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首页> 外文期刊>The journal of clinical psychiatry >Looking beyond posttraumatic stress disorder in children: posttraumatic stress reactions, posttraumatic growth, and quality of life in a general population sample.
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Looking beyond posttraumatic stress disorder in children: posttraumatic stress reactions, posttraumatic growth, and quality of life in a general population sample.

机译：超越儿童的创伤后应激障碍：一般人群样本中的创伤后应激反应，创伤后生长和生活质量。

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OBJECTIVE: In order to broaden the view beyond posttraumatic stress disorder (PTSD) in children, we examined to what extent posttraumatic stress reactions, posttraumatic growth, and quality of life were related to each other and to traumatic exposure in the general population. METHOD: 1770 children of 36 randomly selected primary schools (mean age = 10.24 years, 50% boys) reported in October/November 2006 on their worst experience (traumatic exposure was considered present when the described event fulfilled the A1 criterion for PTSD of the DSM-IV-TR) and filled out the Children's Responses to Trauma Inventory, the Posttraumatic Growth Inventory for Children, and the KIDSCREEN-27. Correlational and hierarchical linear regression analyses were carried out in a multiple imputation format. RESULTS: Posttraumatic stress reactions were strongly related to posttraumatic growth (r = 0.41, p < .01) and quality of life (r = -0.47, p < .01). The latter 2 variables were weakly related; positively when controlling for posttraumatic stress reactions (r = 0.09, p < .01), negatively when not (r = -0.12, p < .01). Children who were exposed to trauma reported more posttraumatic stress reactions (b = .12, p < .01), more posttraumatic growth small). CONCLUSIONS: Negative and positive psychological sequelae of trauma can coexist in children, and extend to broader areas (b = .09, p < .01), and less quality of life (b = -.08, p < .01) than nonexposed children (effect sizes were of life than specific symptoms only. Clinicians should look further than PTSD alone and pay attention to the broad range of posttraumatic stress reactions that children show, their experience of posttraumatic growth, and their quality of life.
机译：目的：为了拓宽儿童创伤后应激障碍（PTSD）的视野，我们研究了一般人群中创伤后应激反应，创伤后生长和生活质量之间的相关程度。方法：2006年10月/ 11月，在36所随机选择的小学中的1770名儿童（平均年龄= 10.24岁，男生占50％）报告了他们的最差经历（当描述的事件满足DSM PTSD的A1标准时，被认为存在创伤性暴露） -IV-TR），并填写了儿童对创伤库存的反应，创伤后儿童生长发育库存和KIDSCREEN-27。相关和分层线性回归分析以多重归因格式进行。结果：创伤后应激反应与创伤后生长（r = 0.41，p <.01）和生活质量（r = -0.47，p <.01）密切相关。后两个变量之间的关系很弱。控制创伤后应激反应时为正（r = 0.09，p <.01），反之则为负（r = -0.12，p <.01）。遭受创伤的儿童报告的创伤后应激反应更多（b = .12，p <.01），创伤后增长较小（小）。结论：创伤的负性和积极性心理后遗症可以并存于儿童中，并且比未暴露的儿童更广泛（b = .09，p <.01），生活质量较弱（b = -.08，p <.01）。儿童（影响的大小仅取决于特定症状的生活。临床医生应比仅靠PTSD看得更远，并应注意儿童所表现出的广泛的创伤后应激反应，创伤后生长的经历以及生活质量。

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