Lee Jaewon, Shin Jiyoon, Chae Soohyun, Chun Jeeyoung, Choi Jae-Won, Lee Ju-Yeon, Park Tae-Won, Kim Kyoung Min, Kim Kihyun, Kim Jae-Won
Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
Division of Child and Adolescent Psychiatry, Department of Psychiatry & Behavioral Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.
Psychiatry Investig. 2023 Nov;20(11):1061-1068. doi: 10.30773/pi.2023.0077. Epub 2023 Nov 21.
This study aimed to identify the factors affecting posttraumatic stress disorder (PTSD) symptom remission prospectively through a 1-year follow-up of sexual assault (SA) victims.
A total 65 female SA victims who visited the crisis intervention center were included. Self-administered questionnaires regarding PTSD symptoms and PTSD related prognostic factors were conducted at both recruitment (T1) and 1 year after recruitment (T2). The multivariate analyses were used to determine the significant predictors of PTSD remission/non-remission state 1 year after SA.
In logistic regression analysis, both anxiety and secondary victimization were identified as significant factors explaining the results on PTSD remission/non-remission state at T2 (Beck's Anxiety Inventory [BAI], p=0.003; Secondary Victimization Questionnaire, p=0.024). In a linear mixed analysis, both depression and anxiety were found to be significant variables leading to changes in Posttraumatic Diagnostic Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition from T1 to T2 (BAI, p<0.001; Center for Epidemiological Studies Depression Scale, p<0.001).
Depression, anxiety symptoms, and secondary victimization after SA were associated with PTSD symptom non-remission 1 year after SA.
本研究旨在通过对性侵犯（SA）受害者进行为期1年的随访，前瞻性地确定影响创伤后应激障碍（PTSD）症状缓解的因素。
共纳入65名前往危机干预中心的女性SA受害者。在招募时（T1）和招募后1年（T2）均进行了关于PTSD症状及PTSD相关预后因素的自填式问卷调查。采用多变量分析确定SA后1年PTSD缓解/未缓解状态的显著预测因素。
在逻辑回归分析中，焦虑和二次受害均被确定为解释T2时PTSD缓解/未缓解状态结果的显著因素（贝克焦虑量表[BAI]，p = 0.003；二次受害问卷，p = 0.024）。在线性混合分析中，抑郁和焦虑均被发现是导致从T1到T2《精神疾病诊断与统计手册》第五版创伤后诊断量表发生变化的显著变量（BAI，p < 0.001；流行病学研究中心抑郁量表，p < 0.001）。
SA后的抑郁、焦虑症状及二次受害与SA后1年PTSD症状未缓解相关。
