Predicting PTSD symptoms in victims of violent crime: The role of shame, anger, and childhood abuse
Predicting PTSD symptoms in victims of violent crime: The role of shame, anger, and childhood abuse
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DOI：
10.1037/0021-843x.109.1.69
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发表时间：
2000-02-01
影响因子：
4.6
通讯作者：
Kirk, M
中科院分区：
文献类型：
--
作者：
Andrews, B;Brewin, CR;Kirk, M
为了检验认知 - 情感评估以及童年期受虐作为犯罪相关的创伤后应激障碍（PTSD）症状的预测因素所起的作用，对157名暴力犯罪的受害者在犯罪后1个月内以及6个月后进行了访谈。犯罪后1个月内的测量包括童年时期之前所遭受的身体虐待和性虐待以及对当前犯罪的反应，包括对自己和他人的羞耻感和愤怒。当综合考虑所有变量时，对他人的羞耻感和愤怒是1个月时PTSD症状的唯一独立预测因素，并且当控制1个月的症状时，羞耻感是6个月时PTSD症状的唯一独立预测因素。结果表明，羞耻感和愤怒在与犯罪相关的PTSD的症状表现中都起着重要作用，并且羞耻感对症状的后续发展有影响。这些发现也与先前关于羞耻感作为童年期受虐和成人精神病理学之间的中介作用的证据相一致。
To examine the role of cognitive-affective appraisals and childhood abuse as predictors of crime-related posttraumatic stress disorder (PTSD) symptoms, 157 victims of violent crime were interviewed within 1 month postcrime and 6 months later. Measures within 1 month postcrime included previous physical and sexual abuse in childhood and responses to the current crime, including shame and anger with self and others. When all variables were considered together, shame and anger with others were the only independent predictors of PTSD symptoms at 1 month, and shame was the only independent predictor of PTSD symptoms at 6 months when 1-month symptoms were controlled. The results suggest that both shame and anger play an important role in the phenomenology of crime-related PTSD and that shame makes a contribution to the subsequent course of symptoms. The findings are also consistent with previous evidence for the role of shame as a mediator between childhood abuse and adult psychopathology.