Radnitz C L, Hsu L, Tirch D D, Willard J, Lillian L B, Walczak S, Festa J, Perez-Strumolo L, Broderick C P, Binks M, Schlein I, Bockian N, Green L, Cytryn A
School of Psychology, Fairleigh Dickinson University, Bronx, New York, USA.
J Abnorm Psychol. 1998 Nov;107(4):676-80. doi: 10.1037//0021-843x.107.4.676.
The authors assessed effects of paraplegic and quadriplegic spinal cord injuries (SCIs) on posttraumatic stress disorder (PTSD) by comparing severity and prevalence of PTSD in these groups to a sample of controls who experienced traumatic injuries other than SCI. The authors found that veterans with quadriplegia reported significantly less severe current PTSD symptoms than controls who were not significantly different from veterans with paraplegia. These results suggest that sustaining a quadriplegic SCI decreases risk of current PTSD, whereas sustaining a paraplegic SCI is associated with greater risk of PTSD, although the risk is no greater than that incurred from experiencing the trauma itself.
作者通过比较截瘫和四肢瘫脊髓损伤（SCI）组与经历非SCI创伤性损伤的对照组样本中创伤后应激障碍（PTSD）的严重程度和患病率，评估了这些脊髓损伤对PTSD的影响。作者发现，四肢瘫退伍军人报告的当前PTSD症状严重程度明显低于对照组，而对照组与截瘫退伍军人没有显著差异。这些结果表明，发生四肢瘫SCI会降低当前患PTSD的风险，而发生截瘫SCI则与患PTSD的风险增加有关，尽管该风险不高于经历创伤本身所带来的风险。
