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癫痫患者群体中的性虐待与精神症状

Sexual abuse and psychiatric symptoms in an epileptic population.

作者信息

Davies F G, Manchanda R, Schaefer B, Blume W T, McLachlan R S

机构信息

University Hospital, London, Ontario, Canada.

出版信息

Seizure. 1992 Dec;1(4):263-7. doi: 10.1016/1059-1311(92)90035-y.

DOI:10.1016/1059-1311(92)90035-y
PMID:1344775
Abstract

One hundred and seven consecutive patients attending the outpatient epilepsy clinic at a teaching general hospital were assessed by clinical interview for a history of sexual abuse. Questionnaires dealing with overall psychiatric symptomatology i.e., (SCL-90), (TSC-40) and depression (ZSRDS) were also used. The majority of subjects were single (60%), living at home (76.6%) and had an average age of 29 years. The mean duration of epilepsy was 18.8 years and the seizures were controlled with medication in 65.2% of patients. Ten (9.3%) of the subjects had been sexually abused. This frequency of sexual abuse is lower than in the general population and among psychiatric patients. The specific form of sexual abuse consisted of sexual intercourse (n = 4), fondling (n = 4) and oral sex (n = 2). The sexually abused subjects had significantly higher scores on the anxiety subscale of the SCL-90 and depression score on the ZSRDS than non-abused subjects.

摘要

在一家教学综合医院的门诊癫痫诊所,对107名连续就诊的患者进行了临床访谈,以了解其性虐待史。还使用了处理整体精神症状的问卷,即(症状自评量表90项,SCL - 90)、(40项临床症状自评量表,TSC - 40)和抑郁量表(Zung氏自评抑郁量表,ZSRDS)。大多数受试者为单身(60%),居住在家中(76.6%),平均年龄为29岁。癫痫的平均病程为18.8年,65.2%的患者通过药物控制了癫痫发作。10名(9.3%)受试者曾遭受性虐待。这种性虐待的发生率低于普通人群和精神病患者。性虐待的具体形式包括性交(n = 4)、抚摸(n = 4)和口交(n = 2)。遭受性虐待的受试者在SCL - 90焦虑分量表上的得分以及在ZSRDS抑郁量表上的得分显著高于未受虐待的受试者。

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