关键词: Adolescent Health Child Health Psychology

Mesh : Humans Dogs Bites and Stings / psychology epidemiology Child Animals Adolescent Stress Disorders, Post-Traumatic / psychology etiology epidemiology Phobic Disorders / psychology etiology epidemiology Anxiety / psychology etiology

来  源:   DOI:10.1136/bmjpo-2020-000922   PDF(Pubmed)

Abstract:
BACKGROUND: Dog bites are a concerning health problem in children and one of the leading causes of non-fatal injuries in this population. Dog attacks not only cause physical injuries but can also lead to long-term psychological problems. A review was performed to investigate the scope of literature on the psychological effects of dog bites on a paediatric population.
METHODS: A literature search was performed on Web of Knowledge database between 1982 to June 2023, returning 249 results. 14 primary studies reporting the psychological consequences of dog bites in children or adolescents were classed as eligible and 9 further studies were added from prior knowledge and bibliographical searches. 23 studies involving 1894 participants met the criteria and were included in this review.
RESULTS: Of these 23 studies, 8 were case studies or small case series reports (up to n=4), 14 larger descriptive studies and 1 analytical cross-sectional study. There was a mixture of retrospective and prospective data-gathering. The most common psychological consequences of dog bites in children were post-traumatic stress disorder, dog phobia, nightmares and symptoms of anxiety and avoidance behaviours.
CONCLUSIONS: Studies on dog bites in a paediatric population with a specific focus on the psychological consequences associated with dog bites and their management are sparse. Future research and practice should more greatly consider the psychological impact on child victims of dog bites and their family members, as well as their management to avoid the development of mental health issues and improve their quality of life. Future research also needs to ascertain the efficacy of using virtual reality in treating children with dog phobia.
摘要:
背景:狗咬伤是儿童中一个令人担忧的健康问题,也是该人群非致命伤害的主要原因之一。狗的攻击不仅会造成身体伤害,还会导致长期的心理问题。进行了综述,以调查有关狗咬伤对儿科人群的心理影响的文献范围。
方法:在1982年至2023年6月之间在WebofKnowledge数据库上进行了文献检索,返回了249个结果。14项报告儿童或青少年被狗咬伤的心理后果的主要研究被归类为符合条件,9项进一步研究从先前的知识和书目搜索中增加。涉及1894名参与者的23项研究符合标准,并被纳入本综述。
结果:在这23项研究中,8个是案例研究或小案例系列报告(最多n=4),14项较大的描述性研究和1项分析性横断面研究。有回顾性和前瞻性数据收集的混合。儿童狗咬伤最常见的心理后果是创伤后应激障碍,狗恐惧症,噩梦和焦虑和回避行为的症状。
结论:关于儿科人群中狗咬伤的研究很少,特别关注与狗咬伤相关的心理后果及其管理。未来的研究和实践应更多地考虑狗咬伤对儿童受害者及其家人的心理影响,以及他们的管理,以避免心理健康问题的发展,提高他们的生活质量。未来的研究还需要确定使用虚拟现实治疗患有狗恐惧症的儿童的功效。
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