Pilot Study on Classification of Sensory Symptoms in PTSD

IF 1.7 Q2 FAMILY STUDIES Journal of Child & Adolescent Trauma Pub Date : 2024-01-10 DOI:10.1007/s40653-023-00602-5
Sanae Aoki, Eiko Nozawa
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Abstract

PTSD treatment that focused on a sensory symptoms is increasing. The study aimed to explore symptoms and abnormalities in the five senses exhibited by persons with PTSD and to examine whether there are any differences depending on type of traumatic experience. Questionnaire was followed by interviews to clinical psychologists involved in the treatment of PTSD. 249 PTSD symptoms exhibited in the sensory organs were collected. Sensory symptoms were classified into three categories according to the type of symptoms and the type of traumatic events. Cluster 1 is a group formed by child abuse and violence together with audition, tactile, and hyperarousal. Cluster 2 is made up of natural disaster, accident, and sexual assault together with vision, olfaction and intrusion. Cluster 3 is made up of multiple traumas together with gustation and dissociation. It is speculated that the survivors of Child abuse and violence are hypersensitive to sounds, the presence of others, and physical contact because they try to quickly sense when a perpetrator is approaching. Natural disasters, accidents, and sexual assault are events with strong smell and severe visual impact, it is possible that they may easily cause reliving of the event in the form of shocking visual images and smells in flashbacks. Dissociation symptoms were related with complex trauma and taste. The mouth is the site of first contact between mother and child, and it is possible that gustatory dissociation may occur mainly in cases of severe and repeated trauma since early childhood.

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创伤后应激障碍感官症状分类试点研究
以感官症状为重点的创伤后应激障碍治疗方法越来越多。本研究旨在探讨创伤后应激障碍患者的五官症状和异常表现,并研究创伤经历的类型是否存在差异。问卷调查后,对参与创伤后应激障碍治疗的临床心理学家进行了访谈。收集了 249 种创伤后应激障碍症状在感觉器官上的表现。根据症状类型和创伤事件类型,感觉症状被分为三类。第 1 组是由儿童虐待和暴力以及听觉、触觉和过度唤醒组成的一组。第 2 组由自然灾害、事故和性侵犯以及视觉、嗅觉和入侵组成。第 3 组由多重创伤、味觉和分离组成。据推测,儿童虐待和暴力幸存者对声音、他人的存在和身体接触过度敏感,因为他们试图在施暴者接近时迅速感知。自然灾害、意外事故和性侵犯都是具有强烈气味和严重视觉冲击的事件,有可能很容易在闪回中以令人震惊的视觉图像和气味的形式导致事件的重现。解离症状与复杂的创伤和味觉有关。口腔是母婴初次接触的部位,味觉解离可能主要发生在自幼遭受严重和反复创伤的病例中。
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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
71
期刊介绍: Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.
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