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Psychiatric Outcomes of Childhood Maltreatment: A Retrospective Chart Review from a Children’s Psychiatric Inpatient Program
Child Psychiatry & Human Development ( IF 2.3 ) Pub Date : 2021-06-22 , DOI: 10.1007/s10578-021-01209-3
Mary Kathryn Cancilliere 1 , Brian Kavanaugh 1, 2 , Mary Bodzy 2 , Karen Holler 1, 2
Affiliation  

Childhood maltreatment is linked to deleterious outcomes, whereby post-traumatic stress disorder (PTSD) has been identified as one of the most debilitating. This retrospective chart review examined whether self-reported affective measures (anxiety, depression, trauma), type of maltreatment (sexual, physical, emotional/verbal abuses), and demographics predicted a diagnosis of anxiety or PTSD among 169 children in a psychiatric inpatient hospital. Secondly, this study identified significant predictors of a PTSD diagnosis. Results indicated self-reported anxiety predicted a diagnosis of PTSD, while self-reported depression predicted PTSD only in maltreated children. Self-reported trauma predicted an anxiety diagnosis. PTSD risk variables including duration of stay, sex, self-reported anxiety, presence of sexual abuse, and presence of emotional/verbal abuse, showed sound sensitivity/specificity as predictors of risk for a PTSD diagnosis in an inpatient setting. Clinical implications are discussed.



中文翻译:

童年虐待的精神病学结果:儿童精神病学住院项目的回顾性图表回顾

童年虐待与有害后果有关,创伤后应激障碍 (PTSD) 已被确定为最令人虚弱的疾病之一。这份回顾性图表审查检查了精神病住院医院 169 名儿童的自我报告的情感指标(焦虑、抑郁、创伤)、虐待类型(性、身体、情感/语言虐待)和人口统计数据是否预测了焦虑症或创伤后应激障碍的诊断. 其次,这项研究确定了 PTSD 诊断的重要预测因子。结果表明,自我报告的焦虑可预测 PTSD 的诊断,而自我报告的抑郁仅可预测受虐待儿童的 PTSD。自我报告的创伤预示着焦虑症的诊断。PTSD 风险变量包括停留时间、性别、自我报告的焦虑、性虐待的存在、和存在的情绪/言语虐待,显示声音敏感性/特异性作为住院环境中 PTSD 诊断风险的预测指标。讨论了临床意义。

更新日期:2021-06-22
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