Sullivan Tami P, Fehon Dwain C, Andres-Hyman Raquel C, Lipschitz Deborah S, Grilo Carlos M
Yale University School of Medicine, New Haven, CT 06511, USA.
J Trauma Stress. 2006 Apr;19(2):229-39. doi: 10.1002/jts.20092.
This article investigates whether childhood abuse and neglect subtypes (i.e., physical, sexual, and emotional abuse, and physical and emotional neglect) differentially predict the severity of individual posttraumatic stress disorder (PTSD) symptom clusters and overall posttraumatic stress. Eighty-nine patients admitted to the short-term adolescent treatment unit of a psychiatric hospital completed a battery of psychological assessments. Findings of multiple regression analyses showed that emotional and sexual abuse rather than physical abuse, emotional neglect, or physical neglect is related to individual symptom cluster severity and overall posttraumatic stress. Results suggested that a greater level of specificity is necessary when assessing child abuse and posttraumatic stress because each level provides more specific information about how to intervene to reduce the risk of negative outcomes.
本文探讨童年期虐待和忽视的亚型（即身体虐待、性虐待、情感虐待以及身体忽视和情感忽视）是否会对个体创伤后应激障碍（PTSD）症状群的严重程度及总体创伤后应激产生不同的预测作用。一家精神病医院短期青少年治疗单元收治的89名患者完成了一系列心理评估。多元回归分析结果显示，与个体症状群严重程度及总体创伤后应激相关的是情感虐待和性虐待，而非身体虐待、情感忽视或身体忽视。结果表明，在评估儿童虐待和创伤后应激时需要更高的特异性，因为每个层面都能提供关于如何进行干预以降低负面结果风险的更具体信息。
