Briere J, Zaidi L Y
Department of Psychiatry, University of Southern California School of Medicine, Los Angeles.
Am J Psychiatry. 1989 Dec;146(12):1602-6. doi: 10.1176/ajp.146.12.1602.
The charts of 100 nonpsychotic female patients in a psychiatric emergency room were reviewed to locate references to history of sexual molestation: 50 charts were selected at random from emergency room files, and 50 charts had been written by clinicians asked to query abuse history. A substantially higher rate of sexual abuse was found for patients who had been directly asked about sexual molestation (70%) than for the random sample (6%). Further analysis linked molestation history to suicidality, substance abuse, sexual difficulties, multiple psychiatric diagnoses, and axis II traits or disorders--especially borderline personality. Severe abuse and multiple abusers best predicted psychiatric sequelae.
对一家精神病急诊室100名非精神病女性患者的病历进行了审查，以查找有关性侵犯史的记录：50份病历是从急诊室档案中随机抽取的，另外50份病历是由被要求询问虐待史的临床医生撰写的。结果发现，直接被询问性侵犯情况的患者的性虐待发生率（70%）显著高于随机样本（6%）。进一步分析将骚扰史与自杀倾向、药物滥用、性功能障碍、多种精神疾病诊断以及轴II人格特质或障碍（尤其是边缘型人格）联系起来。严重虐待和多名施虐者最能预测精神后遗症。
