Neurologic soft signs in chronic posttraumatic stress disorder
Neurologic soft signs in chronic posttraumatic stress disorder
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DOI：
10.1001/archpsyc.57.2.181
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发表时间：
2000-02-01
影响因子：
--
通讯作者：
Pitman, RK
中科院分区：
文献类型：
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作者：
Gurvits, TV;Gilbertson, MW;Pitman, RK
背景：据报道，几种精神障碍有轻微的神经功能障碍。本研究的目的是评估来自不同创伤经历的慢性创伤后应激障碍 (PTSD) 的男女患者的神经系统状态。方法：21 名童年时遭受性虐待的成年女性（12 名患有 PTSD，9 名没有）和 38 名男性越战老兵（23 名患有 PTSD，15 名没有）接受了 41 项神经软体征检查，这些软体征由检查员和盲评员观察进行评分录像带。获得受试者病史时特别关注神经发育问题。心理测量学包括针对儿童注意力缺陷/多动障碍症状的温德犹他评估量表和密歇根酒精中毒筛查休息。退伍军人还完成了战斗暴露量表和韦克斯勒成人智力量表修订版的子测试。结果：由于童年性虐待而患有 PTSD 的女性（平均值 [SD]，0.77 [0.32]）和患有战斗相关 PTSD 的退伍军人男性（0.72 [0.20]）的平均神经软体征评分（评分者间信度 = 0.74）具有可比性和显着性（P
Background: Subtle neurologic impairment has been reported in several mental disorders. The goals of the present study were to evaluate neurologic status in patients of both sexes with chronic posttraumatic stress disorder (PTSD) from different traumatic experiences.Methods: Twenty-one adult women who were sexually abused as children (12 with PTSD, 9 without) and 38 male Vietnam War combat veterans (23 with PTSD, 15 without) underwent examination for 41 neurologic soft signs, which were scored by the examiner as well as a blind rater observing videotapes. Subject history was obtained with special attention to neurodevelopmental problems. Psychometrics included the Wender Utah Rating Scale for symptoms of childhood attention-deficit/hyperactivity disorder and the Michigan Alcoholism Screening rest. Veterans also completed the Combat Exposure Scale and subtests of the Wechsler Adult Intelligence Scale-Revised.Results: Average neurologic soft sign scores (interrater reliability = 0.74) of women with PTSD owing to sexual abuse in childhood (mean [SD], 0.77 [0.32]) and veteran men (0.72 [0.20]) with combat-related PTSD were comparable and significantly (P