Rasmussen Andrew, Rosenfeld Barry, Reeves Kim, Keller Allen S
Division of General Internal Medicine, New York University School of Medicine, Bellevue/New York University Program for Survivors of Torture, Bellevue Hospital, New York, NY, USA.
J Abnorm Psychol. 2007 Nov;116(4):734-40. doi: 10.1037/0021-843X.116.4.734.
Torture survivors often report chronic debilitating physical and psychological distress. Prior research on the relationship between physical and psychological trauma suggests that the 2 are not independent. Injury sustained during torture may increase the likelihood of subsequent distress as either a moderator or mediator. For long-term psychopathology in a sample of Punjabi Sikh survivors of human rights violations (N = 116), chronic injuries mediated the path between torture and posttraumatic stress disorder, specifically the severity of numbing symptoms. Although injuries were associated with major depression, torture was not, and injuries did not moderate the relationship between major depression and torture. Chronic injuries may represent trauma severity or persistent traumatic cues. These findings emphasize connections between physical and psychological trauma and the importance of an interdisciplinary approach to torture treatment.
酷刑幸存者常常报告存在慢性的、使人衰弱的生理和心理痛苦。先前关于生理创伤与心理创伤之间关系的研究表明，二者并非相互独立。酷刑期间遭受的伤害可能作为调节变量或中介变量增加后续痛苦的可能性。对于旁遮普锡克族人权侵犯幸存者样本（N = 116）中的长期精神病理学而言，慢性损伤在酷刑与创伤后应激障碍之间起中介作用，特别是在麻木症状的严重程度方面。虽然损伤与重度抑郁症有关，但酷刑与重度抑郁症无关，且损伤并未调节重度抑郁症与酷刑之间的关系。慢性损伤可能代表创伤严重程度或持续的创伤线索。这些发现强调了生理创伤与心理创伤之间的联系以及采用跨学科方法治疗酷刑的重要性。
