THE PSYCHOPHYSIOLOGY OF MOTOR-VEHICLE ACCIDENT RELATED POSTTRAUMATIC-STRESS-DISORDER

THE PSYCHOPHYSIOLOGY OF MOTOR-VEHICLE ACCIDENT RELATED POSTTRAUMATIC-STRESS-DISORDER
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DOI:
10.1016/s0005-7894(05)80157-1
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发表时间:
1994-06-01
期刊:
影响因子:
3.7
通讯作者:
GERARDI, RJ
GERARDI, RJ
中科院分区:
心理学2区
文献类型:
--
作者:
BLANCHARD, EB;HICKLING, EJ;GERARDI, RJ

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近期机动车辆事故 (MVA) 的 50 名受害者和 40 名非 MVA 对照组参加了心理生理学评估,在心算过程中测量了心率 (HR)、收缩压和舒张压、前额肌电图和皮电活动、受害者自身 MVA 的特殊录音描述以及 MVA 的标准录像带。 MVA 受害者被细分为 23 名患有完全创伤后应激障碍 (PTSD) 的患者、10 名患有亚综合征 PTSD 的患者以及 17 名没有 PTSD 的患者。 HR 对特殊录音带的反应可靠地将完全 PTSD 与其他 3 组区分开来(p < .01);这些受试者中有 74% 做出了回应,而其他 3 组的这一比例为 40% 至 24%。 似乎 HR 对特殊录音带的反应在个体受试者水平上具有诊断临床实用性。
Fifty victims of recent motor vehicle accidents (MVAs) and 40 non-MVA controls participated in a psychophysiological assessment in which heart rate (HR), systolic and diastolic blood pressures, forehead EMG and electrodermal activity were measured during mental arithmetic, idiosyncratic audiotaped descriptions of the victim's own MVA, and a standard videotape of MVAs. The MVA victims were subdivided into 23 with full posttraumatic stress disorder (PTSD), 10 with sub-syndromal PTSD, and 17 without PTSD. HR response to the idiosyncratic audiotape reliably (p < .01) discriminated the full PTSDs from the other 3 groups; 74% of these subjects responded as compared to from 40% to 24% of the other 3 groups. It appears that HR response to idiosyncratic audiotapes has diagnostic clinical utility at the level of the individual subject.