儿童和青少年之间的差异和相似之处暴露于人际关系创伤与或没有智力障碍:一个探索性研究
Veronica Sperandini1, Federica Alice Maria Montanaro1, Paola De Rose1
1Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome 00165, Italy.
Research in developmental disabilities
|October 22, 2024
概括
智力残疾 (ID) 的儿童在创伤后会经历更严重的创伤后应激障碍 (PTSD) 症状和社会问题. 针对性治疗对受影响的年轻人至关重要,无论ID状态如何.
科学领域:
- 儿童心理学 儿童心理学
- 神经发育障碍 神经发育障碍
- 创伤研究 创伤研究
背景情况:
- 智力残疾 (ID) 个体面临着对创伤的高度脆弱性,增加他们患创伤后应激障碍 (PTSD) 的风险.
- 了解创伤对弱势群体的影响对于有效干预至关重要.
- 之前的研究表明,智商障碍与对不良生活事件的敏感性增加之间存在相关性.
研究的目的:
- 为了比较心理病理学,创伤后症状和适应性功能在意大利儿童和青少年和没有ID的人际创伤后.
- 检查特定类型的人际创伤 (虐待,家庭暴力,忽视) 与明显的精神病理结果之间的关联.
- 识别智力障碍和没有智力障碍的个体之间创伤后续的差异.
主要方法:
- 招募了66名暴露于人际创伤的儿童和青少年的样本.
- 参与者被分为两组:有和没有智力障碍 (ID) 的参与者.
- 评估包括结构化的家长采访和家长报告的问卷,以评估精神病理和创伤症状.
主要成果:
- 与非ID同龄人相比,患有ID的儿童和青少年表现出更严重的创伤后症状,焦虑和社会问题.
- 适应性功能在ID组中较差,除了在实践领域,这在两组中都有类似的损害.
- 对身体/性虐待和家庭暴力的暴露导致了比忽视更大的创伤后症状.
结论:
- 个人间的创伤对儿童和青少年产生重大影响,不论智力障碍如何.
- 这些发现强调了对经历创伤的儿童和青少年进行个性化治疗方法的必要性,考虑到ID的存在或不存在.
- 特定的创伤类型与不同的症状严重程度有关,为目标干预提供了信息.
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