The Course of Posttraumatic Stress in Children: Examination of Recovery Trajectories Following Traumatic Injury
The Course of Posttraumatic Stress in Children: Examination of Recovery Trajectories Following Traumatic Injury
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DOI：
10.1093/jpepsy/jsp050
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发表时间：
2010-07-01
影响因子：
3.6
通讯作者：
Kenardy, Justin A.
中科院分区：
文献类型：
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作者：
Le Brocque, Robyne M.;Hendrikz, Joan;Kenardy, Justin A.
目的应用群体轨迹模型研究意外伤害后6-16岁儿童创伤后应激症状（PTSS）的发生模式。其目的是：（a）确定可能遵循不同轨迹的儿童群体，以及（B）确定影响群体成员资格概率的风险因素。方法采用儿童事件影响量表（n = 190）对190例儿童创伤后应激障碍（PTSS）进行评定，并随访2年。年龄、性别、损伤类型和损伤前行为被评估为危险因素。结果三个不同的轨迹组：弹性（57%），升高的压力症状，恢复迅速（33%），和慢性（10%）。年龄较小的儿童更有可能进入康复组。那些严重受伤的人更有可能属于慢性组。损伤前儿童行为问题预示着恢复和高慢性症状。结论识别不同的PTSS轨迹组对了解儿童PTSS的病程和治疗具有重要意义。
Objective Group-based trajectory modeling was used to identify patterns of posttraumatic stress symptom (PTSS) in children 6-16 years following accidental injury. The aims were to: (a) identify probable groups of children following distinct trajectories, and (b) identify risk factors affecting the probability of group membership. Method Children's Impact of Events Scale (n = 190) was used to assess PTSS up to 2 years post injury. Age, gender, type of injury, and preinjury behavior were assessed as risk factors. Results Three distinct trajectory groups were identified: resilient (57%), elevated stress symptoms which recovered quickly (33%), and chronic (10%). Younger children were more likely to be in the recovery group. Those with serious injuries were more likely to be in the chronic group. Preinjury child behavior problems were predictive of recovery and high chronic symptoms. Conclusion Identification of distinct PTSS trajectory groups has implications for understanding the course and treatment of PTSS in children.