Ford J D, Kidd P
Department of Veterans Affairs National Center for PTSD, White River Junction, Vermont 05001, USA.
J Trauma Stress. 1998 Oct;11(4):743-61. doi: 10.1023/A:1024497400891.
History of early childhood trauma was prevalent and highly correlated with Disorders of Extreme Stress Not Otherwise Specified (DESNOS) in a sample of veterans in inpatient treatment for chronic posttraumatic stress disorder (PTSD). DESNOS predicted reliable change on a variety of measures of psychiatric symptomatology (including PTSD) and psychosocial functioning independently of the effects of PTSD diagnosis and early childhood trauma history. DESNOS also predicted treatment outcome on PTSD and quality of life measures after controlling for the effects of ethnicity, war zone trauma exposure severity, initial level of symptomatic severity or quality of life, Axis I (PTSD and major depression) and Axis II (personality disorder) diagnostic status, and early childhood trauma history. Early childhood trauma was not predictive of outcome. DESNOS appears to play an important role in assessment and treatment planning for psychotherapeutic rehabilitation of chronic PTSD.
在因慢性创伤后应激障碍（PTSD）接受住院治疗的退伍军人样本中，儿童期早期创伤史很普遍，且与未另作说明的极端应激障碍（DESNOS）高度相关。DESNOS能独立于PTSD诊断和儿童期早期创伤史的影响，预测多种精神症状学指标（包括PTSD）和心理社会功能的可靠变化。在控制了种族、战区创伤暴露严重程度、症状严重程度或生活质量的初始水平、轴I（PTSD和重度抑郁症）和轴II（人格障碍）诊断状态以及儿童期早期创伤史的影响后，DESNOS还能预测PTSD的治疗结果和生活质量指标。儿童期早期创伤并不能预测结果。DESNOS似乎在慢性PTSD心理治疗康复的评估和治疗规划中起着重要作用。
