Department of Psychology, University of Nevada, Las Vegas 89154-5030, USA.
J Trauma Stress. 2011 Oct;24(5):601-4. doi: 10.1002/jts.20683. Epub 2011 Sep 1.
Posttraumatic stress disorder (PTSD) is common among maltreated youth, but few investigations compare neglect with other maltreatment types. This study examined 84 adolescents who experienced neglect only, physical and/or sexual maltreatment only, or neglect with physical and/or sexual maltreatment. Symptoms of PTSD, dissociation, and depression were measured. Adolescents who experienced physical and/or sexual maltreatment, whether neglected or not, reported significantly greater symptomatology than adolescents who experienced neglect only (η2 = .094). This difference applied to PTSD symptoms, dissociative amnesia, depersonalization and derealization, negative mood, and anhedonia. Adolescents exposed to neglect only displayed substantial psychopathology but less than that of other groups. The findings may reflect emerging cascade models of the etiology of symptoms of PTSD following extensive maltreatment history.
创伤后应激障碍（PTSD）在受虐待的年轻人中很常见，但很少有研究将忽视与其他虐待类型进行比较。本研究调查了 84 名仅经历过忽视、仅经历过身体和/或性虐待或经历过忽视和身体和/或性虐待的青少年。测量了 PTSD、分离和抑郁症状。经历过身体和/或性虐待的青少年，无论是否被忽视，报告的症状明显比仅经历过忽视的青少年更为严重（η2 =.094）。这种差异适用于 PTSD 症状、分离性遗忘、人格解体和现实解体、负性情绪和快感缺失。仅经历过忽视的青少年表现出明显的精神病理学，但不如其他组严重。这些发现可能反映了 PTSD 症状的病因学的新兴级联模型，该模型源于广泛的虐待史。
