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Posttraumatic Stress Disorder does not Increase Recurrent Intimate Partner Violence 创伤后应激障碍不会增加复发性亲密伴侣暴力
Pub Date : 2008-06-12 DOI: 10.1080/19322880802096459
J. Sonis
ABSTRACT To determine whether posttraumatic stress disorder (PTSD) increases the risk of recurrent intimate partner violence, I conducted a secondary analysis of longitudinal data from 321 women in the Chicago Women's Health Risk Study. PTSD at baseline showed a moderate unadjusted association with recurrent IPV in the 2-year follow-up period. However, when important confounding factors, such as severity of previous abuse and use of control tactics by the partner, were controlled in a logistic regression model, there was no association between PTSD and recurrent victimization.
为了确定创伤后应激障碍(PTSD)是否会增加亲密伴侣暴力复发的风险,我对芝加哥女性健康风险研究中321名女性的纵向数据进行了二次分析。基线时的PTSD与2年随访期间的复发性IPV有中度未调整的相关性。然而,当重要的混杂因素,如以前虐待的严重程度和伴侣使用控制策略,在逻辑回归模型中被控制时,PTSD和反复受害之间没有关联。
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引用次数: 6
Violence in Schools, Cross-National and Cross-Cultural Perspectives 校园暴力,跨国和跨文化视角
Pub Date : 2008-06-12 DOI: 10.1080/19322880802096624
Para Afshar, M. Kenny
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引用次数: 15
Mass Trauma and Violence: Helping Families and Children Cope 大规模创伤和暴力:帮助家庭和儿童应对
Pub Date : 2008-06-12 DOI: 10.1080/19322880802096582
Charles R. Figley
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引用次数: 0
Association Between Posttraumatic Symptoms and Dissociative Symptoms in Rescue Personnel 96 Hours after the Hilton Hotel Bombing in Sinai, Egypt 埃及西奈希尔顿酒店爆炸96小时后救援人员创伤后症状与解离症状的关系
Pub Date : 2008-06-12 DOI: 10.1080/19322880802096475
N. Essar, Y. Palgi, R. Saar, M. Ben-Ezra
ABSTRACT The association between posttraumatic stress symptoms and dissociative symptoms was examined among the entire team of 26 rescue personnel, 96 hr after exposure to the Hilton Hotel bombing in Sinai, Egypt. The results showed that even after controlling for age and previous exposure, the correlations between both intrusive and avoidant symptoms with dissociation remained significant. This study is in line with earlier studies that have revealed a significant association between posttraumatic stress symptoms and dissociation. The study extends the time line of the relationship found. In addition, this field study extends the relationship between both intrusion and avoidance symptoms with dissociation beyond the medical setting.
摘要:在埃及西奈希尔顿酒店爆炸事件发生96小时后,对26名救援人员进行了创伤后应激症状和解离症状的相关性研究。结果表明,即使在控制了年龄和以前的暴露后,与分离的侵入性和回避性症状之间的相关性仍然显著。这项研究与早期的研究一致,这些研究揭示了创伤后应激症状与精神分离之间的显著联系。这项研究延长了发现这种关系的时间线。此外,本实地研究扩展了与分离的入侵和回避症状之间的关系,超出了医疗环境。
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引用次数: 4
Neurobiological Models in Posttraumatic Stress Disorder: Effects on Public Perception and Patient Care 创伤后应激障碍的神经生物学模型:对公众认知和病人护理的影响
Pub Date : 2008-06-12 DOI: 10.1080/19322880802096517
M. Kimble
ABSTRACT Concurrent with the many controversies that have surrounded the diagnosis of posttraumatic stress disorder (PTSD), there has been an increasing understanding of the neurobiology of trauma and PTSD. The result of this work has provided considerable evidence that trauma can change the brain and that individuals with PTSD are affected by a range of neurobiological alterations. These neurobiological findings are likely to have some impact on the controversies surrounding the field and significant implications for how the public views the trauma survivor as well as how survivors view themselves. After providing a brief primer on some of the most recent neurobiological findings, the clinical implications of such a “brain-based” model of PTSD are discussed.
