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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Cognitive/Affective Factors Are Associated With Children's Acute Posttraumatic Stress Following Pediatric Intensive Care
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Cognitive/Affective Factors Are Associated With Children's Acute Posttraumatic Stress Following Pediatric Intensive Care

机译:认知/情感因素与儿童急性创宫应激相关,继儿科重症监护

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Objective: This study aimed to explore children's experiences and memories of the pediatric intensive care unit (PICU) and identify the relative importance of premorbid, trauma, and cognitive/affective variables associated with acute posttraumatic stress symptoms (PTSS). Method: Participants were 95 children aged 6-16 years admitted to the PICU and their parents. Children completed questionnaires and an interview assessing PTSS, peritrauma affect, and their memory of the admission 3 weeks following discharge. Medical data were extracted from patient charts. Premorbid and demographic data were provided by parent questionnaire. Results: Most children remembered some aspects of their admission. Younger age, admission for traumatic injury (rather than non-injury-related reasons), and cognitive/ affective factors including confusion, peritrauma panic, and sensory memory quality were associated with acute PTSS. Age and traumatic injury accounted for 18% of the variance in PTSS (p .01). The addition of cognitive/affective variables increased the explained variance to 38% (p .001). Child age did not moderate the effect of cognitive/affective variables on PTSS. Conclusions: This study demonstrates that objective indicators of disease severity do not adequately explain the high prevalence of PTSS in children following PICU admission. It also suggests that subjective, cognitive factors such as the way children process and remember a PICU admission are very important in the onset of PTSS.
机译:目的:本研究旨在探讨儿童重症监护单位(PICU)的儿童经验和记忆,并确定与急性创伤性应激症状(PTS)相关的前血药,创伤和认知/情感变量的相对重要性。方法:参与者有95名6-16岁的儿童入住PICU及其父母。儿童完成调查问卷和访谈评估PTSS,佩斯泰拉姆影响,并在出院后3周的入学记忆。从患者图表中提取了医疗数据。父母问卷提供了预血和人口统计数据。结果:大多数孩子都记得他们入学的一些方面。较年轻的年龄,创伤性损伤的入学(而不是与非伤害相关的原因),以及包括混乱,佩脂恐慌和感官记忆质量的认知/情感因素与急性PTS有关。年龄和创伤损伤占PTSS差异的18%(P <.01)。添加认知/情感变量的增加将解释的方差增加到38%(P& .001)。儿童年龄没有适度的认知/情感变量对PTS的影响。结论:本研究表明,疾病严重程度的客观指标不会充分解释PICU入院后儿童中受欢迎的高普遍性。它还表明主观,认知因素,如儿童过程和记住PICU入学的方式在PTSS的发作中非常重要。

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