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童年期性虐待丹麦幸存者中创伤性事件对创伤后应激障碍的影响

Impact of traumatic events on posttraumatic stress disorder among Danish survivors of sexual abuse in childhood.

作者信息

Elklit Ask, Christiansen Dorte M, Palic Sabina, Karsberg Sidsel, Eriksen Sara Bek

机构信息

a University of Southern Denmark , Odense , Denmark.

出版信息

J Child Sex Abus. 2014;23(8):918-34. doi: 10.1080/10538712.2014.964440.

Abstract

Childhood sexual abuse can be extremely traumatic and lead to lifelong symptomatology. The present study examined the impact of several demographic, abuse, and psychosocial variables on posttraumatic stress disorder severity among a consecutive sample of treatment-seeking, adult child sexual abuse survivors (N = 480). The child sexual abuse sample was characterized by severe trauma exposure, insecure attachment, and significant traumatization, with an estimated 77% suffering from posttraumatic stress disorder, more than twice the level of the comparison group. Regression analyses revealed risk factors associated with the development of posttraumatic stress disorder in which the strongest predictors being additional traumas, negative affectivity, and somatization. The findings add to existing research confirming the stressful nature of child sexual abuse and the variables that contribute to the development and severity of posttraumatic stress disorder.

摘要

童年期性虐待可能极具创伤性,并导致终身症状。本研究调查了一些人口统计学、虐待及心理社会变量,对寻求治疗的成年童年期性虐待幸存者连续样本(N = 480)中创伤后应激障碍严重程度的影响。童年期性虐待样本的特点是遭受严重创伤暴露、不安全依恋和显著创伤,估计77%的人患有创伤后应激障碍,是对照组水平的两倍多。回归分析揭示了与创伤后应激障碍发展相关的风险因素,其中最强的预测因素是额外创伤、消极情感性和躯体化。这些发现补充了现有研究,证实了童年期性虐待的压力性质以及导致创伤后应激障碍发展和严重程度的变量。

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