ポルトガルの若者におけるPTSDの理解:複数の診療所で治療を受けたサンプルにおける予測因子とリスク因子
Inês Barroca1,2, Inês Pinto3,4,5,6, Paula Saraiva Carvalho7,8
1Child and Adolescent Psychiatry Service, Unidade Local de Saúde de Lisboa Ocidental, Lisbon, Portugal.
Brain and behavior
|September 2, 2025
まとめ
幼児のトラウマ後ストレス障害 (PTSD) は,臨床試験の35. 6%に及ぶ. リスク要因には 高齢,人際的トラウマ,分裂性症状などがあり 標的を絞った介入の必要性を強調しています
科学分野:
- 児童・青少年精神科
- トラウマ心理学
- 臨床心理学
背景:
- トラウマ後ストレス障害 (PTSD) は,子供や青少年に多く見られます.
- 現存する研究では 主に成人に焦点を当てて 幼児のPTSDの予測要因を無視しています
研究 の 目的:
- 子供と青年の臨床サンプルで PTSD の流行を決定する.
- トラウマ前,事件関連,およびPTSDの発達に関連するトラウマ後要因を特定する.
主な方法:
- 臨床記録と標準化された評価 (臨床医によるPTSDスケール,潜在的トラウマ事件のチェックリスト) を利用した.
- 少なくとも1件のトラウマを患った7歳から18歳の参加者101人を含め,1ヶ月の追跡調査を行いました.
主要な成果:
- PTSDの罹患率は35.6%でした.
- 高齢化,人際的トラウマ事件, 単独の関与が PTSDのリスクを高めます
- 分離症状はPTSDと最も強く関連しており,回避,侵入的思考,気分/認知症状が続いています.
結論:
- PTSDの発症を予測する要因がいくつかあります
- 子どもの長期的な福祉を促進するには,意識の向上,医療従事者の専門的な研修,標的型の予防/介入戦略が不可欠です.
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