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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Investigation of posttraumatic stress disorder in children after animal-induced injury in China.
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Investigation of posttraumatic stress disorder in children after animal-induced injury in China.

机译：中国动物损伤后儿童创伤后应激障碍的调查。

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OBJECTIVE: Dogs are important members of many families in many countries. However, posttraumatic stress disorder (PTSD) in children after animal attacks has always been underestimated, and a more-detailed study of PTSD in children after animal attacks is needed. METHODS: The charts and follow-up data for 358 children after animal-induced injuries were reviewed. Family Apgar Scale assessment and PTSD screening were performed at emergency department admission. On week 1 after the emergency department admission, the patient underwent evaluation for acute stress disorder (ASD) diagnosis, by using the Child Acute Stress Questionnaire. PTSD screening and interim history-taking were performed 3 months after the emergency department admission, by telephone or in face-to-face interviews, by using the Clinician-Administered PTSD Scale for Children and Adolescents. P values of <.05 were considered significant. RESULTS: A total of 19 patients developed PTSD, including 10 patients with severe injuries, 8 patients with moderate injuries, and 1 patient with a mild injury (chi(2)=48.104; P=.000). No significant differences in PTSD occurrence according to gender and age were observed. Family Apgar Scale scores were not significantly related to PTSD (P=.781). ASD and PTSD symptom severity scores were significantly associated (r=0.51; P < .005). CONCLUSIONS: Child victims of severe animal attacks should be considered at risk for the development of PTSD, family support was not correlated with posttraumatic stress symptoms in school-aged children after animal attacks, and ASD seems to be an early predictive indicator of PTSD.
机译：目的：狗是许多国家许多家庭的重要成员。然而，动物攻击后儿童的创伤后应激障碍（PTSD）一直被低估，因此需要对动物攻击后儿童的PTSD进行更详细的研究。方法：回顾了358例动物诱发伤害后儿童的图表和随访数据。急诊科入院时进行了家庭Apgar量表评估和PTSD筛查。急诊科入院后第1周，通过儿童急性应激问卷对患者进行了急性应激障碍（ASD）诊断评估。急诊室入院后3个月，使用临床医生管理的儿童和青少年PTSD量表，通过电话或面对面访谈进行PTSD筛查和临时病史记录。 P <.05被认为是显着的。结果：共有19例患者发生了PTSD，其中包括10例重伤，8例中度伤和1例轻伤（chi（2）= 48.104; P = .000）。根据性别和年龄，未观察到PTSD发生的显着差异。家庭Apgar量表评分与PTSD无关（P = .781）。 ASD和PTSD症状严重程度评分显着相关（r = 0.51; P <.005）。结论：严重动物攻击的儿童受害者应被视为有罹患PTSD的风险，在动物攻击后学龄儿童的家庭支持与创伤后应激症状无关，ASD似乎是PTSD的早期预测指标。

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