查受伤儿童及其父母持续创伤后压力风险
Flaura K Winston1, Nancy Kassam-Adams, Felipe Garcia-España
1Division of General Pediatrics, Department of Pediatrics, School of Medicine, University of Pennsylvania, Philadelphia, USA. flaura@mail.med.upenn.edu
JAMA
|August 7, 2003
概括
一个新的查工具,PTSD早期预测器查工具 (STEPP),有效地识别了受伤后患创伤后应激障碍的儿童和家长. 这种工具有助于临床医生有效地分配心理健康资源.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 儿童心理健康儿童心理健康
- 创伤信息化的护理
背景情况:
- 儿童受伤是严重的健康威胁,也是创伤后应激障碍 (PTSD) 的常见原因.
- 许多患有PTSD的受伤儿童仍然没有被诊断和治疗,这突显了关键的护理差距.
研究的目的:
- 开发一个简短的,独立的查工具,用于急性创伤环境.
- 识别受伤的儿童及其父母有持续创伤后压力症状的风险.
主要方法:
- 创伤后应激障碍早期预测者的查工具 (STEPP) 是从风险因素调查中开发的.
- 一项前性队列研究涉及269名儿童 (8-17岁) 和他们的父母因交通伤害而接受治疗.
- 创伤后应激障碍症状使用已建立的尺度至少在受伤后3个月进行评估.
主要成果:
- 该STEPP包括孩子的4个问题,父母的4个问题和医疗记录的4个问题.
- 它表现出高灵敏度 (儿童0.88,父母0.96) 和负预测值 (儿童0.95,父母0.99).
- 在孩子和父母身上,STEPP显著预测了持续的创伤性压力.
结论:
- 该STEPP是一个新的,基于证据的工具,用于临床医生管理稀缺的心理健康资源.
- 它的简洁性和简单的评分方便了急性护理机构的管理.
- 该工具支持为儿童创伤幸存者及时和适当地分配心理健康支持.
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