意图很重要:在有意,人际伤害后的长期患者结果
Colby Wilson1, Joseph Kern1, Kathleen O'Neill1
1Division of Traumatology, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
The Journal of surgical research
|December 19, 2025
概括
被人际暴力故意伤害的创伤患者患上创伤后应激障碍 (PTSD) 的比例更高. 早期查和心理健康支持对故意创伤的幸存者至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 创伤伤害可能会导致长期的身体,精神和社会挑战.
- 作为伤害的原因,人际暴力可能会加剧安全问题,并阻碍恢复.
研究的目的:
- 根据伤害的意图,比较长期患者报告的结果.
- 调查与非故意伤害相比,在因人际暴力而受伤的患者中,心理健康结果是否更差.
主要方法:
- 从2019年10月到2024年1月,从成人创伤患者 (n=315) 收集前性数据.
- 使用PC-PTSD-5评估创伤后应激障碍 (PTSD),并通过PROMIS-29评估患者报告的结果.
- 使用描述性统计和多变量后勤回归,比较无意中受伤和故意受伤 (人际暴力) 组之间的结果.
主要成果:
- 与无意中受伤的患者相比,故意受伤的患者 (n=105) 较年轻,受伤程度更严重,女性和黑人更频繁.
- 在有意受伤的患者 (43.6%) 与无意受伤的患者 (22.6%) (P < 0.001) 中观察到较高的阳性PTSD查率.
- 蓄意伤害与创伤后应激障碍的几率增加了2.1倍,而与焦虑或抑郁症没有发现显著的关联.
结论:
- 蓄意伤害与创伤后创伤后应激障碍的增加率有显著的相关性.
- 医疗保健提供者应该优先考虑心理健康查,特别是PTSD,在人际暴力的幸存者.
- 量身定制的查和治疗方案对于解决创伤患者的特定心理健康需求至关重要,特别是那些经历了故意伤害的人.
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