在初级保健中儿童创伤性压力
Brooks R Keeshin1,2,3,4, Eric T Monson2, Lindsay Abdulahad1
1Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Pediatrics
|October 26, 2025
概括
创伤暴露和创伤性压力在访问初级保健的年轻人中很常见. 在健康儿童诊所进行查可以识别有风险的青少年患有心理健康状况,包括抑郁症,焦虑症和自杀倾向.
科学领域:
- 儿科心理健康 儿科心理健康
- 主要护理的查.
- 创伤性压力研究研究
背景情况:
- 暴露于创伤和创伤性压力是导致青少年心理健康问题的重要因素.
- 尽管患病率很高,但创伤查并未始终被纳入常规儿科护理.
- 识别遭受创伤性压力的年轻人对于早期干预和预防疾病至关重要.
研究的目的:
- 确定在健康儿童访问期间青少年的创伤暴露率和创伤性压力症状.
- 在这个人群中检查创伤,抑郁,焦虑和自杀倾向之间的临床关联.
- 强调创伤查在初级保健机构的重要性.
主要方法:
- 对24675名年轻人 (年龄在11-19岁) 进行分析,这些年轻人参加了初级保健健康儿童访问.
- 使用了"三重屏幕"工具,包括儿科创伤性压力查工具,PHQ-A和GAD-7.
- 在需要时使用哥伦比亚自杀严重性评级表 (C-SSRS).
主要成果:
- 15.5%的年轻人报告遭受创伤;7.5%报告中度/高创伤性压力症状.
- 女性和西班牙裔青年的创伤暴露率更高.
- 患有创伤和高创伤性压力的青少年,自杀风险高10倍.
结论:
- 在初级保健机构的年轻人中,创伤暴露和创伤性压力非常普遍.
- 在健康儿童访问期间进行例行创伤查,可以有效地识别有风险的青少年.
- 早期识别有助于及时干预心理健康疾病.
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