在轻度创伤性脑损伤1年后,儿科创伤后应激障碍的演变和相关因素:一个前性的纵向研究
Sharon Barak1,2, Maya Miriam Gerner2, Ety Berant3
1Department of Nursing, Faculty of Health Science, Ariel University, Ariel.
概括
轻度创伤性脑损伤 (mTBI) 可以导致长期创伤后应激障碍 (PTSD) 或症状 (PTSS). 在mTBI发生一年后,20%的年轻人仍然患有PTSD,这凸显了持续监测的必要性.
科学领域:
- 神经科学是一个神经科学.
- 儿科 儿科 儿科
- 心理学 心理学 心理学
背景情况:
- 轻度创伤性脑损伤 (mTBI) 可以导致持续的不良结果,包括创伤后应激障碍 (PTSD) 和创伤后应激症状 (PTSS).
- 了解儿科mTBI后PTSD和PTSS的长期演变对于有效管理至关重要.
研究的目的:
- 为了调查PTSD和PTSS在mTBI后的年轻人的发生和长期发展轨迹.
- 确定与PTSD和PTSS的发展和持续相关的因素.
主要方法:
- 一组85名年轻人 (平均年龄10岁) 和他们的母亲在mTBI (T1) 后不久和1年后 (T2) 被评估.
- 评估包括PTSS/PTSD,脑震荡后症状,意识丧失,儿童焦虑和母亲心理健康.
- 统计分析包括威尔科克森测试,相关性,部分相关性和PTSD恢复轨迹 (慢性,延迟,恢复,弹性) 的计算.
主要成果:
- 从T1 (34%) 到T2 (21%),PTSS和PTSD的发生率显著下降.
- 在T2的PTSS与T1的PTSS和脑震荡后症状有显著的相关性 (r=0.60,0.32,0.37).
- 大多数年轻人表现出"性" (40%) 或"恢复" (35%) 的轨迹;只有6%的人表现出"延迟"的恢复. 20%的人在T2时仍然患有PTSD.
结论:
- 在mTBI后的一年,很大一部分年轻人继续经历持续的PTSD或PTSS.
- 早期的PTSS和脑震荡后症状预示着晚期的PTSS.
- 在mTBI后对年轻人的长期监测对于解决持续的心理后果至关重要.
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