University of Arkansas.
Murray State University.
J Trauma Dissociation. 2021 May-Jun;22(3):249-264. doi: 10.1080/15299732.2020.1760172. Epub 2020 Jun 25.
Incarcerated women are at elevated risk of lifetime trauma exposure. Prevalence rates of trauma exposure and how these events relate to specific domains of psychiatric symptomology among this group are lacking. This study hypothesized a greater range of diverse cumulative trauma experiences (CTEs) would be positively associated with psychiatric symptoms in general (depression, PTSD, distress tolerance), but that interpersonal CTEs in particular would be uniquely associated with greater symptoms of guilt and shame. A total of 112 women (87% White, 34 years) seeking treatment for a history of sexual violence victimization participated in the study. Women incarcerated for nonviolent offenses at two minimum-security prisons completed self-report measures of exposure to diverse traumatic events and internalizing symptoms. On average, participants reported a history of experiencing 5.46 traumatic event types. Total CTEs was significantly associated with all psychiatric variables in the expected direction. While both interpersonal and non-interpersonal CTEs were positively associated with levels of PTSD, depression, and distress intolerance, only interpersonal CTEs were significantly associated with guilt and shame. Traumatic experiences that are interpersonal in nature may confer specific risk for psychiatric symptoms in victims.
被监禁的女性一生中面临更高的创伤风险。创伤暴露的发生率以及这些事件如何与该群体特定的精神症状领域相关，这方面的信息还很缺乏。本研究假设，更多样化的累积创伤经历（CTE）将与一般的精神症状（抑郁、创伤后应激障碍、痛苦耐受力）呈正相关，但特定的人际 CTE 将与更多的内疚和羞耻感症状相关。共有 112 名（87%为白人，34 岁）因性暴力受害史寻求治疗的女性参与了这项研究。在两所最低安全级别的监狱中因非暴力犯罪被监禁的女性完成了有关接触多种创伤性事件和内化症状的自我报告量表。平均而言，参与者报告有 5.46 种创伤事件类型的经历。总的 CTE 与所有预期方向的精神科变量显著相关。虽然人际和非人际 CTE 都与 PTSD、抑郁和痛苦耐受力水平呈正相关，但只有人际 CTE 与内疚和羞耻感显著相关。人际性质的创伤经历可能会给受害者带来特定的精神症状风险。
