Kelley Lance P, Weathers Frank W, McDevitt-Murphy Meghan E, Eakin David E, Flood Amanda M
Department of Psychology, Auburn University, Auburn, AL 36849, USA.
J Trauma Stress. 2009 Jun;22(3):227-35. doi: 10.1002/jts.20406.
Posttraumatic stress disorder (PTSD) is assumed to be an equivalent syndrome regardless of the type of traumatic event that precipitated it. However, the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) and previous research suggest that the clinical presentation of PTSD varies by trauma type. This study compared PTSD symptom profiles in three types of civilian trauma: sexual assault (n = 86), motor vehicle accident (n = 162), and sudden loss of a loved one (n = 185). Groups differed in overall PTSD severity and displayed distinct PTSD symptom patterns. Results suggest that different trauma types lead to unique variants of the PTSD syndrome, which may result from different etiological factors and may require different treatment approaches.
创伤后应激障碍（PTSD）被认为是一种等同的综合征，无论引发它的创伤事件类型如何。然而，《精神疾病诊断与统计手册》（第4版；DSM-IV；美国精神病学协会，1994年）及先前的研究表明，PTSD的临床表现因创伤类型而异。本研究比较了三种类型的平民创伤中的PTSD症状概况：性侵犯（n = 86）、机动车事故（n = 162）和亲人突然离世（n = 185）。各组在PTSD总体严重程度上存在差异，并表现出不同的PTSD症状模式。结果表明，不同的创伤类型导致PTSD综合征的独特变体，这可能源于不同的病因因素，可能需要不同的治疗方法。
