Clum G A, Calhoun K S, Kimerling R
Center for Trauma Recovery, University of Missouri, St. Louis 63121-4499, USA.
J Nerv Ment Dis. 2000 Oct;188(10):671-8. doi: 10.1097/00005053-200010000-00005.
Symptoms of depression and posttraumatic stress disorder (PTSD) were examined for their association with health status in a sample of sexual assault victims. Hypotheses were that symptoms of each disorder would account for unique variance in health status among individuals exposed to traumatic stressors. Fifty-seven sexually assaulted college women were assessed for prior victimization history, assault characteristics, and depressive and PTSD symptoms. When prior history of sexual victimization, assault severity, and physical reactions during the assault were controlled, hierarchical multiple regression models indicated that symptoms of PTSD and depression were significantly associated with global health perceptions and severity of self-reported health symptoms. Only PTSD symptoms were significantly associated with reproductive health symptoms. The results suggest that both symptoms of PTSD and depression account for the relationship between exposure and health impairment among sexual assault victims.
在一组性侵犯受害者样本中,对抑郁症状和创伤后应激障碍(PTSD)与健康状况的关联进行了研究。假设是,在遭受创伤性应激源的个体中,每种障碍的症状都将解释健康状况的独特差异。对57名遭受性侵犯的大学女性进行了评估,了解她们之前的受害史、袭击特征以及抑郁和PTSD症状。当对性受害的既往史、袭击严重程度和袭击期间的身体反应进行控制时,分层多元回归模型表明,PTSD和抑郁症状与整体健康认知以及自我报告的健康症状严重程度显著相关。只有PTSD症状与生殖健康症状显著相关。结果表明,PTSD和抑郁症状都解释了性侵犯受害者中暴露与健康损害之间的关系。