Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY, USA.
J Trauma Stress. 2009 Oct;22(5):399-408. doi: 10.1002/jts.20444. Epub 2009 Sep 30.
Exposure to multiple traumas, particularly in childhood, has been proposed to result in a complex of symptoms that includes posttraumatic stress disorder (PTSD) as well as a constrained, but variable group of symptoms that highlight self-regulatory disturbances. The relationship between accumulated exposure to different types of traumatic events and total number of different types of symptoms (symptom complexity) was assessed in an adult clinical sample (N = 582) and a child clinical sample (N = 152). Childhood cumulative trauma but not adulthood trauma predicted increasing symptom complexity in adults. Cumulative trauma predicted increasing symptom complexity in the child sample. Results suggest that Complex PTSD symptoms occur in both adult and child samples in a principled, rule-governed way and that childhood experiences significantly influenced adult symptoms.
暴露于多种创伤，特别是在儿童时期，被认为会导致一系列症状，包括创伤后应激障碍（PTSD）以及一组受限但变化的症状，突出了自我调节障碍。在一个成人临床样本（N=582）和一个儿童临床样本（N=152）中，评估了累积暴露于不同类型创伤事件与不同类型症状总数（症状复杂性）之间的关系。儿童期累积创伤而非成年期创伤可预测成人症状复杂性的增加。累积创伤预测了儿童样本中症状复杂性的增加。结果表明，复杂 PTSD 症状以一种有原则的、受规则约束的方式出现在成人和儿童样本中，并且儿童时期的经历对成人症状有显著影响。
