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社区女性样本中的犯罪受害情况、创伤后应激障碍及共病精神病理学

Criminal victimization, posttraumatic stress disorder, and comorbid psychopathology among a community sample of women.

作者信息

Boudreaux E, Kilpatrick D G, Resnick H S, Best C L, Saunders B E

机构信息

National Crime Victims Research and Treatment Center, Medical University of South Carolina, Charleston 29425-0742, USA.

出版信息

J Trauma Stress. 1998 Oct;11(4):665-78. doi: 10.1023/A:1024437215004.

DOI:10.1023/A:1024437215004
PMID:9870220
Abstract

This paper provides information on the relation between victimization status, crime factors, posttraumatic stress disorder (PTSD), and several other psychological disorders among a community sample of women. Results indicated that victims of crime were more likely than nonvictims to suffer from PTSD, major depressive episode, agoraphobia, obsessive-compulsive disorder, social phobia, and simple phobia. Furthermore, life threat was associated with increased risk of major depression, agoraphobia, obsessive-compulsive disorder, and social phobia. Completed rape was strongly related to almost every disorder assessed, while robbery and burglary were not related to any disorder. When demographics, victimization status, and crime factors were entered hierarchically into multivariate logistic regressions with PTSD in the final step, associations between victimization status, other crime characteristics (e.g., life threat, injury), and non-PTSD Axis I disorders were greatly reduced. This suggests that PTSD may be an important mediating factor in the victimization-psychopathology relation for many disorders.

摘要

本文提供了关于社区女性样本中受害状况、犯罪因素、创伤后应激障碍(PTSD)以及其他几种心理障碍之间关系的信息。结果表明,犯罪受害者比非受害者更有可能患有创伤后应激障碍、重度抑郁发作、广场恐惧症、强迫症、社交恐惧症和单纯恐惧症。此外,生命威胁与重度抑郁、广场恐惧症、强迫症和社交恐惧症风险增加有关。强奸既遂与几乎所有评估的障碍都密切相关,而抢劫和入室盗窃与任何障碍均无关联。当在最后一步将人口统计学、受害状况和犯罪因素分层纳入以创伤后应激障碍为因变量的多变量逻辑回归时,受害状况、其他犯罪特征(如生命威胁、伤害)与非创伤后应激障碍的轴I障碍之间的关联大幅降低。这表明,对于许多障碍而言,创伤后应激障碍可能是受害与精神病理学关系中的一个重要中介因素。

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