儿童创伤后的精神和身体健康障碍:加拿大马尼托巴的一项基于人口的纵向研究
Rae Spiwak1,2, Justin P Gawaziuk1, Dominic Chung3
1Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
BMJ open
|March 5, 2025
概括
经历创伤后幸存下来的儿童面临更高的精神和身体健康障碍. 早期干预对于这些住院后的儿科患者至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科医学 儿科医学
- 创伤外科 手术 创伤外科
背景情况:
- 儿科创伤 (PTI) 是儿童住院的重要原因之一.
- 对于受伤后的长期心理和身体健康结果的了解有限,尤其是在考虑先前存在的条件时.
研究的目的:
- 为了比较儿科伤害幸存者的精神和身体障碍与未受伤的匹配队列.
- 为了调查受伤的年轻人经历受伤后精神和身体障碍增加的假设.
主要方法:
- 追溯纵向队列研究,使用相关的行政健康数据.
- 参与的儿科患者因受伤住院 (n=9551) 和匹配的未受伤的对照 (n=47,755) 在加拿大马尼托巴.
- 评估精神 (焦虑,抑郁,吸毒) 和身体疾病 (关节炎,癌症,糖尿病等) 的情况. 在受伤前和后两年.
主要成果:
- 与对照人群相比,受伤的年轻人在受伤前和后表现出明显更高的所有精神障碍 (焦虑,抑郁,吸毒) 率.
- 在受伤后的队列中观察到包括关节炎,癌症,胃肠道问题和高血压在内的身体疾病的增加率.
- 更严重的伤害严重程度与精神健康障碍的两倍增加和受伤的幸存者中自杀率的三倍增加相关.
结论:
- 创伤的儿童幸存者表现出精神和身体健康障碍的相对比率较高.
- 这些发现强调了针对这一脆弱人群的有针对性的干预措施的必要性,从入院时开始.
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