Traumatic brain injury, dissociation, and posttraumatic stress disorder in road traffic accident survivors
Traumatic brain injury, dissociation, and posttraumatic stress disorder in road traffic accident survivors
复制标题
DOI：
10.1002/jts.20031
复制
发表时间：
2005-06-01
影响因子：
3.3
通讯作者：
Brewin, CR
中科院分区：
文献类型：
--
作者：
Jones, C;Harvey, AG;Brewin, CR
本研究调查了在道路交通事故后发生和未发生创伤性脑损伤（TBI）的参与者的急性应激障碍（ASD）和创伤后应激障碍（PTSD）的症状特征。参与者在三个时间点进行评估：创伤后尽快以及创伤后6周和3个月。在第一次评估中，相对于非TBI组，TBI组中较少的参与者回忆起创伤时的恐惧和无助感，较少的TBI参与者报告了反复出现的侵入性想法和图像，更多的TBI参与者报告了创伤后的解离。在第二次评估中，TBI组的参与者很少回忆起在创伤发生时感到强烈的无助感。与非TBI组相比，较少的TBI参与者还报告了创伤提醒的缓解和生理反应。创伤后3个月，非TBI组和TBI组的PTSD症状没有差异。我们的研究结果表明，TBI的存在可能会影响某些症状的分布，但不一定是诊断ASD和PTSD的重要障碍。
This study investigated the symptom profiles of acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) in participants who did and did not sustain traumatic brain injury (TBI), following a road traffic accident. The participants were assessed at three time points: as soon as possible posttrauma as well as at 6 weeks and 3 months posttrauma. At the first assessment, fewer participants from the TBI group recalled feeling fear and helplessness at the time of the trauma, fewer TBI participants reported recurrent intrusive thoughts and images, and more TBI participants reported dissociation since the trauma, relative to the non-TBI group. At the second assessment, fewer participants from the TBI group recalled feeling intense helplessness at the time of the trauma. Fewer TBI participants also reported reliving and physiological reactions on trauma reminders relative to the non-TBI group. At 3 months posttrauma, there was no difference in PTSD symptom profile between non-TBI and TBI groups. Our findings indicate that the presence of TBI is likely to influence the distribution of certain symptoms, but need not be a significant barrier to diagnosing ASD and PTSD.