早期儿童PTSD及其相关物质:来自巴西的一项基于人口的研究
Daniel Zandoná-Santos1, Marcos V V Ribeiro1, Marcelo F Melo1
1Universidade Federal de São Paulo, São Paulo, Brazil.
European child & adolescent psychiatry
|January 9, 2026
概括
创伤后应激障碍 (PTSD) 影响高暴力地区的学龄前儿童,与父母的PTSD和发展问题有关. 儿童和照顾者的早期干预对于脆弱社区至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康研究 心理健康研究
- 创伤研究 创伤研究
背景情况:
- 学前儿童的创伤后应激障碍 (PTSD) 尚未得到充分研究,特别是在暴力和社会脆弱性较高的城市环境中.
- 关于学龄前儿童PTSD患病率和相关因素的基于人口的数据很少.
研究的目的:
- 调查在高风险城市地区的学龄前儿童及其照顾者中PTSD症状的流行情况.
- 确定与学龄前儿童PTSD相关的因素,包括父母的心理健康和社会情感发展.
主要方法:
- 在一个脆弱的城市地区进行了巴西学前心理健康研究,招收了1292名儿童和照顾者.
- 使用标准化采访 (YCPS,PCL-C) 来确定PTSD症状,社会情绪发展 (ASQ:SE-2) 和社会人口统计数据.
- 采用后勤回归模型来分析变量之间的关联.
主要成果:
- 在儿童中,PTSD症状的发病率为3.8%,在护理人员中为3.1%.
- 学前儿童的PTSD与父母的PTSD (aOR=12.20),社会情绪发展障碍 (aOR=2.30) 和更高的社会经济地位 (aOR=1.84) 强烈相关.
- 新教宗教信仰显示出一种保护作用 (aOR=0.75).
结论:
- 创伤后应激障碍是暴露于慢性暴力的学龄前儿童的一个重大问题,突出了代际创伤.
- 调查结果强调,在脆弱环境中,儿童和照顾者的早期识别和干预策略至关重要.
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