O'Brien Carol, Gaher Raluca M, Pope Caryanne, Smiley Paul
Bay Pines VA Healthcare System, Bay Pines, Florida, USA.
J Nerv Ment Dis. 2008 Mar;196(3):252-5. doi: 10.1097/NMD.0b013e318166397d.
The current study examined the prospective association between alexithymia and the persistence of trauma symptoms in a clinical sample of 175 male and female veterans who experienced sexual trauma during military service (military sexual trauma; MST). Trauma symptoms decreased significantly over the course of a specialized residential treatment program. Difficulty identifying feelings was related to persistence of the following trauma symptoms: overall symptoms, sexual abuse trauma symptoms, dissociative symptoms, and anxiety. Men exhibited more persistent symptoms overall, more persistent sexual problems, and more sexual abuse trauma symptoms compared with women (over and above controlling for symptoms at intake). The results speak to the significant role that difficulty identifying feelings has in the treatment of PTSD. In addition, the results suggest that MST has different implications for men compared with women. Specifically, men who were sexually abused in the military experienced greater persistence of symptoms compared with women, especially in the areas of sexual functioning.
本研究在一个由175名在服役期间遭受性创伤（军事性创伤；MST）的男性和女性退伍军人组成的临床样本中，考察了述情障碍与创伤症状持续存在之间的前瞻性关联。在一个专门的住院治疗项目过程中，创伤症状显著减轻。难以识别情感与以下创伤症状的持续存在有关：总体症状、性虐待创伤症状、解离症状和焦虑。与女性相比（在控制入院时的症状后），男性总体上表现出更持续的症状、更持续的性问题以及更多的性虐待创伤症状。研究结果表明，难以识别情感在创伤后应激障碍（PTSD）的治疗中具有重要作用。此外，结果表明，与女性相比，MST对男性有不同的影响。具体而言，在军队中遭受性虐待的男性与女性相比，症状持续时间更长，尤其是在性功能方面。
