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使用 MMPI 评估报告的认知障碍和躯体化,作为复杂 PTSD 的核心特征。

Using the MMPI to assess reported cognitive disturbances and somatization as a core feature of complex PTSD.

机构信息

War Related Illness and Injury Study Center, Veterans Affairs Medical Center, Washington, DC, USA.

出版信息

J Trauma Dissociation. 2010;11(1):57-72. doi: 10.1080/15299730903318475.

DOI:10.1080/15299730903318475
PMID:20063248
Abstract

Minnesota Multiphasic Personality Inventory (MMPI) clinical scales as well as 4 sets of MMPI items known to be sensitive to neurological dysfunction (closed head injury, cerebrovascular disorder) were administered to survivors of childhood physical and/or sexual abuse and to non-abused adults. As predicted, relative to the comparison group of psychiatric patients, the abused participants scored significantly higher on Scale 8 (Schizophrenia) and on all 4 sets of items associated with neurological dysfunction. The results suggest that early abuse/trauma is associated with cognitive disturbances and somatization. Findings appear to support the conceptualization of these psychophysical experiences as a central part of what is often called "complex posttraumatic stress disorder." Limitations and suggestions for further study are discussed.

摘要

明尼苏达多相人格测验(MMPI)的临床量表,以及 4 组已知对神经功能障碍敏感的 MMPI 项目(闭合性头部损伤、脑血管疾病),被用于评估儿童期身体和/或性虐待幸存者以及未受虐待的成年人。正如预测的那样,与精神病患者的对照组相比,受虐待的参与者在量表 8(精神分裂症)和与神经功能障碍相关的所有 4 组项目上的得分显著更高。研究结果表明,早期的虐待/创伤与认知障碍和躯体化有关。这些发现似乎支持将这些身心体验概念化为通常所说的“复杂创伤后应激障碍”的核心部分。研究还讨论了限制因素和进一步研究的建议。

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引用本文的文献

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The Role and Clinical Correlates of Complex Post-traumatic Stress Disorder in People With Psychosis.复杂性创伤后应激障碍在精神病患者中的作用及临床关联
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Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders.加拿大焦虑、创伤后应激障碍和强迫症管理临床实践指南。
BMC Psychiatry. 2014;14 Suppl 1(Suppl 1):S1. doi: 10.1186/1471-244X-14-S1-S1. Epub 2014 Jul 2.