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患有慢性身体疾病的青少年和年轻成年人的创伤后压力症状:一种混合方法研究
Frederike Lunkenheimer1, Agnes Mutter2, Pauline Vogelmann2
1Department of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, Ulm University, Lise-Meitner-Str. 16, 89081, Ulm, Germany. frederike.lunkenheimer@uni-ulm.de.
Child and adolescent psychiatry and mental health
|June 26, 2023
概括
患有慢性疾病的青少年和年轻人经历了显著的创伤后压力症状 (PTSS). 心理和社会负担是关键因素,突出了针对性心理干预的需要.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 儿科 儿科 儿科
- 青少年医学 青少年医学
背景情况:
- 患有慢性疾病 (CD) 的青少年和年轻人 (AYA) 患有创伤后应激障碍 (PTSD) 的风险增加了3倍.
- 增加的创伤后压力症状 (PTSS) 会对CD的严重程度,治疗的坚持,健康和功能障碍产生负面影响.
- 缺乏对这种并发症的详细了解.
研究的目的:
- 调查患有CD的AYA中PTSS的患病率和预测因素.
- 在AYA中确定与CD相关的最压力事件.
- 探索压力事件类别与PTSS严重程度之间的关联.
主要方法:
- 235名AYA (12-21岁) 患有1型糖尿病,青少年异常性关节炎或囊性纤维化,以及70名参考人完成了在线问卷.
- 评估包括PTSS,焦虑/抑郁症状,整体健康,应对,个人成长和社会支持.
- 混合方法分析包括定性内容分析,线性回归和相关性.
主要成果:
- 确定了四大类压力事件:心理负担 (40% AYA),CD自我管理 (32%),社会负担 (30%) 和身体损伤 (23%).
- 37%的AYA报告了临床相关的PTSS.
- 焦虑抑郁症状,情绪应对,个人成长和整体健康预测PTSS严重程度 (R2 = 0.515). 心理和社会负担与PTSS严重程度有显著的关联.
结论:
- 许多患有CD的AYA经历了临床相关的PTSS和多次压力生活事件.
- 确定与PTSS相关的特定压力事件类别可以帮助针对CD的AYA进行心理干预.
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