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瑞典遭受攻击女性的心理应激反应:急性反应及四个月随访

Psychological stress reactions of women in Sweden who have been assaulted: acute response and four-month follow-up.

作者信息

Renck Barbro

机构信息

Department of Public Health Sciences, Karlstad University, SE-651 88 Karlstad, Sweden.

出版信息

Nurs Outlook. 2006 Nov-Dec;54(6):312-9. doi: 10.1016/j.outlook.2006.03.002.

Abstract

Violence is a global health problem. Women in particular are likely to be targets of violent behavior. This study investigated the reactions of female victims to an individual act of interpersonal violence. A sample of 68 assaulted women registered as injured parties in 2 police districts were assessed for symptoms of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) at 3 weeks and after 4 months. Risk factors for developing psychological distress in the long-term were explored. High rates of ASD symptoms and distress measured with Post Traumatic Symptom Scale (PTSS-10), Impact of Event Scale (IES), and General Health Questionnaire (GHQ-20) were reported by the women in the acute phase. Four months post-assault, the high rates of stress reactions measured with PTSS-10, IES, and GHQ-20 were significantly reduced, but not for all the women. Dissatisfaction with one's previous life, previous mental health problems, post-assault life events and earlier abuse were risk factors for 4 months post-assault stress reactions.

摘要

暴力是一个全球性的健康问题。女性尤其容易成为暴力行为的目标。本研究调查了女性受害者对人际暴力个别行为的反应。对在两个警区登记为受害方的68名受攻击女性样本,在3周和4个月后评估急性应激障碍(ASD)和创伤后应激障碍(PTSD)的症状。探讨了长期出现心理困扰的风险因素。这些女性在急性期报告了创伤后症状量表(PTSS - 10)、事件影响量表(IES)和一般健康问卷(GHQ - 20)所测量的高ASD症状率和困扰程度。攻击发生四个月后,PTSS - 10、IES和GHQ - 20所测量的高应激反应率显著降低,但并非所有女性都是如此。对过去生活的不满、既往心理健康问题、攻击后生活事件和早期虐待是攻击后4个月应激反应的风险因素。

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