Evaluating predictive screening for children's post-injury mental health: New data and a replication.
Evaluating predictive screening for children's post-injury mental health: New data and a replication.
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DOI：
10.3402/ejpt.v6.29313
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发表时间：
2015-01-01
影响因子：
5
通讯作者：
Winston, Flaura
中科院分区：
文献类型：
--
作者：
Kassam-Adams, Nancy;Marsac, Meghan L;Winston, Flaura
背景：推荐的儿童创伤后心理健康困难二级预防方法需要经验可靠的预测性筛查，以确定哪些儿童需要更密切的监测或有针对性的干预。虽然有几种很有前途的筛查受伤儿童的工具，但没有一种成为金标准，而且关于它们的表现几乎没有可复制的数据。目的：通过检查先前发表的两种筛查工具（PTSD早期预测筛查工具[STEPP]和儿童创伤筛查问卷[CTSQ]）的性能，评估创伤后应激（PTS）和抑郁结果风险的预测性筛查方案，并解决重复性研究的关键缺失。方法：本研究纳入290名急性损伤住院儿童。一个由三部分组成的筛查方案，包括急性PTS和抑郁症状以及其他经验衍生的风险因素，作为阶梯式护理研究的一部分在医院实施。损伤后6个月评估PTS、抑郁症状和健康相关生活质量（HRQoL）。
BACKGROUND: Recommended approaches for secondary prevention of posttrauma mental health difficulties in children require empirically sound predictive screening to determine which children require more intensive monitoring or targeted intervention. Although there are several promising screening tools for injured children, none has emerged as the gold standard, and little replication data are available regarding their performance.OBJECTIVE: To evaluate a predictive screening protocol for risk of later posttraumatic stress (PTS) and depression outcomes and address a crucial lack of replication studies by examining performance of two previously published screening tools (Screening Tool for Early Predictors of PTSD [STEPP] and Child Trauma Screening Questionnaire [CTSQ]).METHOD: The study enrolled 290 children hospitalized after acute injury. A three-part screening protocol, including acute PTS and depression symptoms and other empirically derived risk factors, was administered in hospital as part of a stepped care study. PTS and depression symptoms and health-related quality of life (HRQoL) were assessed 6 months post-injury.