Fehon D C, Grilo C M, Lipschitz D S
Yale-New Haven Psychiatric Hospital, the National Center for Posttraumatic Stress Disorder, Yale University School of Medicine, New Haven, CT 06504, USA.
Compr Psychiatry. 2001 Jul-Aug;42(4):283-90. doi: 10.1053/comp.2001.24580.
To examine psychological and behavioral correlates of community violence exposure in psychiatrically hospitalized adolescents, 89 inpatients were administered a battery of psychometrically well-established self-report instruments. Violence exposure was assessed using the Child's Exposure to Violence Checklist (CEVC). Half of the patients reported exposure to multiple incidents violence in their community (52%) and home (53%). Sixty-one percent were victims of physical assault, and 39% were victims of sexual assault. Patients who had witnessed community violence reported significantly more post-traumatic stress disorder (PTSD) symptoms, drug use, and violence potential than patients without a history of witnessing community violence. Patients exposed to community violence were also more likely to be the victim of childhood maltreatment, as well as a perpetrator of violence. In conclusion, traumatization via exposure to community violence may serve as one important determinant in the development of mixed internalizing and externalizing psychopathology in adolescent inpatients, thus necessitating accurate assessment and treatment planning.
为了研究精神病住院青少年接触社区暴力的心理和行为相关性，对89名住院患者进行了一系列心理测量学上成熟的自我报告工具测试。使用儿童暴力暴露清单（CEVC）评估暴力暴露情况。一半的患者报告在社区（52%）和家中（53%）接触过多次暴力事件。61%的患者是身体攻击的受害者，39%的患者是性攻击的受害者。与没有目睹社区暴力史的患者相比，目睹社区暴力的患者报告的创伤后应激障碍（PTSD）症状、药物使用和暴力倾向明显更多。接触社区暴力的患者也更有可能成为童年虐待的受害者，以及暴力行为的实施者。总之，接触社区暴力造成的创伤可能是青少年住院患者内化和外化混合精神病理学发展的一个重要决定因素，因此需要进行准确的评估和治疗规划。
