 100, 8091, Zurich, Switzerland.
Faculty of Medicine, RWTH Aachen University, Aachen, Germany.
Eur J Trauma Emerg Surg. 2023 Jun;49(3):1279-1286. doi: 10.1007/s00068-022-02022-w. Epub 2022 Jun 28.
There is limited research on the long-term psychiatric outcomes of polytraumatized patients. Existing studies focus mainly on the negative sequelae. Post-traumatic growth (PTG) describes positive personal development after severe physical or mental distress. In this study, we investigated post-traumatic growth in polytraumatized patients at least 20 years after trauma.
Patients treated for polytrauma at a German level 1 trauma center between 1971 and 1990, were contacted 20+ years later. A questionnaire with 37 questions from the stress-related growth scale (SRGS) and the post-traumatic growth inventory (PGI) was administered. PTG was quantified in five specific areas. PTG and patient demographics were then analyzed using logistic regression.
Eligible questionnaires were returned by 337 patients. 96.5% of patients reported improvements regarding at least one of the 37 questions. Approximately, a third of patients noticed distinct improvements regarding their relationship to others (29.2%), appreciation of life (36.2%) and attitudes towards new possibilities (32.5%). Patient demographics were significant predictors for the development of PTG: Older (p < 0.001), female (p = 0.042) and married patients (p = 0.047) showed a greater expression of PTG. We also saw significantly more PTG in patients with higher injury severity (p = 0.033).
20 years after polytrauma, patients report improvements in their relationship with others, appreciation of life and attitude towards new possibilities. Women and married patients show higher expression of PTG. Furthermore, there is higher expression of PTG with higher age and injury severity. Post-traumatic growth should be identified and fostered in clinical practice.
III-prospective long-term follow-up study.
针对多发创伤患者的长期精神科结局，相关研究有限。现有研究主要集中在创伤后的负面后果上。创伤后成长（PTG）描述了在严重的身体或心理困扰后个人的积极发展。本研究调查了创伤后至少 20 年的多发创伤患者的创伤后成长情况。
联系了 1971 年至 1990 年期间在德国一级创伤中心接受多发创伤治疗的患者，在 20 年多后进行问卷调查。问卷采用了应激相关成长量表（SRGS）和创伤后成长量表（PGI）中的 37 个问题。在五个特定领域量化了创伤后成长。然后使用逻辑回归分析创伤后成长和患者人口统计学数据。
337 名符合条件的患者返回了问卷。96.5%的患者报告称，至少有 37 个问题中的一个方面有所改善。大约三分之一的患者注意到他们与他人的关系（29.2%）、对生活的欣赏（36.2%）和对新可能性的态度（32.5%）有明显改善。患者的人口统计学数据是创伤后成长的显著预测因素：年龄较大（p<0.001）、女性（p=0.042）和已婚患者（p=0.047）表现出更大的创伤后成长。我们还发现，损伤严重程度较高的患者（p=0.033）的创伤后成长更为明显。
多发创伤后 20 年，患者报告在与他人的关系、对生活的欣赏和对新可能性的态度方面有所改善。女性和已婚患者表现出更高的创伤后成长水平。此外，年龄较大和损伤严重程度较高的患者表现出更高的创伤后成长水平。在临床实践中，应识别和培养创伤后成长。
III-前瞻性长期随访研究。
