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强奸认知与 DSM-5 PTSD 症状群之间的独特关联。

The unique associations between rape acknowledgment and the DSM-5 PTSD symptom clusters.

机构信息

Department of Psychological Science, University of Mary Washington, 1301 College Ave, Fredericksburg, VA, USA.

Psychology Department, Virginia Tech, Blacksburg, VA, USA.

出版信息

Psychiatry Res. 2017 Nov;257:290-295. doi: 10.1016/j.psychres.2017.07.055. Epub 2017 Aug 1.

DOI:10.1016/j.psychres.2017.07.055
PMID:28787654
Abstract

It is well documented in the sexual assault literature that more than half of rape survivors do not label their experience as rape. This is called unacknowledged rape. Although this phenomenon is common and undoubtedly has huge implications for psychotherapy, the impact of acknowledgment status on psychological adjustment is unclear. The present study aimed to delineate the unique impact of rape acknowledgment on psychopathology by examining PTSD symptoms at the cluster level. To examine this, 178 female college students who reported rape completed an online survey, including an assessment of PTSD symptoms in the past month. The results suggested that, after accounting for several covariates, acknowledged rape survivors reported significantly greater levels of intrusion and avoidance symptoms compared to unacknowledged rape survivors. The findings suggest that examining PTSD symptoms at the cluster level may provide more insight into the process of recovery following rape and therefore may better inform treatment decisions.

摘要

在性侵犯文献中已有充分记载,超过一半的强奸幸存者并不将其经历标记为强奸。这被称为未被承认的强奸。尽管这种现象很常见,无疑对心理治疗有巨大影响,但承认状态对心理调整的影响尚不清楚。本研究旨在通过检查集群层面的 PTSD 症状,描绘承认强奸对精神病理学的独特影响。为了检验这一点,178 名报告遭受过强奸的女大学生完成了一项在线调查,包括对过去一个月 PTSD 症状的评估。结果表明,在考虑了几个协变量后,承认强奸的幸存者报告的侵入和回避症状明显比未被承认强奸的幸存者更严重。这些发现表明,在集群层面检查 PTSD 症状可能会更深入地了解强奸后的康复过程,因此可能会更好地为治疗决策提供信息。

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