Rodriguez N, Ryan S W, Vande Kemp H, Foy D W
Neuropsychiatric Institute, University of California, Los Angeles, (UCLA), USA.
J Consult Clin Psychol. 1997 Feb;65(1):53-9. doi: 10.1037//0022-006x.65.1.53.
This study compared symptoms of posttraumatic stress disorder (PTSD) in a group of 45 adult women in outpatient treatment for childhood sexual abuse (CSA) and a group of 31 women who reported no CSA. The comparison group consisted of women in outpatient treatment for problems in their committed relationships with male living partners. This research also investigated the traumatic impact of dual abuse (both childhood sexual and physical abuse). Standardized assessment instruments were used to measure PTSD, CSA, and childhood physical abuse (CPA). Results indicated that 86.7% of the CSA group met criteria for current PTSD in accordance with the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., revised; American Psychiatric Association, 1987), compared with 19.4% of the relationship distress group, providing support for CSA as an etiological agent for PTSD. In addition, 89% of the CSA survivors reported CPA. Multivariate analysis revealed that both CSA and CPA exposure variables accounted for a significant portion of the variance in PTSD symptoms in the CSA group.
本研究比较了一组45名因童年期性虐待（CSA）接受门诊治疗的成年女性和一组31名报告无CSA经历的女性的创伤后应激障碍（PTSD）症状。对照组由因与男性同居伴侣的情感关系问题接受门诊治疗的女性组成。本研究还调查了双重虐待（童年期性虐待和身体虐待）的创伤影响。使用标准化评估工具来测量PTSD、CSA和童年期身体虐待（CPA）。结果表明，根据《精神疾病诊断与统计手册》（第3版，修订版；美国精神病学协会，1987年），CSA组中86.7%的人符合当前PTSD的标准，而情感关系困扰组这一比例为19.4%，这为CSA是PTSD的病因提供了支持。此外，89%的CSA幸存者报告曾遭受CPA。多变量分析显示，CSA和CPA暴露变量在CSA组的PTSD症状变异中占很大比例。
