从儿童虐待到 ICD-11 复杂创伤后应激症状：情绪调节和再受害的作用。
From child maltreatment to ICD-11 complex post-traumatic stress symptoms: The role of emotion regulation and re-victimisation.
机构信息
Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Vienna, Austria.
School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK.
出版信息
J Clin Psychol. 2019 Mar;75(3):392-403. doi: 10.1002/jclp.22655. Epub 2018 Jun 22.
OBJECTIVE
Complex post-traumatic stress disorder (CPTSD) will be introduced in ICD-11 and comprises symptoms of PTSD and disturbances in self-organisation (DSO). The association of trauma with PTSD and DSO is not yet fully understood. We investigated the path from child maltreatment to PTSD and DSO and examined the mediating role of emotion regulation (ER) and adult interpersonal re-victimisation.
METHOD
Adult patients (N = 193) from a Scottish National Health Service clinic participated in the project. Participants completed measures of life events, ICD-11 PTSD and CPTSD, and ER. Path analysis was used to assess possible direct and indirect effects from childhood trauma on current post-traumatic psychopathology.
RESULTS
Overall results indicate that the path from child maltreatment to PTSD is a direct one, while the path to DSO is indirectly mediated by ER.
CONCLUSIONS
Future research should address the potentially beneficial effect of treatment protocols for CPTSD explicitly aiming at reducing ER difficulties.
目的
复杂创伤后应激障碍（CPTSD）将被纳入 ICD-11，并包含 PTSD 症状和自我组织障碍（DSO）。创伤与 PTSD 和 DSO 的关联尚未完全清楚。我们研究了从儿童虐待到 PTSD 和 DSO 的途径，并检查了情绪调节（ER）和成人人际再受害的中介作用。
方法
苏格兰国家卫生服务机构诊所的成年患者（N=193）参与了该项目。参与者完成了生活事件、ICD-11 PTSD 和 CPTSD 以及 ER 的评估。路径分析用于评估童年创伤对当前创伤后心理病理学的可能直接和间接影响。
结果
总体结果表明，从儿童虐待到 PTSD 的途径是直接的，而到 DSO 的途径则是通过 ER 间接介导的。
结论
未来的研究应该针对明确旨在减少 ER 困难的 CPTSD 治疗方案的潜在有益效果。
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