tailieunhanh - Báo cáo y học: Links between maternal postpartum depressive symptoms, maternal distress, infant gender and sensitivity in a high-risk population

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A longitudinal follow-up of posttraumatic stress: from 9 months to 20 years after a major road traffic accident. | Arnberg et al. Child and Adolescent Psychiatry and Mental Health 2011 5 8 http content 5 1 8 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH RESEARCH Open Access A longitudinal follow-up of posttraumatic stress from 9 months to 20 years after a major road traffic accident Filip K Arnberg1 Per-Anders Rydelius2 Tom Lundin1 Abstract Background Although road traffic accidents RTA are a major cause of injury and a cause of posttraumatic stress PTS in the aftermath little is known about the long-term psychological effects of RTA. Methods This prospective longitudinal study assessed long-term PTS grief and general mental health after a bus carrying 23 sixth-grade schoolchildren crashed on a school outing and 12 children died. Directly affected . children in the crash and indirectly affected children . all pupils in the sixth grade who were not in the crash were surveyed at 9 months N 102 4 years N 51 and 20 years N 40 after the event. Psychological distress was assessed by single items including sadness avoidance intrusions and guilt. After 20 years PTS was assessed by the Impact of Event Scale-Revised. Results Stress reactions were prevalent 9 months after the event with sadness 69 and avoidance 59 being highly represented in both directly and indirectly affected groups whereas nightmares 60 and feelings of guilt 50 were only frequent in those directly affected. The frequency of sadness and avoidance decreased after 4 years in the indirectly exposed ps .05 . After 20 years the directly affected had a higher prevalence of PTS p .003 but not decreased general mental health p .14 than those indirectly affected. Conclusions The limitations preclude assertive conclusions. Nonetheless the findings corroborate previous studies reporting traumatic events are associated with long-term PTS but not with decreased general mental health. Background Road traffic accidents RTA are a major cause of injuries and deaths. In traffic children are a particularly vulnerable .

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