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The Operating Characteristics of the PTSD Checklist in Detecting PTSD in HIV+ Substance Abusers PTSD检查表在HIV+药物滥用者PTSD检测中的工作特点
Pub Date : 2008-12-04 DOI: 10.1080/19322880802384251
A. R. Bollinger, Carlos A. Cuevas, M. Vielhauer, E. Morgan, T. Keane
ABSTRACT The psychometric properties of the PTSD Checklist-Civilian version (PCL-C) were calculated for a population of HIV-seropositive individuals, using diagnoses and scores from the Clinician-Administered PTSD Scale (CAPS) as the criterion measure. Results indicated rates of posttraumatic stress disorder (PTSD) higher than that of the general population, with 12.3% of participants meeting criteria for PTSD in the past month. The PCL-C exhibited excellent internal consistency with a Cronbach's alpha of .94 for the whole measure. Receiver Operating Characteristic curve yielded an optimum cut score of 52 to determine the presence of PTSD as measured by the CAPS. This resulted in a sensitivity of .71, a specificity of .84, and a diagnostic efficiency of .82. Although this cut score yielded a slightly higher diagnostic efficiency, the cut score of 50 provided the optimal balance between sensitivity (.86) and specificity (.79)
使用临床医师管理的PTSD量表(CAPS)的诊断和得分作为标准测量,计算hiv血清阳性人群PTSD平民版(PCL-C)的心理测量特性。结果显示,创伤后应激障碍(PTSD)的发病率高于一般人群,在过去一个月里,有12.3%的参与者符合PTSD的标准。PCL-C表现出优异的内部一致性,整个测量的Cronbach α值为0.94。受试者工作特征曲线的最佳切割分为52分,通过CAPS测量来确定PTSD的存在。这导致敏感性为0.71,特异性为0.84,诊断效率为0.82。虽然这个切分产生了稍高的诊断效率,切分50提供了敏感性(0.86)和特异性(0.79)之间的最佳平衡。
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引用次数: 32
Posttraumatic Stress Symptoms and Emotion Experience in Women: Emotion Occurrence, Intensity, and Variability in the Natural Environment 女性创伤后应激症状和情绪体验:自然环境中情绪的发生、强度和变异性
Pub Date : 2008-12-04 DOI: 10.1080/19322880802492237
T. Newton, Ivy K. Ho
ABSTRACT This study examined emotion occurrence, intensity, and variability in the natural environment in a sample of women with histories of interpersonal victimization. Using paper-and-pencil diaries, women rated emotion experiences (joyful/happy, sad, angry, anxious, tense/frustrated, worried) over an average of 13 hr. Posttraumatic stress symptom severity was uniquely correlated with greater intensity and variability, but not occurrence, of certain negative emotions, and with less frequent occurrence but greater variability of joy/happiness. Intrusive reexperiencing was uniquely associated with greater variability of both anxiety and joy/happiness. Results suggest that women with more severe posttraumatic stress symptoms do not experience more episodes of negative emotion but, once emotion occurs, they have difficulty modulating its intensity. Problems with emotions may motivate treatment seeking among traumatized individuals, and such problems may endure even when PTSD symptoms per se remit. This underscores the potential practical implications of naturalistic studies of emotion among individuals who have experienced psychological trauma.
摘要:本研究考察了具有人际伤害史的女性样本在自然环境中的情绪发生、强度和变异性。使用纸笔日记,女性们对平均13小时的情绪体验(快乐/快乐、悲伤、愤怒、焦虑、紧张/沮丧、担心)进行了评分。创伤后应激症状的严重程度与某些负面情绪的强度和可变性(但不发生)有独特的相关性,与快乐/幸福的发生频率较低但变异性较大相关。侵入性再体验与焦虑和喜悦/幸福的变异性有独特的联系。结果表明,有更严重创伤后应激症状的妇女不会经历更多的负面情绪发作,但一旦情绪出现,她们就很难调节其强度。情绪问题可能促使受创伤个体寻求治疗,即使PTSD症状本身得到缓解,这些问题也可能持续存在。这强调了在经历过心理创伤的个体中进行情感自然主义研究的潜在实际意义。
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引用次数: 11
Conspiracy of Faith: Fighting for Justice After Child Abuse. By Wilmer, G. 信仰的阴谋:为虐待儿童后的正义而战。威尔默,G。
Pub Date : 2008-12-04 DOI: 10.1080/19322880802492260
Allison Myers, Ryan Montes, C. Marker
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引用次数: 0
Early Identification of Children at Risk for Developing Posttraumatic Stress Symptoms Following Traumatic Injuries 儿童创伤后应激症状的早期识别
Pub Date : 2008-12-04 DOI: 10.1080/19322880802384384
S. F. Allen, B. Pfefferbaum, Anne Cuccio, J. Salinas
ABSTRACT Child injuries are the largest cause of morbidity and mortality among youth in the United States. However, there has been less research attention focused on psychiatric sequelae of serious childhood injuries than on other types of childhood trauma. This article reviews psychiatric sequelae following childhood injury and examines the risk and resilience factors relative to developing posttraumatic stress symptoms following a traumatic injury. Practical applications of risk and protective factors are illustrated through a hospital consultation regarding a 12-year-old girl who sustained an injury following an accident with a lawn mower. Diagnostic and clinical implications regarding psychiatric sequelae following childhood injuries are discussed.
