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性侵犯期间受害者酒精中毒:与后续创伤后应激障碍症状的关系。

Victim Alcohol Intoxication During a Sexual Assault: Relations With Subsequent PTSD Symptoms.

作者信息

Jaffe Anna E, Steel Anne L, DiLillo David, Hoffman Lesa, Gratz Kim L, Messman-Moore Terri L

出版信息

Violence Vict. 2017 Aug 1;32(4):642-657. doi: 10.1891/0886-6708.VV-D-16-00045. Epub 2017 May 17.

Abstract

This study examines associations between women's alcohol intoxication at the time of sexual assault and posttraumatic stress disorder (PTSD) symptoms. Drawing on the dual representation theory (Brewin, Gregory, Lipton, & Burgess, 2010), we hypothesized that intoxication at the time of assault would be positively associated with both overall symptoms of PTSD and PTSD reexperiencing symptoms in particular. A total of 143 community women (ages 18-26 years; 71.3% European American) reporting sexual victimization completed questionnaires assessing severity of coercion involved in the assault, perceived level of intoxication at the time of assault, and current PTSD symptoms. Overall, results suggested that greater alcohol intoxication (but not alcohol use alone) was associated with more severe PTSD symptoms when controlling for severity of coercion. Furthermore, higher levels of victim intoxication at the time of the assault were most predictive of reexperiencing symptoms relative to the other symptom clusters.

摘要

本研究考察了遭受性侵犯时女性酒精中毒与创伤后应激障碍(PTSD)症状之间的关联。基于双重表征理论(布鲁因、格雷戈里、利普顿和伯吉斯,2010年),我们假设袭击时的中毒状态与PTSD的总体症状,尤其是PTSD的再体验症状呈正相关。共有143名报告遭受性侵犯的社区女性(年龄在18 - 26岁之间;71.3%为欧裔美国人)完成了问卷调查,评估了袭击中涉及的胁迫严重程度、袭击时的中毒感知水平以及当前的PTSD症状。总体而言,结果表明,在控制胁迫严重程度的情况下,更高程度的酒精中毒(而非单纯饮酒)与更严重的PTSD症状相关。此外,相对于其他症状群,袭击时受害者更高程度的中毒状态最能预测再体验症状。

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