Blanchard E B, Hickling E J, Forneris C A, Taylor A E, Buckley T C, Loos W R, Jaccard J
Center for Stress and Anxiety Disorders, University at Albany-SUNY 12203, USA.
J Trauma Stress. 1997 Apr;10(2):215-34. doi: 10.1023/a:1024826028483.
One hundred forty five individuals who sought medical attention as a result of a motor vehicle accident (MVA), and who were initially assessed 1 to 4 months post-MVA, were followed up prospectively for 6 months to determine how many of the 55 with posttraumatic stress disorder (PTSD) and the 43 with sub-syndromal PTSD would remit and what variables would predict remission. Thirty (55%) of those with initial PTSD had remitted at least in part by 6 months while 67% of those with sub-syndromal PTSD had remitted (and 5% had worsened). Four variables, including severity of initial symptoms, degree of initial physical injury, relative degree of physical recovery by 4 months and whether a close family member suffered a trauma during the follow-up interval, combined to classify 6-month clinical status of 84% of those with initial PTSD secondary to MVAs.
145名因机动车事故（MVA）寻求医疗救治的患者，在MVA后1至4个月接受了初始评估，并进行了为期6个月的前瞻性随访，以确定55名创伤后应激障碍（PTSD）患者和43名亚综合征PTSD患者中有多少人会康复，以及哪些变量可以预测康复情况。初始患有PTSD的患者中，30名（55%）在6个月时至少部分康复，而亚综合征PTSD患者中有67%康复（5%病情恶化）。四个变量，包括初始症状的严重程度、初始身体损伤的程度、4个月时身体恢复的相对程度以及在随访期间亲密家庭成员是否遭受创伤，综合起来可对84%因MVA继发初始PTSD患者的6个月临床状态进行分类。
