Radnitz C L, Hsu L, Willard J, Perez-Strumolo L, Festa J, Lillian L B, Walczak S, Tirch D D, Schlein I S, Binks M, Broderick C P
Fairleigh Dickinson University, Teaneck, New Jersey 07666, USA.
J Trauma Stress. 1998 Jul;11(3):505-20. doi: 10.1023/A:1024404729251.
Trauma-related risk factors for posttraumatic stress disorder (PTSD) were examined in a sample of 125 veterans with spinal cord injury. Category of injury was found to be the most consistent predictor of PTSD diagnosis and symptom severity with paraplegia predicting more PTSD symptoms than quadriplegia. The occurrence of a head injury at the time of the trauma was found to predict PTSD symptom severity measures, but not PTSD diagnosis. Trauma recency consistently predicted Impact of Event score (IES) and was found to be related to current PTSD severity and lifetime PTSD diagnosis in multiple but not simple regression models. Trauma severity was found to be significantly related to self-reported PTSD symptoms and lifetime PTSD diagnosis in simple but not in multiple regression analyses. Type of trauma, alcohol or other drug (AOD) use during the trauma and loss of consciousness (LOC) during the trauma were not consistently associated with PTSD symptom severity or diagnosis.
在125名脊髓损伤退伍军人样本中，对创伤后应激障碍（PTSD）的创伤相关风险因素进行了研究。发现损伤类型是PTSD诊断和症状严重程度最一致的预测因素，截瘫比四肢瘫预测更多的PTSD症状。创伤时头部受伤的发生被发现可预测PTSD症状严重程度指标，但不能预测PTSD诊断。创伤近期性始终能预测事件影响量表（IES）得分，并且在多个但非简单回归模型中被发现与当前PTSD严重程度和终生PTSD诊断相关。在简单回归分析而非多元回归分析中，发现创伤严重程度与自我报告的PTSD症状和终生PTSD诊断显著相关。创伤类型、创伤期间酒精或其他药物（AOD）使用情况以及创伤期间意识丧失（LOC）与PTSD症状严重程度或诊断并无始终一致的关联。
