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对罪恶和上帝的恐惧:道德洁癖可预测性创伤后女性日常的精神污染体验。

Fear of sin and fear of God: Scrupulosity predicts women's daily experiences of mental contamination following sexual trauma.

机构信息

Southeast Mental Illness Research, Education, and Clinical Centers, Ralph H. Johnson VA Medical Center, Charleston, South Carolina, USA.

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.

出版信息

J Trauma Stress. 2023 Oct;36(5):932-942. doi: 10.1002/jts.22961. Epub 2023 Aug 31.

Abstract

Mental contamination refers to feelings of dirtiness in response to thoughts, images, or memories. Mental contamination is frequently reported after sexual trauma and is associated with symptoms of posttraumatic stress disorder (PTSD). Differences in individuals' views about morality and purity may influence the severity of mental contamination, though this has been studied primarily outside of samples assessed for trauma and/or PTSD. The present study addressed this gap by investigating scrupulosity as a prospective predictor of daily sexual trauma-related mental contamination and PTSD symptoms. Participants included 40 adult women with a history of sexual trauma and current sexual trauma-related mental contamination who completed baseline diagnostic interviews and questionnaires followed by two assessments every day for 2 weeks. The results indicate that scrupulosity was positively correlated with PTSD symptom severity and sexual trauma-related mental contamination at baseline. Scrupulosity was also a prospective predictor of increased daily sexual trauma-related mental contamination, B = 0.19, SE = 0.07, p = .010, but not daily PTSD symptoms, B = -0.10, SE = .08, p = .198. The findings indicate that scrupulosity may be an important factor in understanding recovery from sexual assault.

摘要

心理污染是指对思想、图像或记忆产生的不洁感。心理污染在性创伤后经常被报告,并与创伤后应激障碍(PTSD)的症状有关。个体对道德和纯洁的看法差异可能会影响心理污染的严重程度,但这主要是在未评估创伤和/或 PTSD 的样本中进行的研究。本研究通过调查强迫观念作为性创伤相关心理污染和 PTSD 症状的前瞻性预测因素来填补这一空白。参与者包括 40 名有性创伤史和当前性创伤相关心理污染的成年女性,她们在基线时完成了诊断访谈和问卷调查,随后在两周内每天进行两次评估。结果表明,在基线时,强迫观念与 PTSD 症状严重程度和性创伤相关心理污染呈正相关。强迫观念也是每日性创伤相关心理污染增加的前瞻性预测因素,B = 0.19,SE = 0.07,p =.010,而不是每日 PTSD 症状,B = -0.10,SE = 0.08,p =.198。研究结果表明,强迫观念可能是理解性侵犯后恢复的一个重要因素。

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