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是什么决定了童年期性虐待幸存者的创伤后应激障碍症状表现?

What determines post-traumatic stress disorder symptomatology for survivors of childhood sexual abuse?

作者信息

Briggs L, Joyce P R

机构信息

University Department of Psychological Medicine, Christchurch School of Medicine, New Zealand.

出版信息

Child Abuse Negl. 1997 Jun;21(6):575-82. doi: 10.1016/s0145-2134(97)00014-8.

DOI:10.1016/s0145-2134(97)00014-8
PMID:9192145
Abstract

OBJECTIVE

The aim of this paper was to ascertain which childhood abuse experiences are associated with post-traumatic stress disorder (PTSD) symptomatology for women survivors of childhood sexual abuse (CSA).

METHOD

Seventy-three women attending a Family Health Counselling Service's Sexual Abuse Program were invited to participate in a study looking at the effectiveness of sexual abuse counselling. Initially, the women completed a series of self-report questionnaires including a measure of PTSD symptoms, and were interviewed about childhood abuse experiences.

RESULTS

PTSD symptoms were associated with higher levels of all psychopathology. However, more interestingly, the severity of PTSD symptoms was also associated with the extent of CSA which involved actual sexual intercourse. This association of repeated abuse involving sexual intercourse with PTSD symptoms was still significant (partial coefficient = .30, p, .000) even when controlling for general level of psychopathology.

CONCLUSIONS

One of the long-term effects of child sexual abuse (CSA) is post-traumatic stress disorder (PTSD), and the women who reported multiple abusive episodes which involved sexual intercourse had increased symptoms of PTSD.

摘要

目的

本文旨在确定童年期遭受性虐待(CSA)的女性幸存者中,哪些童年虐待经历与创伤后应激障碍(PTSD)症状相关。

方法

邀请73名参加家庭健康咨询服务机构性虐待项目的女性参与一项关于性虐待咨询效果的研究。最初,这些女性完成了一系列自我报告问卷,包括一项PTSD症状测量,并接受了关于童年虐待经历的访谈。

结果

PTSD症状与所有精神病理学水平较高相关。然而,更有趣的是,PTSD症状的严重程度也与涉及实际性交的CSA程度相关。即使在控制了精神病理学的总体水平后,这种涉及性交的反复虐待与PTSD症状之间的关联仍然显著(偏系数 = 0.30,p < 0.000)。

结论

儿童性虐待(CSA)的长期影响之一是创伤后应激障碍(PTSD),报告有多次涉及性交的虐待事件的女性PTSD症状有所增加。

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