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首页> 外文期刊>Archives of psychiatric nursing >Using Baseline Data to Predict Chronic PTSD 48-months After Mothers Report Intimate Partner Violence: Outcomes for Mothers and the Intergenerational Impact on Child Behavioral Functioning
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Using Baseline Data to Predict Chronic PTSD 48-months After Mothers Report Intimate Partner Violence: Outcomes for Mothers and the Intergenerational Impact on Child Behavioral Functioning

机译：使用基线数据来预测母亲报告亲密合作伙伴暴力后的48个月 - 母亲的结果：母亲的成果以及对儿童行为功能的代际影响

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Worldwide one in three women report intimate partner violence. Many of these women report long term mental health problems, especially PTSD, which is associated with negative problem solving, isolation, somatization, depression, and anxiety. Children are impacted by their exposure to domestic violence and experience internal (i.e., depression, anxiety) and external (i.e., hostility, delinquency) behavioral clinical problems. To predict which women will experience chronic PTSD symptoms, a PTSD predictor tool was developed and applied to PTSD symptom scores four years after 300 mothers with children (age 18 months to 16 years) received assistance for the violence. At four years, 266 (89%) of the 300 mother child dyads were retained. Of those, 245 met inclusion criteria for this study and 53% had scores above the clinical threshold for PTSD. The predictor tool performed well. There was a significant association, chi(2) (4) = 11.83, p =.019, Cramer's V = 0.229, between mothers predicted at low/some risk for chronic PTSD and scoring below the cut-off score for diagnostic PTSD symptoms at four years. Mothers predicted to be at extreme risk for chronic PTSD reported PTSD symptoms at or above the diagnostic level at 48 months. Children whose mothers had PTSD were at greater risk for Borderline/Clinical range behavioral problems compared to children whose mothers did not have PTSD. Relative risk values ranged from 2.07 (Externalizing) to 2.30 (Internalizing). When appropriate interventions are available, the PTSD predictor tool can assist with triage and guided referral of women at risk for chronic PTSD.
机译：全球三个女性举行了亲密的合作伙伴暴力。这些妇女中的许多人报告了长期心理健康问题，尤其是PTSD，与消极问题解决，隔离，躯体化，抑郁和焦虑有关。儿童受到他们对家庭暴力和内部（即抑郁，焦虑）和外部（即敌意，违规）行为临床问题的影响。为了预测哪些妇女将会经历慢性应激症状，开发了一种PTSD预测工具，并在300名母亲（18个月至16年）后4年后的PTSD症状分数得到了4年的症状，得到了对暴力的援助。四年来，保留了300母婴的366（89％）。其中，245次符合本研究的纳入标准，53％的分层高于PTSD的临床阈值。预测器工具表现良好。有一个重要的关联，Chi（2）（4）= 11.83，p = .019，克莱默v = 0.229，母亲之间预测的低/慢性PTSD的风险和诊断应激障碍症状的截止得分低于截止点四年。母亲预计患有慢性病毒科目称在48个月内或高于诊断水平的重症症状的极端风险。与母亲没有接触者的儿童相比，母亲接触的儿童的母亲患有临床/临床行为行为问题的风险更大。相对风险值范围从2.07（外化）到2.30（内化）。当适当的干预措施时，PTSD预测器工具可以帮助慢性病毒患者面临妇女的分类和引导妇女推荐。

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