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[暴力行为后创伤后应激障碍的临床与心理测量学研究]

[Clinical and psychometric study of post-traumatic stress disorders following acts of violence].

作者信息

De Mol J

机构信息

Service de Psychiatrie et de Psychologie médicale, Hôpital Brugmann, Bruxelles.

出版信息

Rev Med Brux. 1994 May-Jun;15(3):118-23.

PMID:8066356
Abstract

Fifty victims of assaults and hold-ups underwent a medical and psychological examination in order to assess the semiological and psychometric features of post-traumatic stress disorder: 27 males and 23 females with a mean age of 41 years were examined 18 months after the traumatic event. The following semiology was observed: excitability, phobic avoidance, distrust, recurrent traumatic nightmares, difficulties in concentration, impaired memory, dysphoric mood, hyperfatigability, recurrent recollection of the traumatic event, headache, middle and terminal sleep disturbances and neurovegetative hyperreactivity. Testing demonstrated anxious and depressive troubles and moderate cognitive disturbances. Statistical study showed no correlation between type of aggression (psychological trauma with or without concomitant physical component) and cognitive and psycho-affective variables. Most of the cognitive disturbances were correlated with the severity of anxiety and depression. Post-traumatic stress disorder also perturbed the work capacity: only 8 patients resumed previous activities after a lapse of time of 1-54 months.

摘要

五十名袭击和抢劫受害者接受了医学和心理检查,以评估创伤后应激障碍的症状学和心理测量特征:27名男性和23名女性,平均年龄41岁,在创伤事件发生18个月后接受检查。观察到以下症状学表现:易激惹、恐惧回避、不信任、反复出现创伤性噩梦、注意力不集中、记忆力受损、烦躁情绪、过度疲劳、创伤事件的反复回忆、头痛、睡眠中期和末期干扰以及神经植物性反应亢进。测试显示存在焦虑和抑郁问题以及中度认知障碍。统计研究表明,攻击类型(伴有或不伴有身体成分的心理创伤)与认知和心理情感变量之间无相关性。大多数认知障碍与焦虑和抑郁的严重程度相关。创伤后应激障碍也影响了工作能力:只有8名患者在1至54个月的时间间隔后恢复了以前的活动。

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