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创伤叙述过程中急性创伤受害者的生理唤醒与解离

Physiological arousal and dissociation in acute trauma victims during trauma narratives.

作者信息

Nixon Reginald D V, Bryant Richard A, Moulds Michelle L, Felmingham Kim L, Mastrodomenico Julie A

机构信息

Flinders University, Adelaide, South Australia 5001.

出版信息

J Trauma Stress. 2005 Apr;18(2):107-13. doi: 10.1002/jts.20019.

Abstract

The aim of the present study was to examine whether the finding of suppressed physiological activity in dissociative rape-trauma victims (Griffin, Resick, & Mechanic, 1997) was replicable in a nonsexual assault trauma group. A sample of 17 high-dissociating (HD) participants and 18 low-dissociating (LD) participants who had experienced a motor vehicle accident or physical assault described their trauma while skin conductance, heart rate activity, and self-reported mood were recorded. HD individuals demonstrated a trend for elevated heart rate during the experiment compared with LD participants, but both groups displayed comparable skin-conductance levels. Curve estimation analysis indicated that the two groups had a similar pattern of physiological responding during the trauma narratives. These findings challenge the notion that dissociative reactions are associated with reduced psychophysiological arousal after trauma.

摘要

本研究的目的是检验在遭受非性侵犯创伤的群体中,是否能再现解离性强奸创伤受害者生理活动受抑制这一发现(格里芬、雷西克和梅卡尼克,1997年)。抽取了17名高解离性(HD)参与者和18名低解离性(LD)参与者作为样本,这些人曾经历过机动车事故或身体攻击,在记录皮肤电传导、心率活动和自我报告情绪的同时,描述了他们的创伤经历。与LD参与者相比,HD个体在实验过程中心率有升高的趋势,但两组的皮肤电传导水平相当。曲线估计分析表明,两组在创伤叙述过程中的生理反应模式相似。这些发现对解离反应与创伤后心理生理唤醒降低有关这一观点提出了质疑。

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