Lifetime traumatic stressors and adverse childhood experiences uniquely predict concurrent PTSD, complex PTSD, and dissociative subtype of PTSD symptoms whereas recent adult non-traumatic stressors do not: results from an online survey study
Lifetime traumatic stressors and adverse childhood experiences uniquely predict concurrent PTSD, complex PTSD, and dissociative subtype of PTSD symptoms whereas recent adult non-traumatic stressors do not: results from an online survey study
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DOI：
10.1080/20008198.2019.1606625
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发表时间：
2019-01-01
影响因子：
5
通讯作者：
Lanius, Ruth
中科院分区：
文献类型：
--
作者：
Frewen, Paul;Zhu, Jenney;Lanius, Ruth
这项回顾性调查研究比较了过去一年经历的终身创伤性应激源（所谓的“非创伤性应激源”）的不同风险，指的是不符合A1创伤性事件标准的生活事件，以及不良童年经历（ACE）对DSM-5与ICD-11 PTSD，复杂PTSD（CPTSD），和分离亚型的创伤后应激障碍（D-PTSD）症状的418名参与者在网上招募。在成对分析中，所有压力类型都与所有结果相关。然而，多元回归和因子分析表明，尽管参与者报告经历的不同终身创伤事件的数量，以及ACE参与者经历的数量，唯一预测DSM-5 PTSD，D-PTSD和ICD-11 PTSD和CPTSD症状，但他们在过去一年中经历的非创伤性应激源的数量并没有。此外，即使在考虑了一生的创伤压力后，ACE也能独特地预测所有结果。这些结果提供了进一步的支持，特别是高风险的终身创伤应激源和ACE在预测创伤和应激相关症状。最后讨论了今后的研究方向。
This retrospective survey study compared the differential risk of lifetime traumatic stressors, so-called "non-traumatic stressors" experienced over the past year, referring to life events that do not meet the criteria for A1 traumatic events, and adverse childhood experiences (ACE) on severity of DSM-5 versus ICD-11 PTSD, Complex PTSD (CPTSD), and dissociative subtype of PTSD (D-PTSD) symptoms among 418 participants recruited online. In pairwise analyses, all stress types were associated with all outcomes. However, multiple regression and factor analyses indicated that whereas the number of different lifetime traumatic events participants reported experiencing, together with the number of ACE participants experienced, uniquely predicted DSM-5 PTSD, D-PTSD and ICD-11 PTSD and CPTSD symptoms, the number of non-traumatic stressors they experienced during the last year did not. Moreover, ACE uniquely predicted all outcomes even after accounting for lifetime traumatic stress. These results provide further support for the particularly high risk of lifetime traumatic stressors and ACE in predicting trauma and stressor-related symptoms. Future research directions are discussed.