大屠杀幸存者一生中累积的创伤和近期压力对当前创伤后应激障碍症状的影响。
Impact of cumulative lifetime trauma and recent stress on current posttraumatic stress disorder symptoms in holocaust survivors.
作者信息
Yehuda R, Kahana B, Schmeidler J, Southwick S M, Wilson S, Giller E L
机构信息
Department of Psychiatry, Mount Sinai School of Medicine, New York, NY, USA.
出版信息
Am J Psychiatry. 1995 Dec;152(12):1815-8. doi: 10.1176/ajp.152.12.1815.
OBJECTIVE
The purpose of this study was to examine the relationships among cumulative lifetime trauma, recent stressful events, and presence and severity of current posttraumatic stress disorder (PTSD) symptoms in Holocaust survivors and nonexposed comparison subjects.
METHOD
Lifetime trauma, recent stressful events, and presence and severity of PTSD were assessed in Holocaust survivors (N=72) and comparison subjects ( N=19).
RESULTS
Survivors with PTSD (N =40) reported significantly greater cumulative trauma and recent stress than survivors without PTSD (N=32) and comparison subjects. Severity of PTSD symptoms, cumulative trauma, and recent stress were significantly associated.
CONCLUSIONS
The presence and severity of current PTSD were related to having experienced stressful events in addition to the Holocaust.
目的
本研究旨在探讨大屠杀幸存者及未经历大屠杀的对照受试者一生中累积创伤、近期应激事件与当前创伤后应激障碍（PTSD）症状的存在及严重程度之间的关系。
方法
对72名大屠杀幸存者和19名对照受试者评估其一生的创伤、近期应激事件以及PTSD的存在及严重程度。
结果
患有PTSD的幸存者（N = 40）报告的累积创伤和近期应激显著多于未患PTSD的幸存者（N = 32）及对照受试者。PTSD症状的严重程度、累积创伤和近期应激显著相关。
结论
当前PTSD的存在及严重程度不仅与大屠杀经历有关，还与经历过其他应激事件有关。
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