儿童伤害是美国青少年发病率和死亡率的最大原因。然而,与其他类型的儿童创伤相比,对严重儿童创伤的精神后遗症的研究较少。本文回顾了儿童创伤后的精神后遗症,并研究了与创伤后应激症状相关的风险和恢复因素。通过对一名因割草机事故受伤的12岁女孩的医院会诊,说明了风险和保护因素的实际应用。诊断和临床意义对精神后遗症的儿童伤害进行了讨论。
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引用次数: 5
Examining Children's Fears in the Aftermath of Hurricane Katrina 调查卡特里娜飓风过后儿童的恐惧
Pub Date : 2008-12-04 DOI: 10.1080/19322880802492229
J. Burnham, Lisa M. Hooper, Emily Edwards, Jacalyn M. Tippey, Amanda C. McRaney, M. A. Morrison, Jennifer A. Underwood, Emily K. Woodroof
ABSTRACT Several studies have found that youth have increased fears after exposure to disasters, although few studies have examined the effects of the Hurricane Katrina disaster among youth (Weissbecker, Sephton, Martin, & Simpson, 2008). The authors investigated fears among a homogenous sample of children and adolescents exposed to Hurricane Katrina in two of the hardest hit areas of Louisiana and Mississippi. Fears were examined using the American Fear Survey Schedule for Children (Burnham, 1995, 2005). Gender and age effects were compared among children and adolescents exposed to Hurricane Katrina (N = 245) versus a control group (N = 251) with no exposure to Hurricane Katrina. Findings suggested that the children exposed to Hurricane Katrina were significantly more fearful in general and reported more fears related to Hurricane Katrina in particular (e.g., loss of property, fear of hurricanes). However, consistent with other disaster-related studies, there were more similarities than differences in the study findings between the Hurricane Katrina sample and the control group. Recommendations for future research and clinical practice focused on fears and the psychological after effects of disasters on children and adolescents are discussed.
几项研究发现,青少年在遭遇灾难后会增加恐惧,尽管很少有研究调查卡特里娜飓风灾难对青少年的影响(Weissbecker, Sephton, Martin, & Simpson, 2008)。作者调查了路易斯安那州和密西西比州两个受灾最严重的地区遭受卡特里娜飓风袭击的儿童和青少年的恐惧。使用美国儿童恐惧调查表(Burnham, 1995,2005)来检查恐惧。研究人员比较了受到卡特里娜飓风影响的儿童和青少年(N = 245)与没有受到卡特里娜飓风影响的对照组(N = 251)的性别和年龄影响。研究结果表明,经历过卡特里娜飓风的儿童总体上明显更害怕,并且报告了更多与卡特里娜飓风有关的恐惧(例如,财产损失,对飓风的恐惧)。然而,与其他与灾害相关的研究一致,卡特里娜飓风样本和对照组之间的研究结果相似之处多于差异。讨论了对未来研究和临床实践的建议,重点是灾难对儿童和青少年的恐惧和心理影响。
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引用次数: 14
Collaborative Treatment of Traumatized Children and Teens. By Saxe, G. N., Ellis, B. H., & Kaplow, J. B. 创伤儿童和青少年的合作治疗。作者:萨克斯,G. N.,埃利斯,B. H.,卡普罗,J. B.。
Pub Date : 2008-12-04 DOI: 10.1080/19322880802492252
J. Ford
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引用次数: 4
Childhood Sexual Abuse, Eating Disturbance and Dissociation: A Study in Puerto Rico 儿童期性虐待、进食障碍和精神分裂:波多黎各的一项研究
Pub Date : 2008-12-04 DOI: 10.1080/19322880802266821
Roxanna Mercado, A. Martínez-Taboas, O. Pedrosa
ABSTRACT Previous investigations have documented strong associations between eating disorders, dissociation, and childhood sexual abuse (CSA). In this study we examined such a relationship with female Hispanic psychiatric inpatients. Twenty-eight patients with a history of CSA and 28 patients without CSA completed various instruments, among them a survey of eating styles, the Dissociative Experiences Scale, a brief scale of abusive experiences, and a clinical diagnostic interview. One main finding was that patients with CSA reported a significantly greater amount of behavioral, cognitive, and biological symptoms of dysfunctional eating styles. In addition, dissociation was significantly correlated with the severity of CSA and with dysfunctional eating styles. Our findings consistently corroborates that female patients with a history of CSA tend to experience a wide plethora of dysfunctional eating behaviors.
