Early childhood trauma and Disorders of Extreme Stress as predictors of treatment outcome with chronic posttraumatic stress disorder
Early childhood trauma and Disorders of Extreme Stress as predictors of treatment outcome with chronic posttraumatic stress disorder
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DOI：
10.1023/a:1024497400891
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发表时间：
1998-10-01
影响因子：
3.3
通讯作者：
Kidd, P
中科院分区：
文献类型：
--
作者：
Ford, JD;Kidd, P
早期儿童创伤的历史是普遍的，并与压力没有另外指定（DESNOS）在一个样本的退伍军人住院治疗慢性创伤后应激障碍（PTSD）。DESNOS预测了精神病学（包括创伤后应激障碍）和心理社会功能的各种测量的可靠变化，独立于创伤后应激障碍诊断和早期儿童创伤史的影响。在控制了种族、战区创伤暴露严重程度、症状严重程度或生活质量的初始水平、轴I（创伤后应激障碍和重度抑郁症）和轴II（人格障碍）诊断状态以及早期儿童创伤史的影响后，DESNOS还预测了创伤后应激障碍和生活质量指标的治疗结果。儿童早期创伤不能预测预后。DESNOS似乎在慢性PTSD的心理治疗康复的评估和治疗计划中发挥着重要作用。
History of early childhood trauma was prevalent and highly correlated with Stress Not Otherwise Specified (DESNOS) in a sample of veterans in inpatient treatment for chronic posttraumatic stress disorder (PTSD). DESNOS predicted reliable change on a variety of measures of psychiatric symptomatology (including PTSD) and psychosocial functioning independently of the effects of PTSD diagnosis and early childhood trauma history. DESNOS also predicted treatment outcome on PTSD and quality of life measures after controlling for the effects of ethnicity, war zone trauma exposure severity, initial level of symptomatic severity or quality of life, Axis I (PTSD and major depression) and Axis II (personality disorder) diagnostic status, and early childhood trauma history. Early childhood trauma was not predictive of outcome. DESNOS appears to play an important role in assessment and treatment planning for psychotherapeutic rehabilitation of chronic PTSD.