在幼儿中探索创伤后压力的维度
Daniel J Mulligan1, Damion J Grasso2,3, Carolyn A Greene2
1Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT, USA. dmulligan@uchc.edu.
Research on child and adolescent psychopathology
|February 2, 2026
概括
幼儿的创伤后应激症状 (PTSS) 可能不符合标准的诊断集群. 研究表明有两个关键的维度:避免/激发和入侵/恐惧,提供了更敏感的发展方法.
科学领域:
- 儿童心理学 儿童心理学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 在幼儿时代了解创伤后应激症状 (PTSS) 是一个挑战.
- 当前的诊断框架可能无法完全捕捉到幼儿PTSS的复杂性.
研究的目的:
- 在学龄前儿童中评估PTSS.
- 识别儿童PTSS的潜在潜伏构造.
- 为了评估已识别的PTSS维度的构造有效性.
主要方法:
- 有190名儿童和他们的母亲参加了这次活动.
- 在基线和6个月后随访时通过临床采访和问卷收集的数据.
- 探索性结构方程建模用于分析PTSS症状结构.
主要成果:
- 对于儿童早期PTSS,DSM-5的四个因素结构没有得到支持.
- 初步证据表明有两个维度:回避/煽动和入侵/恐惧.
- 这些维度包括发育特异性症状,并显示出良好的有效性和可靠性.
结论:
- 现有的PTSD症状集群可能对学龄前儿童不太适用.
- 需要一种对发育敏感的,维度的方法来理解幼儿期创伤后压力.
- 侵入/恐惧维度在随访时独特地预测了损伤.
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