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酷刑幸存者中慢性疼痛的折磨拟人化。

Torturing personification of chronic pain among torture survivors.

作者信息

Tsur Noga, Shahar Golan, Defrin Ruth, Lahav Yael, Ginzburg Karni

机构信息

The Bob Shapell School of Social Work, Tel Aviv University, Israel.

Stress, Self & Health (STREALTH) Lab, Department of Psychology, Ben-Gurion University of the Negev, Israel.

出版信息

J Psychosom Res. 2017 Aug;99:155-161. doi: 10.1016/j.jpsychores.2017.06.016. Epub 2017 Jun 20.

Abstract

BACKGROUND

Consistent with the human tendency to anthropomorphize objects, events, and situations, individuals might ascribe human characteristics to physical symptoms and illnesses. This manuscript presents an examination of chronic pain personification in torture survivors. Specifically, it was hypothesized that torture survivors personify chronic pain as a torturing sensation. It was further hypothesized that PTSD mediates the effect of past torture on torturing pain personification.

METHODS

Fifty-nine Israeli ex-prisoners of war (ex-POWs), who experienced severe torture in captivity, and 44 matched controls completed self-administered questionnaires at 18, 30, and 35years post captivity.

RESULTS

Whereas ex-POWs exhibit higher torturing personification than controls, no differences were found in concrete description of chronic pain. PTSD trajectories were implicated in different levels of torturing personification. Finally, sequential mediation analysis revealed that PTSD at T2 and T3 mediated the association between torture and torturing personification.

CONCLUSIONS

The findings suggest that trauma shapes the way individuals relate to and experience their bodily sensations.

摘要

背景

与人类将物体、事件和情境拟人化的倾向一致,个体可能会将人类特征赋予身体症状和疾病。本手稿呈现了对酷刑幸存者慢性疼痛拟人化的研究。具体而言,研究假设酷刑幸存者将慢性疼痛拟人化为一种折磨人的感觉。进一步假设创伤后应激障碍(PTSD)介导过去的酷刑对折磨性疼痛拟人化的影响。

方法

59名在囚禁期间遭受严重酷刑的以色列前战俘和44名匹配的对照组在囚禁后18年、30年和35年完成了自我管理的问卷调查。

结果

虽然前战俘表现出比对照组更高的折磨拟人化,但在慢性疼痛的具体描述上未发现差异。PTSD轨迹与不同程度的折磨拟人化有关。最后,顺序中介分析表明,T2和T3时的PTSD介导了酷刑与折磨拟人化之间的关联。

结论

研究结果表明,创伤塑造了个体与身体感觉的关联方式以及体验身体感觉的方式。

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