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身体损伤严重程度及对生命威胁的感知对机动车事故受害者创伤后应激障碍发展的影响。

The impact of severity of physical injury and perception of life threat in the development of post-traumatic stress disorder in motor vehicle accident victims.

作者信息

Blanchard E B, Hickling E J, Mitnick N, Taylor A E, Loos W R, Buckley T C

机构信息

Center for Stress and Anxiety Disorders, University at Albany-SUNY 12222, USA.

出版信息

Behav Res Ther. 1995 Jun;33(5):529-34. doi: 10.1016/0005-7967(94)00079-y.

DOI:10.1016/0005-7967(94)00079-y
PMID:7598673
Abstract

For 98 victims of recent (1 to 4 months post-accident) motor vehicle accidents who sought medical attention as a result of the accident, we obtained data on the extent of physical injury using blind ratings with the Abbreviated Injury Scale (AIS), as well as victims reports of their perceptions of how much danger they perceived at the time of the accident and the degree of life threat (fear of dying) they perceived. AIS scores significantly predicted (P < 0.01) development of post-traumatic stress disorder (PTSD) (r point biserial = 0.302) and development of post-traumatic stress symptoms (PTSS) (r = 0.311) as did perception of life threat (r point biserial = 0.294 for PTSD and r = 0.229 for PTSS). A multiple regression equation combining AIS and life threat accounted for 12.2% of variance in PTSS scores.

摘要

对于98名近期(事故发生后1至4个月)因机动车事故寻求医疗救治的受害者,我们使用简略损伤量表(AIS)通过盲法评分获取了身体损伤程度的数据,以及受害者关于他们在事故发生时所感知到的危险程度和所感知到的生命威胁程度(对死亡的恐惧)的报告。AIS评分显著预测了创伤后应激障碍(PTSD)的发生(P < 0.01)(r点二列相关系数 = 0.302)以及创伤后应激症状(PTSS)的发生(r = 0.311),对生命威胁的感知同样如此(PTSD的r点二列相关系数 = 0.294,PTSS的r = 0.229)。一个将AIS和生命威胁相结合的多元回归方程解释了PTSS评分中12.2%的方差。

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