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[寄宿学校青少年的创伤经历与创伤后应激障碍]

[Traumatic Experiences and Posttraumatic Stress Disorder of Adolescents in Boarding Schools].

作者信息

Rau Thea, Mayer Sophia, Allroggen Marc

机构信息

Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie Universitätsklinikum Ulm Steinhövelstr. 5 89075 Ulm Deutschland.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2023 Jul;72(5):446-465. doi: 10.13109/prkk.2023.72.5.446.

Abstract

In the context of abuse cases in boarding schools, stress among children and adolescents in boarding schools in Germany was discussed for the first time. So far, however, there is a lack of studies dealing with post-traumatic stress disorders of adolescents in boarding schools.The aim was to analyze the extent of trauma experiences and symptoms of post-traumatic stress disorders as well as psychopathological abnormalities in adolescents in boarding schools on the basis of self-reports using a secondary analysis of theMAYSI-2 and UCLA PTSD Reaction Index for DSM-IV screening questionnaires and to derive implications for research and care concepts. Data was available from155 adolescents, 70%of whomweremale.The adolescents had been in boarding schools for an average of 3.26 years (SD = 2.48). A traumatic experience was evident in 69.7%(n = 108) of the adolescents, and 51.6%(n = 80) of the adolescentswere "conspicuous" in at least one of the six scales of theMAYSI-2. Taken together, 33.5%(n = 52) of the adolescents met the criteria for a suspected post-traumatic stress disorder according to ICD-10. Screening procedures should be established in boarding schools to identify traumatic experiences and psychopathological abnormalities in a timely manner. Concepts from youth welfare institutions can be used to deal with trauma experiences.There is a need for further research on traumatic experiences directly related to the boarding school placement situation.

摘要

在寄宿学校虐待案件的背景下,德国首次讨论了寄宿学校中儿童和青少年的压力问题。然而,到目前为止,缺乏关于寄宿学校青少年创伤后应激障碍的研究。目的是基于对MAYSI - 2和UCLA PTSD反应指数(用于DSM - IV筛查问卷)的二次分析,通过自我报告来分析寄宿学校青少年的创伤经历程度、创伤后应激障碍症状以及心理病理异常情况,并得出对研究和护理概念的启示。数据来自155名青少年,其中70%为男性。这些青少年在寄宿学校的平均时长为3.26年(标准差 = 2.48)。69.7%(n = 108)的青少年有明显的创伤经历,51.6%(n = 80)的青少年在MAYSI - 2的六个量表中至少有一个量表表现“突出”。综合来看,33.5%(n = 52)的青少年符合ICD - 10中疑似创伤后应激障碍的标准。寄宿学校应建立筛查程序,以便及时识别创伤经历和心理病理异常情况。青少年福利机构的理念可用于应对创伤经历。有必要对与寄宿学校安置情况直接相关的创伤经历进行进一步研究。

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