Kirchner Teresa, Forns Maria, Soler Laia, Planellas Irina
Faculty of Psychology, University of Barcelona, Spain; Institute of Research in Brain, Cognition and Behavior (IR3C), Spain.
Faculty of Psychology, University of Barcelona, Spain.
Child Abuse Negl. 2014 Aug;38(8):1303-12. doi: 10.1016/j.chiabu.2014.02.014. Epub 2014 Mar 19.
The cumulative effect of lifetime interpersonal victimization experiences (e.g., child maltreatment, sexual victimizations, conventional crime, witnessing indirect victimization, peer and sibling victimizations) on posttraumatic stress (PTS) symptoms is an important topic in the scientific literature. The objectives of the present study were: (a) to analyze the relationship between lifetime interpersonal victimizations and PTS symptoms, (b) to determine the most prevalent specific PTS symptoms among poly-victimized adolescents, and (c) to establish the time-based effect of interpersonal victimization experiences that occurred in the last year versus those that occurred years before on current level of PTS symptoms. Gender differences were taken into account for each of these objectives. Participants were 823 Spanish adolescents (63% girls and 37% boys) between 14 and 18 years of age recruited from May 2010 to November 2011 from schools in Barcelona, Spain. The majority (87.6%) was of Spanish nationality. The results highlighted the cumulative effect of interpersonal victimizations on PTS symptoms. Among poly-victims adolescents, the most prevalent PTS symptom was intrusive thoughts, but some differences were observed according to gender. The time-based effect of interpersonal victimizations showed a different pattern for girls and boys. For girls, the victimizing events occurring in past years had more explanatory power of the current PTS symptoms than those that occurred more recently. In boys, the interpersonal victimizing events occurring in the last year had the greater explanatory power. These results may have clinical and therapeutic value.
一生中人际受害经历（如儿童期虐待、性侵害、传统犯罪、目睹间接受害、同伴和兄弟姐妹间的侵害）对创伤后应激（PTS）症状的累积影响是科学文献中的一个重要话题。本研究的目的是：（a）分析一生中人际受害经历与PTS症状之间的关系；（b）确定多重受害青少年中最普遍的特定PTS症状；（c）确定过去一年发生的人际受害经历与多年前发生的人际受害经历对当前PTS症状水平的基于时间的影响。针对上述每个目标，均考虑了性别差异。研究参与者为2010年5月至2011年11月从西班牙巴塞罗那的学校招募的823名14至18岁的西班牙青少年（63%为女孩，37%为男孩）。大多数（87.6%）为西班牙国籍。结果突出了人际受害经历对PTS症状的累积影响。在多重受害青少年中，最普遍的PTS症状是侵入性思维，但根据性别观察到了一些差异。人际受害经历的基于时间的影响在女孩和男孩中呈现出不同的模式。对于女孩来说，过去几年发生的受害事件对当前PTS症状的解释力比最近发生的事件更强。对于男孩来说，去年发生的人际受害事件具有更大的解释力。这些结果可能具有临床和治疗价值。
