Relationships among childhood trauma, posttraumatic stress disorder, and dissociation in men living with HIV/AIDS.
Relationships among childhood trauma, posttraumatic stress disorder, and dissociation in men living with HIV/AIDS.
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DOI：
10.1080/15299732.2011.608629
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Gore-Felton C
中科院分区：
文献类型：
--
作者：
Kamen C;Bergstrom J;Koopman C;Lee S;Gore-Felton C
本研究探讨了hiv阳性男性分离、童年创伤和性虐待与创伤后应激障碍（PTSD）症状之间的关系。数据来自167名参加随机临床试验（RISE项目）的男性，该试验检查了团体治疗干预以减少艾滋病毒相关风险行为和创伤相关压力症状。受试者完成创伤史问卷、事件影响量表及斯坦福急性应激反应问卷。总体而言，35.3%的参与者报告曾经历过童年性虐待（CSA）。共有55.7%的样本符合PTSD的诊断标准。被试认同的解离症状强度与儿童期性虐待经历呈正相关（r = 0.20, p < 0.01）。分离症状也与特定PTSD症状呈正相关，尤其是过度觉醒（r = 0.69, p < 0.001）。层次回归表明，与儿童期性虐待相比，高唤醒症状对分离的影响更大。这些结果表明，童年性虐待可能与成年应激反应背景下解离症状的发展有关。此外，分离与PTSD之间的关联模式与hiv阳性男性中分离性PTSD亚型的可能性是一致的。
This study examined the relationships among dissociation, childhood trauma and sexual abuse, and posttraumatic stress disorder (PTSD) symptoms in HIV-positive men. Data was collected from 167 men enrolled in a randomized clinical trial (Project RISE) that examined a group therapy intervention to decrease HIV-related risk behavior and trauma-related stress symptoms. Participants completed the Trauma History Questionnaire, the Impact of Event Scale - Revised, and the Stanford Acute Stress Reaction Questionnaire. Overall, 35.3% of the participants reported having experienced childhood sexual abuse (CSA). A total of 55.7% of the sample met diagnostic criteria for PTSD. The intensity of dissociative symptoms that participants endorsed was positively associated with experience of childhood sexual abuse (r = .20, p < .01). Dissociative symptoms were also positively associated with specific PTSD symptoms, notably hyperarousal (r = .69, p < .001). Hierarchical regression indicated that hyperarousal symptoms account for more of the variance in dissociation than childhood sexual abuse. These results suggest that childhood sexual abuse may be involved in the development of dissociative symptoms in the context of adulthood stress reactions. Furthermore, the pattern of the association between dissociation and PTSD is consistent with the possibility of a dissociative PTSD subtype among HIV-positive men.
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DOI：
10.1080/15299730802624536
发表时间：
2009
期刊：
Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)
影响因子：
--
作者：
Cavanaugh CE;Classen CC
通讯作者：
Classen CC
影响因子：
1.9
作者：
Putnam, FW;Carlson, EB;Braun, BG
通讯作者：
Braun, BG
影响因子：
3.3
作者：
Koopman, C;Carrion, V;Steiner, H
通讯作者：
Steiner, H
DOI：
10.2190/ck2n-33nv-3pvf-glvr
发表时间：
2002-01-01
影响因子：
2
作者：
Koopman, C;Gore-Felton, C;Spiegel, D
通讯作者：
Spiegel, D
影响因子：
3.8
作者：
Gore-Felton, Cheryl;Kalichman, Seth C.;DiFonzo, Kari
通讯作者：
DiFonzo, Kari