Female dissociative responding to extreme sexual violence in a chronic crisis setting: the case of Eastern Congo.

Female dissociative responding to extreme sexual violence in a chronic crisis setting: the case of Eastern Congo.
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长期危机环境下女性对极端性暴力的分离反应:刚果东部的案例

DOI:
10.1002/jts.20631
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发表时间:
2011
影响因子:
3.3
通讯作者:
Schauer M.
Schauer M.
中科院分区:
医学3区
文献类型:
--
作者:
Schalinski I;Elbert T;Schauer M.

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这项横断面研究旨在研究创伤事件的数量,关机解离程度,创伤后应激障碍(PTSD)和抑郁症之间的关系。对53名在刚果持续战争中寻求治疗的女性幸存者进行了采访。创建了一个路径分析模型,其中包括通过解离导致PTSD的路径,以及自我经历和目睹的创伤事件的数量。累积暴露和分离与PTSD严重程度增加相关。当抑郁症被建模为PTSD的后果时,创伤后应激障碍和目击可以预测抑郁症。此外,PTSD介导分离和抑郁之间的相关性。研究结果表明,关机解离可能在预测PTSD方面有价值,并且有证据表明,与目睹创伤相比,对自己的威胁具有不同的影响。
This cross‐sectional study aimed to examine relationships between the number of traumatizing events, degree of shutdown dissociation, posttraumatic stress disorder (PTSD), and depression. Fifty‐three female survivors of the ongoing war in Congo who sought medical treatment were interviewed. A path‐analytic model was created with paths to PTSD via dissociation, and both the number of self‐experienced and witnessed traumatizing events. Cumulative exposure and dissociation were associated with increased PTSD severity. Posttraumatic stress disorder and witnessing predicted depression when depression was modeled as a consequence of PTSD. Moreover, PTSD mediated the correlation between dissociation and depression. The findings suggest that shutdown dissociation may have value in predicting PTSD, and there is evidence of differential effects of threat to oneself as opposed to witnessing trauma.
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