先前的研究已经证明了饮食失调、精神分裂和儿童性虐待(CSA)之间的密切联系。在这项研究中,我们检查了这种关系与女性西班牙精神病住院患者。28例有CSA病史的患者和28例无CSA的患者分别完成了饮食方式调查、解离体验量表、虐待经历简易量表和临床诊断访谈。一个主要的发现是,患有CSA的患者报告了大量的行为、认知和不正常饮食方式的生物学症状。此外,分离与CSA的严重程度和功能失调的饮食方式显著相关。我们的研究结果一致地证实,有CSA病史的女性患者往往会经历大量的不正常饮食行为。
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引用次数: 8
Ethnoracial Minority Background, Psychological Trauma, PTSD, and DESNOS Among Urban Low-Income Women with Severe Mental Illness 少数民族背景、心理创伤、创伤后应激障碍和城市低收入严重精神疾病妇女的DESNOS
Pub Date : 2008-09-19 DOI: 10.1080/19322880802266805
J. Ford
ABSTRACT Psychological trauma and posttraumatic stress disorder (PTSD) are prevalent among adults with severe mental illness. A sample of 38 women in intensive community mental health services was assessed with psychometrically validated structured interview measures. Exposure to multiple types of psychological traumas was reported by 95% of respondents; almost half (44%) met criteria for current PTSD, and an equal number met criteria for Disorders of Extreme Stress Not Otherwise Specified (DESNOS). Another 40% did not meet criteria for either PTSD or DESNOS. Women of color were less likely than White women to meet criteria for PTSD. Although no specific type of psychological trauma was particularly associated with PTSD, sexual and medical trauma were strongly and consistently associated with DESNOS. Among women of color, domestic violence and traumatic loss due to drunk driving fatalities were particularly prevalent. Income was generally low but not associated with risk of trauma exposure or either PTSD or DESNOS. Implications for trauma-informed services for women with severe mental illness are discussed.
心理创伤和创伤后应激障碍(PTSD)在患有严重精神疾病的成年人中普遍存在。采用心理测量学验证的结构化访谈方法对38名接受密集社区精神卫生服务的妇女进行了评估。95%的应答者报告暴露于多种类型的心理创伤;几乎一半(44%)的患者符合当前PTSD的诊断标准,同样数量的患者符合非特殊极端应激障碍(DESNOS)的诊断标准。另有40%不符合PTSD或DESNOS的标准。有色人种女性比白人女性更不可能达到PTSD的标准。虽然没有特定类型的心理创伤与创伤后应激障碍特别相关,但性创伤和医疗创伤与DESNOS密切相关。在有色人种女性中,家庭暴力和因酒后驾车死亡造成的创伤性损失尤为普遍。收入一般较低,但与创伤暴露或PTSD或DESNOS的风险无关。讨论了为患有严重精神疾病的妇女提供创伤知情服务的意义。
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引用次数: 18
Mapping Trauma and its Wake: Autobiographic Essays by Pioneer Trauma Scholars, Edited by C. R. Figley 绘制创伤及其觉醒:先驱创伤学者自传体论文,C. R. Figley编辑
Pub Date : 2008-09-19 DOI: 10.1080/19322880802231841
J. Cook
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引用次数: 0
Perversion of Power: Sexual Abuse in the Catholic Church, By M. G. Frawley-O'Dea 《权力的扭曲:天主教会中的性虐待》,作者:m·g·弗劳利-奥戴
Pub Date : 2008-09-19 DOI: 10.1080/19322880802266854
G. Gaither
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引用次数: 1
期刊
Journal of Psychological Trauma
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