A Prospective Study on the Association Between Caregiver Psychological Symptomatology and Symptom Clusters of Pediatric Posttraumatic Stress Disorder

This study investigated the influence of caregiver psychological symptoms on posttraumatic stress disorder (PTSD) symptoms in traumatized children. One-hundred eleven children and caretakers were assessed in this study. Children (N = 59) with a history of exposure to interpersonal violence were evaluated for reexperiencing, avoidance/numbing, and hyperarousal symptom clusters using the Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA). The 52 primary caregivers were evaluated using the Symptom Checklist-90-Revised (SCL-90-R) on 9 domains of psychological symptomatology: anxiety, depression, hostility, interpersonal sensitivity, obsessive–compulsive disorder, paranoid ideation, phobic anxiety, psychoticism, and somatization. At 14-month follow-up, 45 of the children were re-evaluated with the CAPS-CA. Caregiver psychological symptoms in the domains of anxiety, depression, interpersonal sensitivity, obsessive–compulsive disorder, and paranoid ideation were associated with less improvement in total pediatric PTSD symptoms. Analysis of PTSD symptoms by cluster showed that greater caregiver symptomatology in the domains of anxiety, depression, interpersonal sensitivity, and obsessive–compulsive disorder were associated with less improvement in the hyperarousal symptom cluster. These results suggest caregiver symptomatology may be specifically associated with hyperarousal symptoms in pediatric trauma. Traditional and Simplified Chinese Abstracts by AsianSTSS 標題 : 照顧者心理症狀學與兒童創傷壓力症症狀群組的關係的一個前瞻性研究 撮要 : 本文研究受創兒童的創傷後壓力症(PTSD)症狀如何受照顧者心理症狀所影響，共有111名兒童和照顧者接受評估。使用醫生評估的兒童及青少年PTSD量表(CAPS-CA)來評估曾經歷人際暴力事件的兒童(N=59), 包括：感受、迴避/麻木和高度警覺症狀群組；而52名基本照顧者則採用症狀自評清單一修訂版90(SCL-90-R) 來評估9個心理症狀學領域：焦慮、抑鬱、 敵視、人際敏感度、強迫症、偏執意念、恐慌、重性精神病和軀體化。 其中45名兒童在14個月後再用CAPS-CA 覆查。五個照顧者心理症狀領域 (即焦慮、抑鬱、人際敏感度、強迫症和偏執意念)與綜合兒童PTSD症狀的較少進步有關連。PTSD 症狀群組分析顯示4個較強照顧者症狀領域(即焦慮、抑鬱、人際敏感度和強迫症)與高度警覺症狀群組的較少進步有相連。結論是照顧者症狀學在兒童創傷方面可能與高度警覺症狀有專屬相連。 标题 : 照顾者心理症状学与儿童创伤压力症症状群组的关系的一个前瞻性研究 撮要 : 本文研究受创儿童的创伤后压力症(PTSD)症状如何受照顾者心理症状所影响，共有111名儿童和照顾者接受评估。使用医生评估的儿童及青少年PTSD量表(CAPS-CA)来评估曾经历人际暴力事件的儿童(N=59), 包括：感受、回避/麻木和高度警觉症状群组；而52名基本照顾者则采用症状自评清单一修订版90(SCL-90-R) 来评估9个心理症状学领域：焦虑、抑郁、 敌视、人际敏感度、强迫症、偏执意念、恐慌、重性精神病和躯体化。 其中45名儿童在14个月后再用CAPS-CA 覆查。五个照顾者心理症状领域 (即焦虑、抑郁、人际敏感度、强迫症和偏执意念)与综合儿童PTSD症状的较少进步有关连。PTSD 症状群组分析显示4个较强照顾者症状领域(即焦虑、抑郁、人际敏感度和强迫症)与高度警觉症状群组的较少进步有相连。结论是照顾者症状学在儿童创伤方面可能与高度警觉症状有专属相连。