Gender differences in PTSD symptoms: an exploration of peritraumatic mechanisms.

Gender differences in PTSD symptoms: an exploration of peritraumatic mechanisms.
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DOI:
10.1016/j.janxdis.2010.09.004
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发表时间:
2011-03
影响因子:
10.3
通讯作者:
Delahanty, Douglas L.
Delahanty, Douglas L.
中科院分区:
医学2区
文献类型:
--
作者:
Irish, Leah A.;Fischer, Beth;Fallon, William;Spoonster, Eileen;Sledjeski, Eve M.;Delahanty, Douglas L.

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女性比男性更容易在遭受创伤后出现创伤后应激障碍症状(PTSS),这可能源于对创伤的最初生理和心理反应的性别差异。本研究的目的是检查一些创伤后和最初的创伤后反应机动车事故(MVAs),以确定在何种程度上,他们有助于PTSS的性别差异。356名成人MVA幸存者(211名男性和145名女性)报告了创伤周围分离、生命威胁感知和初始PTSS。此外,在医院收集心率和尿皮质醇水平。6周和6个月后,通过临床访谈评估PTSS。结果表明,初始PTSS和创伤周围分离在6周随访时是轻微显著的介质,在6个月随访时是显著的介质,这为创伤的初始反应可能是PTSS发展中观察到的性别差异的假设提供了部分支持。
Females are at higher risk than males for developing posttraumatic stress disorder symptoms (PTSS) following exposure to trauma, which may stem from gender differences in initial physiological and psychological responses to trauma. The present study aimed to examine a number of peri- and initial post-traumatic reactions to motor vehicle accidents (MVAs) to determine the extent to which they contributed to gender differences in PTSS. 356 adult MVA survivors (211 males and 145 females) reported on peritraumatic dissociation, perception of life threat and initial PTSS. In addition, heart rate and urinary cortisol levels were collected in-hospital. 6 weeks and 6 months later, PTSS were assessed via clinical interviews. Results suggested that initial PTSS and peritraumatic dissociation were marginally significant mediators at 6-week follow-up and significant mediators at 6-month follow-up, providing partial support for the hypothesis that initial responses to trauma may account for observed gender differences in PTSS development.
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