Hanson Rochelle F, Borntrager Cameo, Self-Brown Shannon, Kilpatrick Dean G, Saunders Benjamin E, Resnick Heidi S, Amstadter Ananda
National Crime Victims Research and Treatment Center, Medical University of South Carolina, Charleston, SC 29425, USA.
Am J Orthopsychiatry. 2008 Jul;78(3):313-21. doi: 10.1037/a0014056.
Using a nationally representative sample of 4,008 adolescents, this study examines gender differences in violence exposure, major depressive episode (MDE) and posttraumatic stress disorder (PTSD), and characteristics of violence incidents. It was hypothesized that there would be gender differences in the types of violence exposure reported and in the prevalence of MDE and PTSD and that gender would moderate the relationship between violence exposure and mental health outcomes. Results indicated significant gender differences in rates of violence exposure, PTSD, and MDE. Additionally, gender was a moderating variable in the relation between sexual assault and PTSD, but not in the other violence exposure?mental health relations examined. It thus appears that the pathways for developing PTSD may be different for male and female victims of sexual abuse. Implications for interventions and future research are discussed.
本研究使用了一个具有全国代表性的包含4008名青少年的样本,考察了暴力暴露、重度抑郁发作(MDE)和创伤后应激障碍(PTSD)方面的性别差异以及暴力事件的特征。研究假设,在报告的暴力暴露类型、MDE患病率和PTSD患病率方面会存在性别差异,并且性别会调节暴力暴露与心理健康结果之间的关系。结果表明,在暴力暴露率、PTSD和MDE方面存在显著的性别差异。此外,性别是性侵犯与PTSD之间关系的调节变量,但在其他考察的暴力暴露与心理健康的关系中并非如此。因此,对于遭受性虐待的男性和女性受害者而言,患PTSD的途径可能有所不同。文中讨论了干预措施及未来研究的意义。