ACUTE PSYCHOLOGICAL REACTIONS TO BURN TRAUMA

烧伤的急性心理反应

• 批准号: 2250518
• 负责人: JOANN DIFEDE
• 金额: $ 8.3万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-03-01 至 1997-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2250518
• 关键词: burns; disease /disorder classification; disease /disorder proneness /risk; dissociative hysteria; human subject; interview; mental disorder diagnosis; posttraumatic stress disorder; social support network

The principal aim of this study is to assess acute psychological reactions to burn injury to determine whether our patients develop PTSD, a dissociative syndrome, another psychiatric syndrome, or adapt to the trauma without developing a psychiatric syndrome. A secondary aim is to determine the variables that predict PTSD and dissociative syndrome. To accomplish these goals, a comprehensive assessment of a diverse population of hospitalized adult patients will be conducted. During the first week of hospitalization, a trained clinical interviewer will conduct the SCID, SCID-D, and CAPS to determine the presence or absence of Acute Stress Reaction or any other Axis I disorder. Patients will also complete 5 brief questionnaires that assess social support, general distress, dissociative symptoms, and PTSD symptoms. At one month and six months post-burn, presence or absence of current and lifetime psychopathology will be assessed again using the SCID and the CAPS. Patients will re-answer 3 of the original 5 questionnaires at both assessments. Frequencies of patients who receive a diagnosis of Acute Stress Reaction within one week of hospitalization will be determined. Frequencies of patients who receive a diagnosis of PTSD or a dissociative syndrome one month after injury or six months after injury will also be determined. Prevalence and stability of a diagnosis of dissociative disorder or PTSD will be determined by computing a Kappa score. Among those with PTSD, the prevalence of a co-morbid dissociative disorder will be determined. Results will help fill a gap in the existing literature regarding the nature and frequency of acute psychopathological phenomena after trauma and will thereby provide useful data to guide future diagnostic classification. Results may help clinicians identify adult burn patients at risk for post-traumatic psychiatric syndromes. More generally, with the prospective design, results may help guide future studies of psychological responses to severe trauma.

这项研究的主要目的是评估急性心理 对烧伤损伤的反应，以确定我们的患者是否发展为PTSD， 解离综合症，另一种精神综合症或适应 创伤没有发展精神综合症。第二个目标是 确定预测PTSD和解离综合征的变量。 为了实现这些目标，对多样化的全面评估 将进行住院的成年患者人口。 在 住院的第一周，训练有素的临床面试官将 进行SCID，SCID-D和帽子以确定存在或不存在 急性应力反应或任何其他轴I障碍。患者也会 完成评估社会支持的5个简短问卷，一般 困扰，解离症状和PTSD症状。 一个月和六个 燃烧后的月份，存在或不存在当前和寿命 精神病理学将使用SCID和CAP再次评估。 患者将重新提交最初的5个问卷中的3个 评估。 接受急性应激反应诊断的患者的频率 将在住院后的一周内确定。频率 接受诊断为PTSD或解离综合症的患者 受伤后或受伤后六个月的月份也将确定。 分离障碍或PTSD诊断的患病率和稳定性 将通过计算Kappa分数来确定。在具有PTSD的人中 将确定合并解离性疾病的患病率。 结果将有助于填补有关现有文献的空白 创伤后急性心理病理现象的性质和频率 因此，将提供有用的数据来指导未来的诊断 分类。结果可能有助于临床医生识别成人烧伤患者 有创伤后精神综合症的风险。 更普遍，有 前瞻性设计，结果可能有助于指导未来的研究 对严重创伤的心理反应。