Fitzpatrick K M, Boldizar J P
Department of Sociology, University of Alabama, Birmingham 35294-3350.
J Am Acad Child Adolesc Psychiatry. 1993 Mar;32(2):424-30. doi: 10.1097/00004583-199303000-00026.
The objective of this study was to examine the relationship between chronic exposure to community violence and post-traumatic stress disorder (PTSD) symptoms in a nonrandom sample (N = 221) of low-income African-American youth between 7 and 18 years old. Results showed males were more likely than females to be victims of and witnesses to violent acts; there were no other significant sociodemographic differences in the degree of exposure to violence. PTSD symptom reporting was moderately high for this sample of youth; 54 youth (27.1%) met all three of the diagnostic criteria considered. Regression analyses revealed that being victimized and witnessing violence were significantly related to the reporting of PTSD symptoms. These symptoms were more extreme among victimized females and victimized youth who had no primary males living with them in the household (i.e., fathers and/or brothers). Exposure to violence among youth is clearly significant to their reporting of PTSD symptomatology, yet the clinical implications of this relationship remain largely unexplored.
本研究的目的是在一个非随机样本（N = 221）的7至18岁低收入非裔美国青少年中，考察长期暴露于社区暴力与创伤后应激障碍（PTSD）症状之间的关系。结果显示，男性比女性更有可能成为暴力行为的受害者和目击者；在暴力暴露程度方面，没有其他显著的社会人口统计学差异。该青少年样本的PTSD症状报告处于中等偏高水平；54名青少年（27.1%）符合所考虑的所有三项诊断标准。回归分析显示，成为受害者和目睹暴力与PTSD症状报告显著相关。这些症状在受害女性以及家中没有主要男性（即父亲和/或兄弟）同住的受害青少年中更为严重。青少年暴露于暴力对其PTSD症状报告显然具有重要意义，但这种关系的临床意义在很大程度上仍未得到探索。
