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重新评估创伤周围解离与创伤后应激障碍症状严重程度之间的联系:来自社区暴力幸存者纵向研究的证据。

Reappraising the link between peritraumatic dissociation and PTSD symptom severity: evidence from a longitudinal study of community violence survivors.

作者信息

Marshall Grant N, Schell Terry L

机构信息

RAND, Santa Monica, California 90407-2138, USA.

出版信息

J Abnorm Psychol. 2002 Nov;111(4):626-36. doi: 10.1037//0021-843x.111.4.626.

DOI:10.1037//0021-843x.111.4.626
PMID:12428776
Abstract

Cross-lagged panel analysis of longitudinal data collected from young adult survivors of community violence was used to examine the relationship between recall of peritraumatic dissociation and posttraumatic stress disorder (PTSD) symptom severity. Recollections of peritraumatic dissociation assessed within days of exposure differed from recollections measured at 3- and 12-month follow-up interviews. Peritraumatic dissociation was highly correlated with PTSD symptoms within each wave of data collection. Baseline recollections of peritraumatic dissociation were not predictive of follow-up PTSD symptom severity after controlling for baseline PTSD symptom severity. This pattern of results replicates previous work demonstrating a correlation between peritraumatic dissociation and subsequent symptom severity. However, findings are not consistent with the prevailing view that peritraumatic dissociation leads to increased PTSD symptom severity.

摘要

对从社区暴力事件的年轻成年幸存者收集的纵向数据进行交叉滞后面板分析,以检验创伤相关解离的回忆与创伤后应激障碍(PTSD)症状严重程度之间的关系。暴露后数天内评估的创伤相关解离回忆与在3个月和12个月随访访谈中测量的回忆不同。在每一波数据收集过程中,创伤相关解离与PTSD症状高度相关。在控制了基线PTSD症状严重程度后,创伤相关解离的基线回忆不能预测随访时的PTSD症状严重程度。这种结果模式重复了先前的研究,表明创伤相关解离与随后的症状严重程度之间存在相关性。然而,研究结果与创伤相关解离会导致PTSD症状严重程度增加的主流观点不一致。

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