PTSD SYMPTOMS IN URBAN ADOLESCENT GIRLS - COMPOUNDED COMMUNITY TRAUMA
PTSD SYMPTOMS IN URBAN ADOLESCENT GIRLS - COMPOUNDED COMMUNITY TRAUMA
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DOI：
10.1097/00004583-199510000-00021
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发表时间：
1995-10-01
影响因子：
13.3
通讯作者：
JEKEL, J
中科院分区：
文献类型：
--
作者：
HOROWITZ, K;WEINE, S;JEKEL, J
目的：描述对城市青春期女孩暴露于暴力事件和创伤后应激障碍（PTSD）症状的评估。方法：79个城市青春期少女参加青春期医学诊所进行了评估，通过临床医生辅助的自我报告措施，称为青少年自我报告创伤问卷。调查问卷收集了有关人口统计学，社区和家庭暴力事件暴露以及PTSD症状的信息。结果如下：这些青少年经历了8至55次不同类型的社区和家庭暴力事件，平均暴力事件次数为28次。90%的人出现过度觉醒症状，89%的人再次出现集群症状，80%的人出现回避症状，67%的人符合PTSD的症状标准。暴力事件类型的增加与满足PTSD标准（p = 0.01）和PTSD严重程度评分增加（p = 0.001）呈正相关。结论：随着时间的推移，这些城市少女通过多种接触方式，长期反复地接触到多种类型的社区和家庭暴力事件。他们在所有三个症状群中报告了高比例的PTSD症状。作者提出了“复合性社区创伤”的概念，并讨论了它对女性青少年发展的显著影响。
Objective: To describe the assessments for exposure to violent events and posttraumatic stress disorder (PTSD) symptoms in a population of urban adolescent girls. Method: Seventy-nine urban adolescent girls attending an adolescent medicine clinic were assessed via clinician-assisted self-report measures called the Adolescent Self-Report Trauma Questionnaire. The questionnaire gathered information on demographics, exposure to community and domestic violent events, and PTSD symptoms. Results: The adolescents experienced between 8 and 55 different types of community and domestic violent events, with the mean number of violent events being 28. Hyperarousal cluster symptoms were present in 90%, reexperiencing clusters symptoms in 89%, and avoidance cluster symptoms in 80%, while 67% met symptom criteria for PTSD. Increased number of types of violent events was positively correlated with meeting PTSD criteria (p = .01) and with increased PTSD severity scores (p = .001). Conclusions: These urban adolescent girls have experienced prolonged and repeated exposure to multiple types of community as well as domestic violent events, via multiple modalities of contact, over time. They reported a high percentage of PTSD symptoms across all three symptom clusters. The authors propose the concept of ''compounded community trauma'' and discuss its marked impact on female adolescent development.