|Investigation of Posttraumatic Stress Disorder in Children After Animal-Induced Injury in China|
|Li Ji1; Zhang Xiaowei2; Wang Chuanlin3; Liu Wei4|
|关键词||posttraumatic stress disorder acute stress disorder animal attacks China|
|收录类别||SCI ; SSCI|
|WOS标题词||Science & Technology|
|关键词[WOS]||DOG BITES ; ADOLESCENTS ; TRAUMAS ; PTSD ; RISK|
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. Pediatrics 2010; 126: e320-e324
|作者单位||1.Chinese Acad Med Sci, Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Pediat, Beijing 100730, Peoples R China|
2.Peking Univ, Peoples Hosp, Dept Urol, Beijing, Peoples R China
3.Peking Univ, Peoples Hosp, Dept Emergency Med, Beijing, Peoples R China
4.Peking Univ, Peoples Hosp, Dept Hepatobiliary Surg, Beijing, Peoples R China
|Li Ji,Zhang Xiaowei,Wang Chuanlin,et al. Investigation of Posttraumatic Stress Disorder in Children After Animal-Induced Injury in China[J]. PEDIATRICS,2010,126(2):E320-E324.|
|APA||Li Ji,Zhang Xiaowei,Wang Chuanlin,&Liu Wei.(2010).Investigation of Posttraumatic Stress Disorder in Children After Animal-Induced Injury in China.PEDIATRICS,126(2),E320-E324.|
|MLA||Li Ji,et al."Investigation of Posttraumatic Stress Disorder in Children After Animal-Induced Injury in China".PEDIATRICS 126.2(2010):E320-E324.|