基于长尾效应的儿童创伤后应激障碍转归机制及干预策略

Mechanism of prognosis and intervention strategy for child posttraumatic stress disorder:Based on the long tail effect theory

儿童PTSD具有“长尾效应”,疾病负担重、发展结局存在较大异质性,但是少有研究对我国儿童PTSD的转归进行系统性研究,其转归类型、路径尚不明晰,更缺少促进儿童PTSD复原的干预研究。因此,本研究拟对儿童及青少年进行追踪调查和准实验研究,探讨儿童PTSD的发展轨迹及转归类型和机制,验证基于学校的综合干预服务对促进儿童PTSD恢复的效果,为儿童PTSD干预及个性化诊疗提供证据。

Child PTSD was indicated to have a long tail effect,as great heterogeneity exists among children with PTSD regarding their following health outcomes.Though heavy burden from Child PTSD was found on individuals,families,and society,a few studies have systematically examined the types and mechanisms of prognosis of Child PTSD in a Chinese context,let alone specific intervention strategies.This study aims to conduct a longitudinal survey and quasi-experimental intervention among students,and tries to identify the long-term trajectory types and mechanisms of Child PTSD prognosis in China.Moreover,based on a school-based teacher-children-parents cooperation framework,we would provide targeted intervention services to reduce the risk of Child PTSD,further shed light on individual-centered care in clinical practice.