Zizolfi S, Cilli G, Concari S, Colombo G
Percept Mot Skills. 1997 Dec;85(3 Pt 2):1367-75. doi: 10.2466/pms.1997.85.3f.1367.
A history of childhood sexual abuse has been implicated in a variety of adult psychiatric disorders as more frequent in females than in males and in subjects with more prominent dissociative symptoms such as panic disorder. Previous research has varied greatly in terms of methods, measurement instruments, and reported findings. Recent studies, however, suggest that projective techniques may be useful in resolving some of these inconsistencies. The present study utilized the Hand Test to investigate the late effects of childhood sexual trauma in a group of authenticated cases of panic disordered adult outpatients sexually abused as children compared to a matched sample of presumably nonabused patients. No statistically significant differences on quantitative variables were obtained between the two groups, but the group of outpatients (n = 16) sexually abused as children showed a larger latency to the ninth card of the Hand Test (shock reaction). This may be a potentially useful index in investigating cases of suspected abuse and confirms Wagner's (1983) contention that Card IX has a psychosexual "pull" as documented also by Italian studies.
童年期性虐待史与多种成人精神障碍有关，女性比男性更常见，并且在患有更明显解离症状（如惊恐障碍）的个体中也更为常见。以往的研究在方法、测量工具和报告结果方面差异很大。然而，最近的研究表明，投射技术可能有助于解决其中一些不一致之处。本研究采用手部测试来调查童年期性创伤对一组经证实的成年惊恐障碍门诊患者的后期影响，这些患者在儿童时期遭受过性虐待，并与一组假定未受虐待的匹配样本进行比较。两组在定量变量上未获得统计学上的显著差异，但童年期遭受性虐待的门诊患者组（n = 16）在手部测试的第九张卡片（震惊反应）上表现出更长的潜伏期。这可能是调查疑似虐待案件的一个潜在有用指标，并证实了瓦格纳（1983年）的观点，即第九张卡片具有性心理“吸引力”，意大利的研究也有相关记载。
