Blanchard E B, Hickling E J, Vollmer A J, Loos W R, Buckley T C, Jaccard J
Center for Stress and Anxiety Disorders, University at Albany-SUNY 12203, USA.
Behav Res Ther. 1995 May;33(4):369-77. doi: 10.1016/0005-7967(94)00067-t.
Ninety-eight victims of recent motor vehicle accidents (MVA), who sought medical attention as a result of the MVA, were followed up prospectively 6 months after the initial assessment, using Keller, Lavori, Friedman, Nielsen, Endicott, McDonald-Scott and Andreasen's (Archives of General Psychiatry, 44, 540-548, 1987) LIFE methodology so that month-by-month changes in post-traumatic stress disorder (PTSD) symptoms could be determined. For the 40 MVA victims who initially met the full criteria for PTSD, 10 no longer met the criteria 4 months after the initial assessment, a decrease significant at the P < 0.01 level, and 20 no longer met the full criteria at 6 months (P < 0.001). On a symptom-by-symptom basis, there were significant declines among the fraction of those who initially met the criteria for PTSD for all avoidance and numbing symptoms by the 6-month follow-up, whereas most of the hyperarousal symptoms did not show significant declines.
98名近期机动车事故（MVA）受害者因事故寻求医疗救治，在初次评估6个月后进行前瞻性随访，采用凯勒、拉沃里、弗里德曼、尼尔森、恩迪科特、麦克唐纳 - 斯科特和安德里亚森（《普通精神病学档案》，44卷，540 - 548页，1987年）的LIFE方法，以便确定创伤后应激障碍（PTSD）症状逐月的变化情况。对于最初完全符合PTSD标准的40名MVA受害者，10人在初次评估4个月后不再符合标准，这一减少在P < 0.01水平具有显著性，20人在6个月时不再符合全部标准（P < 0.001）。在逐个症状的基础上，到6个月随访时，所有回避和麻木症状中最初符合PTSD标准的比例均有显著下降，而大多数过度警觉症状没有显著下降。
