人口和医疗特征与创伤后应激障碍的发展之间的关系在急诊后的儿童中:一项前性研究
Anna McKinnon1, Zoe Mermin2, Tim Dalgleish3
1McKinnon Psychology, Edgecliff, New South Wales, Australia.
概括
暴露于创伤的儿童可能会患上创伤后应激障碍 (PTSD). 人际暴力在儿科急诊室患者中显著增加了PTSD风险,尽管其他因素也起到了作用.
科学领域:
- 儿科急救医学 儿科急救医学
- 创伤心理学 创伤心理学
- 儿童精神病学 儿童精神病学
背景情况:
- 创伤后应激障碍 (PTSD) 是经历创伤事件的儿童的潜在并发症.
- 在急诊室 (ED) 访问后,预测儿科患者中PTSD发展需要了解风险因素.
研究的目的:
- 评估来自ED访问的人口统计和医学数据,以预测儿童的PTSD.
- 为了确定PTSD发展的预测因素2个月后ED出席创伤暴露.
主要方法:
- 对231名儿童 (8-17岁) 在英格兰东部4个EDs (2010-2013) 的前性纵向研究.
- 数据收集在ED出席的2周内; PTSD通过2个月的结构化采访进行评估.
- 用于识别PTSD预测因子的单变和逻辑回归分析.
主要成果:
- 10%的儿童在ED访问后的2个月内满足了PTSD标准.
- 区分PTSD和非PTSD组的变量包括静缩血压,脉,受伤数,人际暴力和头部受伤.
- 攻击是PTSD (OR=5.07) 的重要预测因素,但模型的灵敏度很差 (0.30).
结论:
- 创伤后应激障碍影响了极少数暴露于死亡或严重受伤的儿童.
- 成为人际暴力受害者的儿童面临患PTSD的风险更高.
更多相关视频
11:31Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting
Published on: November 30, 2015
16.2K
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
12.7K
相关概念视频
Post-traumatic Stress Disorder
115
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
115
Introduction to Stress and Lifestyle
180
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
180
Attention-Deficit/Hyperactivity Disorder
294
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
294
Panic Disorder
177
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
177
Traumatic Memory
190
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
190
Psychoneuroimmunology: Cardiovascular Disease
78
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
78
