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遭受家庭内与家庭外性虐待女性的比较精神病理学。

Comparative psychopathology of women who experienced intra-familial versus extra-familial sexual abuse.

作者信息

Gregory-Bills T, Rhodeback M

机构信息

Department of Educational Psychology, University of Houston, TX, USA.

出版信息

Child Abuse Negl. 1995 Feb;19(2):177-89. doi: 10.1016/0145-2134(94)00115-b.

DOI:10.1016/0145-2134(94)00115-b
PMID:7780780
Abstract

The Diagnostic Inventory of Personality and Symptoms (DIPS) was used to assess psychopathology in a clinical sample of 30 women with histories of intra-familial sexual victimization, 22 women with histories of extra-familial sexual victimization, and 30 women with no victimization experiences. The present study examines whether the relative/nonrelative issue is significant to the impact of sexual victimization experiences. A clinical comparison of two point code types indicated that both sexually abused groups could be characterized as suffering an Affective Depressed-Dissociative Disorder. However, profile shapes produced for the intra- and extra-familial abused groups differed. A discriminant function developed via step wise selection procedures incorporated 12 of the 14 scales, correctly classifying 94% of the individuals (49 of 52) as members of the extra or intra-familial groups. Profile analyses, discriminant analyses, clinically descriptive comparisons, and post hoc analyses of individual scales all revealed that psychopathology is much more evident in those who have experienced sexual abuse. Methodological considerations are highlighted and implications for treatment and research are addressed.

摘要

人格与症状诊断量表(DIPS)用于评估三组临床样本中的精神病理学情况:30名有家庭内性侵犯史的女性、22名有家庭外性侵犯史的女性以及30名无受害经历的女性。本研究探讨亲属/非亲属问题对性侵犯经历影响是否具有重要意义。两种两点编码类型的临床比较表明,两个受性虐待组都可被描述为患有情感抑郁-解离障碍。然而,家庭内和家庭外受虐组所呈现的剖面图形状有所不同。通过逐步选择程序开发的判别函数纳入了14个量表中的12个,将94%的个体(52人中的49人)正确分类为家庭外或家庭内组的成员。剖面图分析、判别分析、临床描述性比较以及单个量表的事后分析均显示,精神病理学在经历过性虐待的人群中更为明显。文中强调了方法学考量,并探讨了对治疗和研究的启示。

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