Relationships of dissociation and childhood abuse and neglect with heart rate in delinquent adolescents

Relationships of dissociation and childhood abuse and neglect with heart rate in delinquent adolescents
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DOI:
10.1023/b:jots.0000014676.83722.35
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发表时间:
2004-02-01
影响因子:
3.3
通讯作者:
Steiner, H
Steiner, H
中科院分区:
医学3区
文献类型:
--
作者:
Koopman, C;Carrion, V;Steiner, H

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本研究探讨了分离症状,虐待和忽视,和性别的关系,平均心率(HR)在两种类型的采访。参与者是25名女性和16名男性犯罪青少年。分离症状和虐待和忽视进行了评估结构化访谈。参与者被随机分配到两种情况中的一种,描述他们最紧张的生活经历或他们的自由联想思想。较高的分离症状与较低的平均心率相关,而虐待和忽视、身为女孩以及参与自由联想任务与较高的平均心率相关。Bremner,1999)分离症状包括急性应激反应的两种亚型之一,在生理上和主观上与主要的过度觉醒或侵入性症状反应不同。
This study examined the relationship of dissociative symptoms, abuse and neglect, and gender to mean heart rate (HR) in two types of interviews. Participants were 25 female and 16 male delinquent adolescents. Dissociative symptoms and abuse and neglect were assessed by structured interviews. Participants were randomized to one of two conditions, to describe either their most stressful life experience or their free association thoughts. Greater dissociative symptoms were associated with lower mean HR, whereas abuse and neglect, being a girl, and participating in the free association task were associated with higher mean HR. The finding that high levels of dissociative symptoms may be related to a suppression of autonomic physiological responses to stress support Bremner's conceptualization (J. D. Bremner, 1999) that dissociative symptoms comprise one of two subtypes of the acute stress response, differing physiologically as well as subjectively from a predominantly hyperarousal or intrusive symptom response.