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创伤暴露、创伤后应激障碍与平民女性的攻击行为。

Trauma Exposure, Posttraumatic Stress Disorder, and Aggression Among Civilian Females.

机构信息

University of Missouri-St. Louis, USA.

出版信息

J Interpers Violence. 2021 Sep;36(17-18):NP9649-NP9669. doi: 10.1177/0886260519860894. Epub 2019 Jul 9.

Abstract

Trauma exposure and posttraumatic stress disorder (PTSD) have evinced ties to increased risk for aggressive behavior. However, very little information is known regarding the relations between trauma exposure, PTSD, and aggression among non-veteran women. Furthermore, research has not examined the associations between trauma exposure, PTSD symptoms, and aggression using the (5th ed.; ) PTSD criteria. The primary aim of the current study was to investigate the relationships between trauma exposure, PTSD symptoms, and aggression among women. The secondary aim was to examine the specific PTSD symptom clusters in relation to indices of aggression. A total of 217 civilian, trauma-exposed female undergraduate students participated in the study ( = 24.30, = 6.83, 63.2% White). Higher levels of trauma exposure and PTSD symptoms corresponded with anger ( = .47, 95% CI = [0.11-0.83]; = .11, 95% CI = [0.05-0.16], respectively) and verbal aggression ( = .50, 95% CI = [0.21-0.78]; = .06, 95% CI = [0.01-0.10], respectively). PTSD symptoms, but not cumulative trauma exposure, was associated with hostility ( = .23, 95% CI = [0.14-0.59]), whereas physical aggression was only related to trauma exposure ( = .69, 95% CI = [0.31-1.06]). Furthermore, there was a significant indirect effect of cumulative trauma through PTSD symptoms on anger and verbal aggression ( = .15, 95% CI = [0.05-0.32]; = .09, 95% CI = [0.02-0.20], respectively). Trauma-exposed civilian females with higher levels of PTSD symptoms may be at increased risk for several indices of aggressive behavior. Furthermore, PTSD symptoms may better account for some, but not all, aspects of aggression in trauma-exposed women.

摘要

创伤暴露和创伤后应激障碍(PTSD)与攻击行为的风险增加有关。然而,对于非退伍军人女性的创伤暴露、PTSD 与攻击行为之间的关系,我们知之甚少。此外,研究尚未使用《精神障碍诊断与统计手册》(第 5 版;DSM-5)的 PTSD 标准来检验创伤暴露、PTSD 症状与攻击行为之间的关联。本研究的主要目的是调查创伤暴露、PTSD 症状与女性攻击行为之间的关系。次要目的是检验特定的 PTSD 症状群与攻击行为指标的关系。共有 217 名创伤暴露的女性大学生参与了这项研究(年龄 = 24.30,标准差 = 6.83,63.2%为白人)。较高的创伤暴露水平和 PTSD 症状与愤怒( =.47,95%置信区间 [0.11-0.83]; =.11,95%置信区间 [0.05-0.16])和言语攻击( =.50,95%置信区间 [0.21-0.78]; =.06,95%置信区间 [0.01-0.10])相关。PTSD 症状,但不是累积创伤暴露,与敌意( =.23,95%置信区间 [0.14-0.59])相关,而身体攻击仅与创伤暴露相关( =.69,95%置信区间 [0.31-1.06])。此外,累积创伤通过 PTSD 症状对愤怒和言语攻击有显著的间接影响( =.15,95%置信区间 [0.05-0.32]; =.09,95%置信区间 [0.02-0.20])。创伤暴露的女性可能会有更高的 PTSD 症状水平,从而导致多种攻击行为。此外,PTSD 症状可能更好地解释创伤暴露女性的一些而不是所有的攻击行为。

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