Department of Psychosomatic Medicine and Psychotherapy, Central Institute for Mental Health, Heidelberg University, J5, D-68159 Mannheim, Heidelberg, Germany.
Clinical Psychology and Psychotherapy, Osnabrück University, Knollstrasse 15, D-49069 Osnabrück, Germany.
Borderline Personal Disord Emot Dysregul. 2014 Jul 25;1:10. doi: 10.1186/2051-6673-1-10. eCollection 2014.
A criterion for Posttraumatic Stress Disorder (PTSD) is the avoidance of trauma-associated stimuli that trigger emotional suffering. First studies on body image of patients with PTSD after childhood sexual abuse (CSA) support the hypothesis that awareness of the own body triggers emotional suffering.
Body-related emotions, cognitions and level of dissociation of n = 17 patients meeting DSM-IV criteria for PTSD and n = 29 healthy controls (HCs) during a standardized mirror confrontation while wearing a standard bikini were assessed.
It was shown that expecting to be and while being confronted with one's own body, patients with PTSD showed significantly stronger negative emotionality and cognitions as well as higher dissociative states as compared to HCs.
Findings suggest that in patients with PTSD after CSA, one's own body might function as a stimulus that leads to aversive emotional responses, negative cognitions and dissociative states. The elaboration of treatment for PTSD should consider these body-related aspects, e.g., by investigating the effects of body exposure.
创伤后应激障碍（PTSD）的一个标准是避免引发情绪痛苦的创伤相关刺激。对儿童期性虐待（CSA）后 PTSD 患者的身体意象的初步研究支持这样一种假设，即对自身身体的意识会引发情绪痛苦。
在标准的镜子对峙中，n=17 名符合 DSM-IV PTSD 标准的患者和 n=29 名健康对照组（HCs）穿着标准比基尼，评估他们与身体相关的情绪、认知和分离水平。
研究表明，与 HCs 相比，预期和面对自己的身体时，PTSD 患者表现出更强的负面情绪和认知，以及更高的分离状态。
这些发现表明，在 CSA 后患有 PTSD 的患者中，自己的身体可能成为引发厌恶情绪反应、消极认知和分离状态的刺激。PTSD 的治疗方案应考虑这些与身体相关的方面，例如，通过调查身体暴露的效果。
