The relationship between acute stress disorder and posttraumatic stress disorder: A 2-year prospective evaluation
The relationship between acute stress disorder and posttraumatic stress disorder: A 2-year prospective evaluation
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DOI：
10.1037/0022-006x.67.6.985
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发表时间：
1999-12-01
影响因子：
5.9
通讯作者：
Bryant, RA
中科院分区：
文献类型：
--
作者：
Harvey, AG;Bryant, RA
先前的研究表明，在最初被诊断为急性应激障碍(ASD)的机动车事故幸存者样本中，78%的人在创伤后6个月后被诊断为创伤后应激障碍(PTSD)。尽管先前的研究为ASD诊断的实用性提供了初步证据，但ASD和PTSD之间的关系是在相对较短的时间内评估的。本研究在创伤后2年重新评估原始样本，以建立ASD和创伤后应激障碍之间的长期关系。13%的受试者被诊断为ASD，21%的受试者被诊断为亚综合征ASD。在参与所有3项评估的参与者中，63%的人符合ASD的标准，70%的人符合亚综合征ASD的标准，13%的人不符合ASD的标准，在创伤后2年被诊断为创伤后应激障碍。这些发现表明了考虑多种途径对创伤后应激障碍发展的重要性。
Previous research established that 78% of a sample of motor vehicle accident survivors initially diagnosed with acute stress disorder (ASD) were subsequently diagnosed with posttraumatic stress disorder (PTSD) at 6 months posttrauma. Although the previous study provided initial evidence for the utility of the ASD diagnosis, the relationship between ASD and PTSD was assessed over a relatively short period. The present study reassessed that original sample 2 years following the trauma to establish the longer term relationship between ASD and PTSD. ASD was diagnosed in 13% of participants, and 21% were diagnosed with subsyndromal ASD. In terms of participants who participated in all 3 assessments, 63% who met the criteria for ASD, 70% who met the criteria for subsyndromal ASD, and 13% who did not meet the criteria for ASD were diagnosed with PTSD at 2 years posttrauma. These findings indicate the importance of considering multiple pathways to the development of PTSD.