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儿童暴力伤害的心理健康后遗症:综述

Mental health sequelae of violent injury in children: a review.

作者信息

Schuh Jennifer M, Molitor Stephen J, Wilson Danielle J, Marik Patricia K, Fischer Elizabeth, Calkins Casey M, Flynn-O'Brien Katherine T

机构信息

Division of Pediatric Surgery, Children's Hospital of Wisconsin, Children's Corporate Center, Suite C320, 999 N 92nd St, 8915 W Connell Ct, Milwaukee, WI, 53226, USA.

Medical College of Wisconsin, 8701 W Watertown Plank Rd, Milwaukee, WI, 53226, USA.

出版信息

Pediatr Surg Int. 2025 Mar 4;41(1):90. doi: 10.1007/s00383-025-05991-2.

Abstract

In the last decade, increasing attention has been paid to the magnitude and characterization of the relationship between violent injury and mental health, with trauma centers progressively focusing on screening and intervention strategies. This review aims to characterize the mental health sequelae of violent injury on children, highlighting effective screening and intervention tools. Violent injury compared to non-violent injury incurs a greater risk for poor mental health outcomes. Risk of acute stress disorder and post-traumatic stress disorder are among the best characterized, but anxiety, depression, and substance use disorders are also correlated to violent injury in children. Mental health sequelae are pervasive, and have lasting, significant physical and psychosocial consequences. Globally, the impact of mental health sequelae of violent injury is underrecognized and undertreated. Provider awareness, and early and efficacious screening can facilitate tailored intervention strategies.

摘要

在过去十年中,暴力伤害与心理健康之间关系的程度和特征受到了越来越多的关注,创伤中心逐渐将重点放在筛查和干预策略上。本综述旨在描述暴力伤害对儿童心理健康造成的后遗症,重点介绍有效的筛查和干预工具。与非暴力伤害相比,暴力伤害导致心理健康不良后果的风险更高。急性应激障碍和创伤后应激障碍的风险是最具特征的,但焦虑、抑郁和物质使用障碍也与儿童暴力伤害相关。心理健康后遗症普遍存在,并会产生持久且严重的身体和心理社会后果。在全球范围内,暴力伤害所致心理健康后遗症的影响未得到充分认识和治疗。医疗服务提供者的意识以及早期有效的筛查有助于制定针对性的干预策略。

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