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物质依赖中的轴I和轴II共病与童年创伤史

Axis I and II comorbidity and childhood trauma history in chemical dependency.

作者信息

Ellason J W, Ross C A, Sainton K, Mayran L W

机构信息

Dissociative Disorders Unit, Charter Health System of Dallas, Plano, Texas, USA.

出版信息

Bull Menninger Clin. 1996 Winter;60(1):39-51.

PMID:8742671
Abstract

The authors replicated and extended two former studies on Axis I and II comorbidity and childhood trauma histories in 106 patients admitted to a chemical dependency treatment unit. Sixty-nine subjects reported a history of physical and/or sexual abuse during childhood and 26.4% met criteria for posttraumaic stress disorder. Patients who reported a history of childhood abuse showed more symptoms of depression, dissociation, and borderline personality disorder than those who denied childhood trauma. Dissociative disorders, mood and anxiety disorders, personality disorders, and histories of childhood trauma appear to be common in chemical dependency subjects, and should be inquired about routinely.

摘要

作者对106名入住化学物质依赖治疗单元的患者进行了重复研究,并扩展了两项关于轴I和轴II共病及童年创伤史的既往研究。69名受试者报告有童年期身体虐待和/或性虐待史,26.4%符合创伤后应激障碍的标准。报告有童年期虐待史的患者比否认童年创伤的患者表现出更多的抑郁、解离和边缘型人格障碍症状。解离障碍、情绪和焦虑障碍、人格障碍以及童年创伤史在化学物质依赖患者中似乎很常见,应常规询问。

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