Two-year prospective evaluation of the relationship between acute stress disorder and posttraumatic stress disorder following mild traumatic brain injury
Two-year prospective evaluation of the relationship between acute stress disorder and posttraumatic stress disorder following mild traumatic brain injury
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DOI：
10.1176/appi.ajp.157.4.626
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发表时间：
2000-04-01
影响因子：
17.7
通讯作者：
Bryant, RA
中科院分区：
文献类型：
--
作者：
Harvey, AG;Bryant, RA
目的：评估急性应激障碍对创伤后应激障碍（PTSD）的预测能力，确定轻度颅脑损伤后2年内急性应激障碍与PTSD的关系。方法：对机动车事故幸存者轻度创伤性脑损伤患者进行创伤后1个月内急性应激障碍（N=79）和创伤后6个月（N=63）和2年（N=50）的PTSD评估。结果：14%的患者诊断为急性应激障碍。在参加所有三项评估的患者中，80%符合急性应激障碍标准的受试者在2年时被诊断为PTSD。在整个初始组中，73%被诊断为急性应激障碍的患者在2年内患有创伤后应激障碍。结论：本研究进一步支持了急性应激障碍诊断作为PTSD预测指标的实用性，但同时也表明，诊断标准的预测能力可以通过更加强调再体验、回避和唤醒症状来提高。
Objective: To assess the ability of acute stress disorder to predict posttraumatic stress disorder (PTSD), the relationship between acute stress disorder and PTSD over the 2 years following mild traumatic brain injury was determined. Method: Survivors of motor vehicle accidents who sustained mild traumatic brain injuries were assessed for acute stress disorder within 1 month of the trauma (N=79) and for PTSD at 6 months (N=63) and 2 years (N=50) posttrauma, Results: Acute stress disorder was diagnosed in 14% of the patients. Among the patients who participated in all three assessments, 80% of the subjects who met the criteria for acute stress disorder were diagnosed with PTSD at 2 years. Of the total initial group, 73% of those diagnosed with acute stress disorder had PTSD at 2 years. Conclusions: This study provides further support for the utility of the acute stress disorder diagnosis as a predictor of PTSD but indicates that the predictive power of the diagnostic criteria can be increased by placing greater emphasis on reexperiencing, avoidance, and arousal symptoms.