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[一名有童年期性虐待经历的女性患者的精神障碍——精神分裂症还是复杂性创伤后应激障碍]

[Mental disorders in a female patient with childhood sexual abuse--schizophrenia or complex PTSD].

作者信息

Gronkowski Marek, Spila Bozena, Gronkowska Ewa, Karakuła Hanna, Przywara Grzegorz, Pawezka Justyna

机构信息

Oddzial Psychiatryczny SPZ ZOZ Nowa Deba.

出版信息

Psychiatr Pol. 2007 Jul-Aug;41(4):561-70.

Abstract

The paper presents the definition, synonyms of child sexual abuse and a short overview of the current knowledge about long-term effects of that kind of trauma. The case of a female patient with diagnosed schizophrenia and a history of being sexually abused in childhood who was hospitalised at The Department of Psychiatry in Lublin is described. Sexual abuse of the child is prolonged, repeated trauma, thus another probable diagnosis--Complex PTSD is discussed. The diagnosis of PTSD includes the symptoms that result when a person experiences a short-lived trauma. However, chronic trauma like child sexual abuse continue for months or years at a time and a new diagnosis called Complex PTSD describes the symptoms of long-term trauma.

摘要

本文介绍了儿童性虐待的定义、同义词,并简要概述了目前有关此类创伤长期影响的知识。文中描述了一名女性患者的病例,该患者被诊断患有精神分裂症,有童年期遭受性虐待的病史,曾在卢布林精神病科住院治疗。儿童性虐待是一种长期、反复的创伤,因此文中讨论了另一种可能的诊断——复杂性创伤后应激障碍。创伤后应激障碍的诊断包括一个人经历短暂创伤后产生的症状。然而,像儿童性虐待这样的慢性创伤会持续数月或数年,一种名为复杂性创伤后应激障碍的新诊断描述了长期创伤的症状。

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