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有和没有创伤后应激障碍的大屠杀幸存者中的述情障碍

Alexithymia in Holocaust survivors with and without PTSD.

作者信息

Yehuda R, Steiner A, Kahana B, Binder-Brynes K, Southwick S M, Zemelman S, Giller E L

机构信息

Psychiatry Department, Mount Sinai School of Medicine, New York, New York, USA.

出版信息

J Trauma Stress. 1997 Jan;10(1):93-100. doi: 10.1023/a:1024860430725.

DOI:10.1023/a:1024860430725
PMID:9018679
Abstract

Alexithymia was measured in non-treatment seeking, community-dwelling Holocaust survivors using the Toronto Alexithymia Scale-Twenty Item Version (TAS-20). Scores of survivors with (n = 30) and without (n = 26) posttraumatic stress disorder (PTSD) were compared, and associations among alexithymia, severity of trauma, and severity of PTSD symptoms were determined. Survivors with PTSD had significantly higher scores on the TAS-20 compared to survivors without PTSD. TAS-20 scores were significantly associated with severity of PTSD symptoms, but not with severity of trauma. This study adds to our knowledge of the relationship between alexithymia and trauma by demonstrating that this characteristic is related to the presence of posttraumatic symptoms and not simply exposure to trauma.

摘要

使用多伦多述情障碍量表20项版本(TAS - 20)对未寻求治疗的社区居住大屠杀幸存者的述情障碍进行测量。比较了患有创伤后应激障碍(PTSD)(n = 30)和未患有创伤后应激障碍(n = 26)的幸存者的得分,并确定了述情障碍、创伤严重程度和PTSD症状严重程度之间的关联。与未患有PTSD的幸存者相比,患有PTSD的幸存者在TAS - 20上的得分显著更高。TAS - 20得分与PTSD症状严重程度显著相关,但与创伤严重程度无关。这项研究通过证明这一特征与创伤后症状的存在有关,而不仅仅是与遭受创伤有关,增加了我们对述情障碍与创伤之间关系的认识。

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