Bryant R A, Guthrie R M, Moulds M L
School of Psychology, University of New South Wales, Sydney, NSW 2052 Australia.
Am J Psychiatry. 2001 Apr;158(4):600-4. doi: 10.1176/appi.ajp.158.4.600.
This study investigated the relationship between acute dissociative reactions to trauma and hypnotizability.
Acutely traumatized patients (N=61) with acute stress disorder, subclinical acute stress disorder (no dissociative symptoms), and no acute stress disorder were administered the Stanford Hypnotic Clinical Scale within 4 weeks of their trauma.
Although patients with acute stress disorder and patients with subclinical acute stress disorder displayed comparable levels of nondissociative psychopathology, acute stress disorder patients had higher levels of hypnotizability and were more likely to display reversible posthypnotic amnesia than both patients with subclinical acute stress disorder and patients with no acute stress disorder.
The findings may be interpreted in light of a diathesis-stress process mediating trauma-related dissociation. People who develop acute stress disorder in response to traumatic experience may have a stronger ability to experience dissociative phenomena than people who develop subclinical acute stress disorder or no acute stress disorder.
本研究调查了创伤后急性解离反应与催眠易感性之间的关系。
对患有急性应激障碍、亚临床急性应激障碍(无解离症状)和无急性应激障碍的急性创伤患者(N = 61)在创伤后4周内进行斯坦福催眠临床量表测试。
尽管急性应激障碍患者和亚临床急性应激障碍患者表现出相当水平的非解离性精神病理学,但急性应激障碍患者的催眠易感性水平更高,并且比亚临床急性应激障碍患者和无急性应激障碍患者更有可能表现出可逆性催眠后遗忘。
这些发现可以根据介导创伤相关解离的素质-应激过程来解释。因创伤经历而发展为急性应激障碍的人可能比发展为亚临床急性应激障碍或无急性应激障碍的人有更强的体验解离现象的能力。