ACUTE PSYCHOLOGICAL REACTIONS TO BURN TRAUMA

烧伤的急性心理反应

• 批准号: 2250518
• 负责人: JOANN DIFEDE
• 金额: $ 8.3万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-03-01 至 1997-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2250518
• 关键词: burns; disease /disorder classification; disease /disorder proneness /risk; dissociative hysteria; human subject; interview; mental disorder diagnosis; posttraumatic stress disorder; social support network

The principal aim of this study is to assess acute psychological reactions to burn injury to determine whether our patients develop PTSD, a dissociative syndrome, another psychiatric syndrome, or adapt to the trauma without developing a psychiatric syndrome. A secondary aim is to determine the variables that predict PTSD and dissociative syndrome. To accomplish these goals, a comprehensive assessment of a diverse population of hospitalized adult patients will be conducted. During the first week of hospitalization, a trained clinical interviewer will conduct the SCID, SCID-D, and CAPS to determine the presence or absence of Acute Stress Reaction or any other Axis I disorder. Patients will also complete 5 brief questionnaires that assess social support, general distress, dissociative symptoms, and PTSD symptoms. At one month and six months post-burn, presence or absence of current and lifetime psychopathology will be assessed again using the SCID and the CAPS. Patients will re-answer 3 of the original 5 questionnaires at both assessments. Frequencies of patients who receive a diagnosis of Acute Stress Reaction within one week of hospitalization will be determined. Frequencies of patients who receive a diagnosis of PTSD or a dissociative syndrome one month after injury or six months after injury will also be determined. Prevalence and stability of a diagnosis of dissociative disorder or PTSD will be determined by computing a Kappa score. Among those with PTSD, the prevalence of a co-morbid dissociative disorder will be determined. Results will help fill a gap in the existing literature regarding the nature and frequency of acute psychopathological phenomena after trauma and will thereby provide useful data to guide future diagnostic classification. Results may help clinicians identify adult burn patients at risk for post-traumatic psychiatric syndromes. More generally, with the prospective design, results may help guide future studies of psychological responses to severe trauma.

本研究的主要目的是评估急性心理 对烧伤的反应以确定我们的患者是否患有创伤后应激障碍（PTSD）， 解离综合症，另一种精神综合症，或适应 创伤而不发展为精神综合症。次要目标是 确定预测 PTSD 和解离综合征的变量。 为了实现这些目标，需要对多元化的综合评估 将对住院的成年患者进行人口统计。 期间 住院第一周，训练有素的临床访谈员将 进行 SCID、SCID-D 和 CAPS 以确定是否存在 急性应激反应或任何其他 I 轴疾病。患者也会 完成 5 份简短的调查问卷，评估社会支持的一般情况 痛苦、分离症状和创伤后应激障碍症状。 一个月零六岁时 烧伤后几个月、是否存在电流和寿命 将使用 SCID 和 CAPS 再次评估精神病理学。 患者将在两个时间重新回答最初 5 份问卷中的 3 份 评估。 被诊断为急性应激反应的患者的频率 住院一周内即可确定。频率 被诊断为 PTSD 或分离综合征的患者之一 受伤后一个月或受伤后六个月也将确定。 分离性障碍或 PTSD 诊断的患病率和稳定性 将通过计算 Kappa 分数来确定。在患有 PTSD 的人中， 将确定共病解离性障碍的患病率。 结果将有助于填补现有文献中关于 创伤后急性精神病理学现象的性质和频率 从而为指导未来的诊断提供有用的数据 分类。结果可能有助于临床医生识别成年烧伤患者 有患创伤后精神综合症的风险。 更一般地，与 前瞻性设计，结果可能有助于指导未来的研究 对严重创伤的心理反应。