青春期复杂的创伤后应激障碍：为期两年的跟踪研究。

IF 1.8 4区医学 Q3 PSYCHIATRY

Clinical Child Psychology and Psychiatry Pub Date : 2024-04-01 Epub Date: 2023-07-04 DOI:10.1177/13591045231187975

Evaldas Kazlauskas, Agniete Kairyte, Paulina Zelviene

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引用次数: 0

摘要

背景：复杂性创伤后应激障碍是第 11 版《国际疾病分类》（ICD-11）中的一项新诊断。我们需要更好地了解儿童和青少年的复杂创伤后应激障碍：本研究旨在通过一项为期两年的随访研究，估算与青少年慢性复杂创伤后应激障碍和复杂创伤后应激障碍康复相关的因素：研究共纳入了 66 名青少年，平均年龄为 14.5 岁，73% 为女性，他们在基线时通过自我报告从普通人群样本中识别出患有复杂性创伤后应激障碍。国际创伤问卷--儿童和青少年版（ITQ-CA）用于评估复杂性创伤后应激障碍：总体而言，研究样本中有 36% 在 2 年内被确认为患有慢性复杂创伤后应激障碍，10% 在 2 年的随访中符合创伤后应激障碍的标准，54% 已痊愈。患慢性复杂性创伤后应激障碍的风险较高，这与两年内遭受的创伤事件较多、生活压力较大、社会网络较小、积极的社会支持较少、在学校遭受欺凌以及孤独等因素有关：研究发现，约有三分之一受过创伤的青少年会长期出现复杂的创伤后应激障碍症状，这与他们的负面生活经历和社会困难有关。

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Complex posttraumatic stress disorder in adolescence: A two-year follow-up study.

Background: Complex posttraumatic stress disorder is a new diagnosis in the 11th edition of the International Classification of Diseases (ICD-11). There is a need for a better understanding of complex PTSD in children and adolescents.

Objective: The study aimed to estimate the factors associated with chronic complex PTSD versus recovery of complex PTSD in adolescents in a 2-year follow-up study.

Method: In total, 66 adolescents, mean age 14.5, 73% female, identified as having complex PTSD using self-report at baseline recruited from a general population sample, were included in the study. The International Trauma Questionnaire - Child and Adolescent Version (ITQ-CA) was used for the assessment of complex PTSD.

Results: Overall, 36% of the study sample has been identified as having chronic complex PTSD over 2 years, 10% met the criteria for PTSD at a 2-year follow-up, and 54% recovered. A higher risk for chronic complex PTSD was associated with exposure to more traumatic events and more life-stressors over the 2 years, low social network, low positive social support, bullying at school, and loneliness.

Conclusion: The study found that around one-third of the traumatized youth had a prolonged trajectory of complex PTSD symptoms, which were associated with negative life experiences and social difficulties.

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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.