Childhood abuse in patients with conversion disorder
Childhood abuse in patients with conversion disorder
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DOI：
10.1176/appi.ajp.159.11.1908
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发表时间：
2002-11-01
影响因子：
17.7
通讯作者：
Moene, FC
中科院分区：
文献类型：
--
作者：
Roelofs, K;Keijsers, GPJ;Moene, FC
目的：尽管转换障碍和童年创伤之间关系的假设有很长的历史，但很少有经验证据支持这一假设。本研究探讨了这种关系，并调查了催眠易感性是否介导创伤和转换症状之间的关系，正如珍妮特的自我催眠转换障碍理论所建议的那样。共有54名转换障碍患者和50名情感障碍患者进行了结构化创伤访谈以及认知功能的测量。（分离体验量表）和躯体形式（20项躯体形式分离问卷）分离的经验。结果：转换障碍患者报告的身体/性虐待发生率较高，不同类型的身体虐待数量较多，性虐待持续时间较长，和乱伦经历的患者比对照组患者多。此外，在转换障碍患者组中，母亲而不是父亲的父母功能障碍与分离体验量表和躯体形式分离问卷的较高分数相关。身体虐待与大量的转换症状相关（DSM-IV轴I障碍的结构化临床访谈）。催眠易感性被证明部分介导的身体虐待和转换symptoms.Conclusions之间的关系：目前的结果提供了证据的童年创伤和转换障碍之间的关系。
Objective: Despite the fact that the assumption of a relationship between conversion disorder and childhood traumatization has a long history, there is little empirical evidence to support this premise. The present study examined this relation and investigated whether hypnotic susceptibility mediates the relation between trauma and conversion symptoms, as suggested by Janet's autohypnosis theory of conversion disorder.Method: A total of 54 patients with conversion disorder and 50 matched comparison patients with an affective disorder were administered the Structured Trauma Interview as well as measures of cognitive (Dissociative Experiences Scale) and somatoform (20-item Somatoform Dissociation Questionnaire) dissociative experiences.Results: Patients with conversion disorder reported a higher incidence of physical/sexual abuse, a larger number of different types of physical abuse, sexual abuse of longer duration, and incestuous experiences more often than comparison patients. In addition, within the group of patients with conversion disorder, parental dysfunction by the mother-not the father-was associated with higher scores on the Dissociative Experiences Scale and the Somatoform Dissociation Questionnaire. Physical abuse was associated with a larger number of conversion symptoms (Structured Clinical Interview for DSM-IV Axis I Disorders). Hypnotic susceptibility proved to partially mediate the relation between physical abuse and conversion symptoms.Conclusions: The present results provide evidence of a relationship between childhood traumatization and conversion disorder.