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有性创伤史的亚裔美国和白人女大学生的创伤后认知、躯体化及创伤后应激障碍严重程度

Posttraumatic Cognitions, Somatization, and PTSD severity among Asian American and White College Women with Sexual Trauma Histories.

作者信息

Koo Kelly H, Nguyen Hong V, Gilmore Amanda K, Blayney Jessica A, Kaysen Debra L

机构信息

Psychology, University of Washington, Seattle, WA.

Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA.

出版信息

Psychol Trauma. 2014 Jul;6(4):337-344. doi: 10.1037/a0033830.

Abstract

The need for trauma research with monoracial groups such as Asian Americans (AA) has recently been emphasized to better understand trauma experiences and inform interventions across populations. Given AA cultural contexts, posttraumatic cognitions and somatization may be key in understanding trauma experiences for this group. AA and White American (WA) trauma-exposed college women completed a survey on sexual trauma history, posttraumatic cognitions, somatic symptoms, and PTSD severity. For the overall sample, higher negative cognitions were associated with higher somatization. Asian race was associated with higher negative cognitions, which then predicted higher PTSD. Unexpectedly, WAs more strongly endorsed somatization than AAs. These findings indicate that posttraumatic cognitions may be helpful in understanding relationships between somatization and PTSD severity among those of Asian backgrounds and that the relationship between somatization and PTSD symptoms is culturally complex.

摘要

最近强调了对单一种族群体(如亚裔美国人)进行创伤研究的必要性,以便更好地了解创伤经历并为针对不同人群的干预措施提供依据。考虑到亚裔美国人的文化背景,创伤后认知和躯体化可能是理解该群体创伤经历的关键。遭受过创伤的亚裔美国和美国白人女大学生完成了一项关于性创伤史、创伤后认知、躯体症状和创伤后应激障碍严重程度的调查。对于总体样本,较高的消极认知与较高的躯体化相关。亚裔种族与较高的消极认知相关,而消极认知又预示着较高的创伤后应激障碍发生率。出乎意料的是,美国白人比亚裔美国人更强烈地认可躯体化。这些发现表明,创伤后认知可能有助于理解亚洲背景人群中躯体化与创伤后应激障碍严重程度之间的关系,并且躯体化与创伤后应激障碍症状之间的关系在文化上是复杂的。

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