Posttraumatic Stress Symptoms in Children and Adolescents Referred for Child Welfare Investigation A National Sample of In-Home and Out-of-Home Care
Posttraumatic Stress Symptoms in Children and Adolescents Referred for Child Welfare Investigation A National Sample of In-Home and Out-of-Home Care
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DOI：
10.1177/1077559509337892
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发表时间：
2010-02-01
影响因子：
5.1
通讯作者：
Burns, Barbara J.
中科院分区：
文献类型：
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作者：
Kolko, David J.;Hurlburt, Michael S.;Burns, Barbara J.
本研究调查了1,848名儿童和青少年（8-14岁）的全国代表性样本中创伤后应激障碍（PTS）症状的患病率和相关性，这些儿童和青少年被转介到儿童福利机构，根据全国儿童和青少年福利调查进行虐待或忽视调查。使用儿童创伤症状自评量表的PTS子量表评估当前PTS症状的严重程度，这是一种标准化的儿童报告量表，用于评估与创伤相关的常见症状。具有临床意义的PTS症状的总体患病率为11.7%（总体平均T评分= 49.5）。被安置在家庭外护理的病例（19.2%）的患病率高于在家护理的病例（10.7%）。多变量分层回归确定了四个导致PTS症状加重的因素：儿童年龄较小，非亲生父母的虐待，家庭暴力和儿童抑郁症。作者讨论了自我报告的、临床显著的PTS症状的适度但仍低于预期的患病率，以及在转介至儿童福利服务的病例中发现的与PTS症状升高风险更大相关的变量。
This study examines the prevalence and correlates of heightened posttraumatic stress (PTS) symptoms in a nationally representative sample of 1,848 children and adolescents (ages 8-14) who were referred to child welfare for investigation of abuse or neglect based on the National Survey of Child and Adolescent Well-Being. The severity of current PTS symptoms was assessed using the PTS subscale of the Trauma Symptom Checklist for Children, a standardized child-report scale evaluating common symptoms associated with trauma. The overall prevalence of clinically significant PTS symptoms was 11.7% (overall mean T score = 49.5). The prevalence was higher for cases that were placed in out-of-home care (19.2%) than those maintained at home (10.7%). Multivariate hierarchical regression identified four contributors to heightened PTS symptoms: younger child age, abuse by a nonbiological parent, violence in the home, and child depression. The authors discuss the modest but still lower than expected prevalence of self-reported, clinically significant PTS symptoms and the variables associated with greater risk for heightened PTS symptoms found among cases referred to child welfare services.