Posttraumatic stress disorder, self- and interpersonal dysfunction among sexually retraumatized women

Posttraumatic stress disorder, self- and interpersonal dysfunction among sexually retraumatized women
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DOI:
10.1002/jts.2490100309
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发表时间:
1997-07-01
影响因子:
3.3
通讯作者:
Difede, J
Difede, J
中科院分区:
医学3区
文献类型:
--
作者:
Cloitre, M;Scarvalone, P;Difede, J

文献摘要

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这项研究评估了三组女性的自我和人际功能障碍以及创伤后应激障碍(PTSD):在童年和成年期都受到性侵犯的女性,仅在成年期受到性侵犯的女性和从未受到性侵犯的女性。两个袭击组的创伤后应激障碍(PTSD)发生率很高,并且相当。然而,再创伤的妇女更有可能是述情障碍,显示解离分数表明解离障碍的风险,并试图自杀相比,其他两组,谁没有彼此不同。此外,只有再创伤的妇女经历了临床显着水平的人际关系问题。研究结果表明,需要比PTSD更具包容性的配方来捕捉这一人群所经历的心理困难。治疗的影响进行了讨论。
This study assessed self and interpersonal dysfunction as well as posttraumatic stress disorder (PTSD) among three groups of women: women sexually assaulted in both childhood and adulthood, women sexually assaulted only in adulthood and women who were never assaulted. Rates of PTSD were high and equivalent in the two assault groups. However retraumatized women were more likely to be alexithymic, show dissociation scores indicating risk for dissociative disorders, and to have attempted suicide compared to the other two groups, who did not differ from each other Additionally, only the retraumatized women experienced clinically significant levels of interpersonal problems. The findings suggest that formulations more inclusive than PTSD are required to capture the psychological difficulties experienced by this population. Treatment implications are discussed.