Sexual abuse and posttraumatic stress disorder in adult women with severe mental illness: a pilot study.
Sexual abuse and posttraumatic stress disorder in adult women with severe mental illness: a pilot study.
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DOI：
10.3109/01612840903581108
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发表时间：
2010-07-01
影响因子：
2.1
通讯作者：
Lesser, Janna
中科院分区：
文献类型：
--
作者：
Bonugli, Rebecca;H Brackley, Margaret;Lesser, Janna
研究表明，患有严重精神疾病的妇女容易受到性虐待，导致不良的健康后果，如创伤后应激障碍。这项试点研究的目的是检查未确诊的PTSD的患病率在一个队列的20名妇女与SMI和报告过去的性虐待。此外，研究人员还试图确定有SMI和性虐待史的女性中PTSD的具体症状表现。最后，审查了使用具体数据收集工具的可行性。结果表明，创伤后应激障碍是以前没有诊断或承认的研究样本，尽管存在性创伤史。筛查工具在识别抑郁、内疚、情感退缩、情感迟钝、精神活动减少、自杀意念、性功能障碍和药物滥用方面有效。此外，数据收集工具为讨论与性虐待有关的敏感问题提供了一个框架。这项试点研究的影响表明，需要评估所有的妇女与SMI和性虐待的PTSD的历史。
Research indicates that women with serious mental illness (SMI) are vulnerable to sexual abuse, resulting in adverse health outcomes such as posttraumatic stress disorder (PTSD). The purpose of this pilot study was to examine the prevalence of undiagnosed PTSD among a cohort of 20 women with SMI and reporting past sexual abuse. Furthermore, the researcher sought to identify specific symptom manifestations of PTSD among women with SMI and sexual abuse histories. Finally, the feasibility of using specific data collection tools was examined. Results indicated that PTSD was not previously diagnosed or recognized in the study sample, in spite of the presence of a sexual trauma history. The screening tools were effective in identifying depression, guilt, emotional withdrawal, blunted affect, decreased psychomotor activity, suicidal ideations, sexual dysfunction, and substance abuse. Additionally, the data collection tools provided a framework for discussing sensitive issues related to sexual abuse. Implications of this pilot study suggest the need to evaluate all women with SMI and history of sexual abuse for PTSD.