DiGangi Julia A, Goddard Andrea J, Miller Steven A, Leon Gabriela, Jason Leonard A
VA Boston; Clinical Fellow, Harvard Medical School.
Clinical Psychology, The Adler School of Professional Psychology.
HSOA J Addict Neuropharmacol. 2016;3. Epub 2016 Jan 7.
The development of PTSD has been shown to be dependent on a variety of factors, including ethnicity, whether the trauma was experienced as a child or adult, and acculturation. Using 104 Latinos who had completed treatment for substance abuse disorder(s), this study compared PTSD symptomatology for individuals reporting their worst traumatic event (WTE) in childhood versus adulthood. The moderating effect of acculturation was also examined. Although many studies have reported on the pernicious effects of childhood trauma, very few have provided direct comparisons of child and adult trauma in terms of PTSD symptoms. Results indicated that those reporting their WTE in childhood had greater PTSD symptomatology than those reporting in adulthood. Acculturation moderated the relationship between timing of the trauma and PTSD symptoms. Specifically, those who reported their WTE in childhood and had the lower levels of acculturation reported the higher number of PTSD symptoms. Implications and future directions are discussed.
创伤后应激障碍（PTSD）的发展已被证明取决于多种因素，包括种族、创伤是在儿童期还是成年期经历的，以及文化适应。本研究以104名完成药物滥用障碍治疗的拉丁裔为对象，比较了报告其童年期与成年期最严重创伤事件（WTE）的个体的PTSD症状。同时也考察了文化适应的调节作用。尽管许多研究报告了童年创伤的有害影响，但很少有研究就PTSD症状对儿童期和成年期创伤进行直接比较。结果表明，报告童年期WTE的个体比报告成年期WTE的个体有更严重的PTSD症状。文化适应调节了创伤发生时间与PTSD症状之间的关系。具体而言，那些报告童年期WTE且文化适应水平较低的个体报告的PTSD症状数量较多。文中讨论了研究的意义和未来方向。
