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Complex trauma events have been defined as chronic, interpersonal traumas that begin early in life (Cook, Blaustein, Spinazzola, & van der Kolk, 2003). The complex trauma definition has been examined in adults, as indicated by the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) field trial; however, this research was lacking in child populations. The symptom presentations of complexly traumatized children were contrasted with those exposed to other, less severe trauma ecologies that met 1 or 2 features of the complex trauma definition. Included in this study were 346 treatment-seeking children and adolescents (ages 3–18 years) who had experienced a traumatic event. Results indicated that child survivors of complex trauma presented with higher levels of generalized behavior problems and trauma-related symptoms than those who experienced (a) acute noninterpersonal trauma, (b) chronic interpersonal trauma that begins later in life, and (c) acute interpersonal trauma. Greater levels of behavioral problems were observed in children exposed to complex trauma as compared to those who experienced a traumatic event that begins early in life. These results provide support for the complex trauma event definition and suggest the need for a complex trauma diagnostic construct for children and adolescents.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題: 兒童青少年複雜創傷事件定義的實證支持

撮要: Cook,Blaustein,Spinazzola & van der Kolk, 2003)曾定義複雜創傷事件為慢性而從成長早期開始的人際創傷。複雜創傷的定義曾在精神病診斷及統計手冊(第四版,DSM-IV)實地測試,但只適用於成人而未有兒童方面的研究。本研究樣本為346名求診兒童和青少年(3至18歲),他們都曾經歷一件創傷事件,其中曾受複雜創傷兒童對比接受不太嚴重創傷生態(只符合複雜創傷定義的1至2種性質)的兒童,分析症狀的不同表現。結果顯示複雜創傷的兒童倖存者比a)急性非人際創傷,(b)慢性而從成長中較遲階段發展的人際損傷,及(c)急性人際創傷等倖存者都有更多廣泛行為障礙和創傷相關症狀。複雜創傷的兒童比較在成長早期經歷單一創傷事件者有更嚴重行為障礙。結論是複雜創傷定義有實證支持,而且我們必須發展適用於兒童青少年的複雜創傷診斷建構。

标题: 儿童青少年复杂创伤事件定义的实证支持

撮要: Cook,Blaustein,Spinazzola & van der Kolk, 2003)曾定义复杂创伤事件为慢性而从成长早期开始的人际创伤。复杂创伤的定义曾在精神病诊断及统计手册(第四版,DSM-IV)实地测试,但只适用于成人而未有儿童方面的研究。本研究样本为346名求诊儿童和青少年(3至18岁),他们都曾经历一件创伤事件,其中曾受复杂创伤儿童对比接受不太严重创伤生态(只符合复杂创伤定义的1至2种性质)的儿童,分析症状的不同表现。结果显示复杂创伤的儿童幸存者比a)急性非人际创伤,(b)慢性而从成长中较迟阶段发展的人际损伤,及(c)急性人际创伤等幸存者都有更多广泛行为障碍和创伤相关症状。复杂创伤的儿童比较在成长早期经历单一创伤事件者有更严重行为障碍。结论是复杂创伤定义有实证支持,而且我们必须发展适用于儿童青少年的复杂创伤诊断建构。