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童年期性虐待成年幸存者临床样本中的创伤后应激障碍

Posttraumatic stress disorder in a clinical sample of adult survivors of childhood sexual abuse.

作者信息

Rodriguez N, Ryan S W, Rowan A B, Foy D W

机构信息

Tufts University School of Medicine/Boston VA Psychology Internship Consortium, MA, USA.

出版信息

Child Abuse Negl. 1996 Oct;20(10):943-52. doi: 10.1016/0145-2134(96)00083-x.

DOI:10.1016/0145-2134(96)00083-x
PMID:8902291
Abstract

One hundred seventeen help-seeking adult survivors of childhood sexual abuse (CSA) were assessed to investigate the relationship between the level of self-reported CSA and posttraumatic stress disorder (PTSD). CSA was measured utilizing the Sexual Abuse Exposure Questionnaire, a new research instrument. Further preliminary psychometric properties of the instrument were reported. CSA was operationalized to include severity, duration, age of onset, number of perpetrators, and use of force. PTSD diagnostic status was assessed utilizing a standardized instrument, the Structured Clinical Interview for DSM-II-R. Eighty-six percent of survivors met full DSM-III-R criteria for a PTSD diagnosis at some point during their lives. Multivariate analysis indicated that CSA severity and duration accounted for significant portions of the variance in PTSD symptoms, providing support for their role as traumagenic variables.

摘要

对117名寻求帮助的童年期性虐待(CSA)成年幸存者进行了评估,以调查自我报告的CSA水平与创伤后应激障碍(PTSD)之间的关系。CSA通过一种新的研究工具——性虐待暴露问卷进行测量。报告了该工具进一步的初步心理测量特性。CSA的操作化定义包括严重程度、持续时间、发病年龄、施暴者数量以及是否使用武力。PTSD诊断状态通过标准化工具《DSM-II-R结构化临床访谈》进行评估。86%的幸存者在其生命中的某个时刻符合PTSD诊断的完整DSM-III-R标准。多变量分析表明,CSA的严重程度和持续时间在PTSD症状的变异中占很大比例,为它们作为创伤性变量的作用提供了支持。

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