Department of Psychiatry and Behavioral Sciences , Medical University of South Carolina, Charleston, South Carolina, USA.
J Trauma Dissociation. 2012;13(5):509-25. doi: 10.1080/15299732.2012.678471.
This is the 1st study to examine peritraumatic dissociation and peritraumatic emotions as they predict symptoms and diagnosis of posttraumatic stress disorder (PTSD) in Latino youth. Our aim was to test the hypothesis that the degree of peritraumatic dissociation would predict the number of PTSD symptoms and PTSD clinical diagnosis when the influences of other salient factors were statistically controlled. We also explored the possible contributions of peritraumatic emotional responses to PTSD symptomatology and PTSD diagnosis. We expected that peritraumatic dissociation would emerge as a significant predictor of PTSD. A total of 204 Latino youth (mean age = 12.37 years) completed semistructured individual clinical interviews with bilingual research assistants. These interviews assessed trauma exposure, peritraumatic responses, and current psychopathology. A linear regression analysis demonstrated significant relationships between lifetime number of traumatic events, peritraumatic dissociation, shame, and number of PTSD symptoms endorsed. Significant inverse (protective) relationships were demonstrated between anger and guilt and current PTSD symptomatology. Logistic regression analysis demonstrated significant relationships between peritraumatic dissociation, shame, lifetime number of traumatic events experienced, and PTSD diagnosis. The analyses examined both the number of PTSD symptoms as well as diagnosis of PTSD while simultaneously controlling for age, lifetime exposure to traumatic events, time residing in the United States, and gender. These results support an increasingly robust body of empirical literature suggesting that the peritraumatic dissociative and emotional responses to trauma are important predictors of future PTSD diagnosis. Possible cultural factors contributing to the dissociative responses in Latino youth and clinical implications are discussed.
这是第一项研究，旨在探讨创伤时的解离和创伤时的情绪如何预测拉丁裔青年创伤后应激障碍（PTSD）的症状和诊断。我们的目的是检验这样一个假设，即创伤时的解离程度可以预测 PTSD 症状的数量和 PTSD 的临床诊断，而其他显著因素的影响则通过统计进行控制。我们还探讨了创伤时情绪反应对 PTSD 症状学和 PTSD 诊断的可能贡献。我们预计创伤时的解离会成为 PTSD 的一个重要预测指标。共有 204 名拉丁裔青年（平均年龄=12.37 岁）由双语研究助理完成半结构式个体临床访谈。这些访谈评估了创伤暴露、创伤时的反应和当前的精神病理学。线性回归分析显示，一生中经历的创伤事件数量、创伤时的解离、羞耻感和 PTSD 症状的数量之间存在显著关系。愤怒和内疚与当前 PTSD 症状之间存在显著的反向（保护）关系。逻辑回归分析显示，创伤时的解离、羞耻感、一生中经历的创伤事件数量与 PTSD 诊断之间存在显著关系。分析同时考虑了 PTSD 症状的数量和 PTSD 的诊断，同时控制了年龄、一生中经历的创伤事件数量、在美国居住的时间和性别。这些结果支持越来越多的实证文献，表明创伤时的解离和情绪反应是未来 PTSD 诊断的重要预测指标。讨论了可能导致拉丁裔青年出现解离反应的文化因素和临床意义。
