Brand E F, King C A, Olson E, Ghaziuddin N, Naylor M
Department of Psychiatry, University of Michigan, Ann Arbor, USA.
J Am Acad Child Adolesc Psychiatry. 1996 Jan;35(1):34-41. doi: 10.1097/00004583-199601000-00010.
To determine the nature of comorbid psychopathology and suicidality associated with a history of sexual abuse in depressed adolescents.
Twenty-four depressed adolescent inpatients with a history of sexual abuse were compared with a matched control group of 24 depressed adolescent inpatients on measures of depression, suicidal ideation and behavior, and posttraumatic stress disorder (PTSD) symptoms.
Depressed adolescents with a history of sexual abuse had a higher prevalence of comorbid PTSD than did those without such a history. Chronicity and severity of abuse were significant contributors to a PTSD diagnosis. No differences were found in depression severity, specific depressive symptoms, or suicidal behavior.
Comorbidity of depressive disorders and PTSD are common among adolescent inpatients with a history of chronic sexual abuse. The need for thorough assessment of depression and PTSD with appropriate interventions for sexually abused adolescents is clear.
确定患有抑郁症的青少年中与性虐待史相关的共病精神病理学和自杀倾向的性质。
将24名有性虐待史的抑郁症青少年住院患者与24名相匹配的抑郁症青少年住院患者对照组在抑郁、自杀意念和行为以及创伤后应激障碍（PTSD）症状方面进行比较。
有性虐待史的抑郁症青少年共病PTSD的患病率高于无此病史者。虐待的长期性和严重性是PTSD诊断的重要因素。在抑郁严重程度、特定抑郁症状或自杀行为方面未发现差异。
抑郁症和PTSD共病在有慢性性虐待史的青少年住院患者中很常见。显然需要对受性虐待的青少年进行抑郁症和PTSD的全面评估并采取适当干预措施。
