Predictors of posttraumatic stress disorder after burn injury.
Predictors of posttraumatic stress disorder after burn injury.
复制标题
烧伤后创伤后应激障碍的预测因子。
DOI：
10.1176/ajp.149.7.931
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发表时间：
1992
期刊：
影响因子：
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通讯作者：
Jacobsberg,L
中科院分区：
文献类型：
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作者：
Perry,S;Difede,J;Musngi,G;Frances,AJ;Jacobsberg,L
作者的目标是检查创伤后应激障碍（PTSD. MethodHospital烧伤患者受伤后1周进行评估，客观预测（烧伤面积和面部毁容的百分比）和主观预测（情绪困扰和感知的社会支持）的主观和客观的预测因子。结果51例患者中，18例（35.3%）在2个月时符合PTSD标准。6个月（N= 16，40.0%）和12个月（N= 14，45.2%）时PTSD的发生率也较高。PTSD的预测主观变量在基线评估，但更严重的烧伤患者不更有可能发展PTSD.ConclusionsThe DSM-HI-R诊断PTSD依赖于客观评价的压力源的严重程度。这项研究的前瞻性数据支持那些认为评估压力源的严重程度也可能考虑主观因素的人。
ObjectiveThe authors’ goal was to examine subjective and objective predictors of posttraumatic stress disorder(PTSD).MethodHospitalized burn patients were assessed 1 week after injury with both objective predictors(percent of burned area and facial disfigurement) and subjective predictors(emotional distress and perceived social support). The patients were then assessed 2, 6, and 12 months later for development ofPTSD.ResultsAmong 51 patients, 1 8 (35.3%) met PTSD criteria at 2 months. High rates ofPTSD were also found at 6 months (N= 16, 40.0% ofthe 40 available patients) and 12 months(N= 14, 45.2% ofthe 31 available patients). PTSD was predicted by subjective variables assessed at baseline, but patients with more severe burns were not more likely to develop PTSD.ConclusionsThe DSM-HI-R diag-nosis ofPTSD relies on an objective evaluation ofthe stressor’s severity. The prospective data in this study support those who argue that evaluations of the severity of the stressor might also take into account subjective factors.