Margolin Gayla, Vickerman Katrina A
University of Southern California.
Prof Psychol Res Pr. 2007 Dec 1;38(6):613-619. doi: 10.1037/0735-7028.38.6.613.
Exposure to child physical abuse and parents' domestic violence can subject youth to pervasive traumatic stress and lead to Post-traumatic Stress Disorder (PTSD). The often repeating and ongoing nature of family violence exposure may result in youth exhibiting problems in multiple domains of functioning and meeting criteria for multiple disorders in addition to PTSD. These characteristics as well as unique factors related to children's developmental level and symptom presentation complicate a PTSD diagnosis. This paper describes evolving conceptualizations in the burgeoning field of trauma related to family violence exposure, and reviews considerations that inform assessment and treatment planning for this population.
遭受儿童身体虐待和父母的家庭暴力会使青少年遭受普遍的创伤性压力,并导致创伤后应激障碍(PTSD)。家庭暴力暴露的反复性和持续性往往会导致青少年在多个功能领域出现问题,除创伤后应激障碍外,还符合多种障碍的标准。这些特征以及与儿童发育水平和症状表现相关的独特因素使创伤后应激障碍的诊断变得复杂。本文描述了与家庭暴力暴露相关的新兴创伤领域中不断演变的概念,并回顾了为这一人群进行评估和治疗规划时需要考虑的因素。