PSYCHOPHYSIOLOGIC STUDY OF ABUSED CHILDREN

这个项目的主要目的是展示我们发现的一个范例， 区分成年人与创伤后应激障碍（PTSD） 有过类似经历但没有患上创伤后应激障碍的人可以用来 提高儿童创伤后应激障碍诊断的准确性， 性虐待和/或身体虐待。 第二个目的是表明， 生理指标不仅反映了受虐者的痛苦程度， 儿童，但也可用于通过内化将儿童分开 与外化障碍患者的区别 我们的模式将 提供异常神经系统敏感性，抑制， 减弱或增强惊吓，以及情绪反应的泛化。 我们建议在五年内，为600名儿童（7至12岁 被至少4岁以上的人虐待的人 他们自己，以及因与虐待有关的行为和 情绪问题 样本将仅限于非弱智儿童。 对于实验室研究，我们将选择有和没有创伤后应激障碍的亚型， 根据相似的经历、性别、年龄和种族进行匹配。 历史 将记录压力源： 虐待、犯罪者人数、犯罪者与儿童的关系、 生命威胁，身体伤害，性侵犯，社会阶层犯罪者， 家庭互动。

The major aim of this project is to show that a paradigm found by us to differentiate adults with post-traumatic stress disorder (PTSD) from adults who have had similar experiences but have not developed PTSD can be used to enhance the precision of the PTSD diagnosis in children who have been sexually and/or physically abused. A second aim is to show that physiological measures not only index the degree of distress of abused children but can also be used to separate children with internalizing disorders from those with externalizing disorders. Our paradigms will provide evidence of abnormal nervous system sensitivity, inhibition, attenuated or enhanced startle, and generalization of emotional responses. Over a 5-year period, we propose to screen 600 children (aged 7 to 12 years) who have been abused by someone at least 4 years older than themselves, and who have been referred for abuse-related behavioral and emotional problems. The sample will be limited to non-retarded children. For laboratory studies, we will select subtypes with and without PTSD, matched on the basis of similar experiences, sex, age, and race. A history of victimization form will document stressors: duration and frequency of abuse, number of offenders, relation of perpetrator to child, perception of life threat, physical injury, sexual penetration, social class perpetrator, and family interaction.