与围绕创伤后应激障碍(PTSD)诊断的许多争议同时,人们对创伤和PTSD的神经生物学的理解也在不断增加。这项工作的结果提供了大量的证据,证明创伤可以改变大脑,创伤后应激障碍患者受到一系列神经生物学改变的影响。这些神经生物学的发现可能会对围绕该领域的争议产生一些影响,并对公众如何看待创伤幸存者以及幸存者如何看待自己产生重大影响。在简要介绍了一些最新的神经生物学发现之后,讨论了这种“基于大脑”的创伤后应激障碍模型的临床意义。
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引用次数: 3
Gender Differences in Relationship Patterns Between Adverse Psychiatric Experiences, Lifetime Trauma, and PTSD 不良精神经历、终生创伤与PTSD关系模式的性别差异
Pub Date : 2008-01-04 DOI: 10.1300/J513v06n02_06
Anouk L. Grubaugh, K. Cusack, Eunsil Yim, R. Knapp, B. Frueh
SUMMARY We examined the interrelationships between gender, adverse psychiatric experiences, lifetime trauma, and PTSD among severely mentally ill patients via secondary analyses. Participants were 142 adult, psychiatric patients, randomly-selected from a public-sector setting. They completed self-report measures to assess for victimization during the course of their psychiatric care, lifetime victimization, and PTSD. There were a number of significant associations between psychiatric and lifetime victimization experiences among both men and women. However, victimization within the psychiatric setting was not significantly related to PTSD for either men or women. Replication and expansion of these findings is encouraged to promote safety in psychiatric settings.
我们通过二次分析研究了性别、不良精神经历、终生创伤和严重精神疾病患者PTSD之间的相互关系。研究对象是142名成年精神病患者,他们是从公共部门随机选择的。他们完成了自我报告测量,以评估他们在精神治疗过程中的受害程度、终身受害程度和创伤后应激障碍。在男性和女性中,精神病学和终身受害经历之间存在许多显著的关联。然而,精神病学背景下的受害行为与创伤后应激障碍的关系并不显著,无论是男性还是女性。鼓励复制和扩展这些发现,以促进精神病院的安全。
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引用次数: 1
Childhood Trauma and Psychosis: The Genie Is Out of the Bottle 童年创伤与精神病:精灵已出瓶
Pub Date : 2008-01-04 DOI: 10.1300/J513v06n02_02
P. Hammersley, J. Read, S. Woodall, J. Dillon
SUMMARY After one hundred years of denial and ignorance, it was finally accepted 20 years ago that sexual, physical, and emotional abuse of children, along with neglect, was a genuine and common phenomenon with potentially devastating long term consequences for the mental health of the survivors. Until recently, there has been one exception to this rule. Sufferers of psychotic experiences were excluded. Their distress was caused predominantly by genetics or biology, or so they were told. Recent research has shown this to be a fallacy. Some of the recent studies even suggest that psychosis is the diagnostic category most likely to have experienced severe childhood trauma. This paper summarizes the historical context and offers a précis of the most important recent research findings. In keeping with the ethos of this journal we offer a case study to illustrate the effectiveness of psychotherapy for trauma survivors with psychosis. We end with an appeal to collaborate with the users movement to take this agenda forward.
经过100年的否认和无知,20年前,人们终于接受了对儿童的性、身体和情感虐待以及忽视是一种真实而普遍的现象,对幸存者的精神健康有潜在的破坏性长期后果。直到最近,这条规则有一个例外。有精神病经历的患者被排除在外。他们的痛苦主要是由基因或生物学引起的,或者他们被告知是这样的。最近的研究表明,这是一个谬论。最近的一些研究甚至表明,精神病是最有可能经历严重童年创伤的诊断类别。本文总结了历史背景,并提供了最近最重要的研究成果的概要。为了与本刊的精神保持一致,我们提供了一个案例研究,以说明心理治疗对患有精神病的创伤幸存者的有效性。最后,我们呼吁与用户运动合作,推进这一议程。
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引用次数: 14
Impact of Child Abuse Timing and Family Environment on Psychosis 儿童虐待时间和家庭环境对精神病的影响
Pub Date : 2008-01-04 DOI: 10.1300/J513v06n02_05
J. Faust, L. Stewart
SUMMARY The theoretical basis for the development of differential psychopathology in children in response to a traumatic event suggests the timing of trauma and the family environment likely influence the development of psychological disturbances. We predicted that abused children who had psychotic symptoms would have experienced the trauma earlier in life than those children diagnosed with post traumatic stress disorder (PTSD). We also predicted that children with psychotic symptoms would hail from homes higher in cohesion and family conflict than those children with PTSD. Participants were 40 children, ages 6 to 17, and their mothers. All children were receiving treatment at a community mental health center, and were diagnosed with either posttraumatic stress disorder (PTSD; n = 20) or a psychotic based disorder (n = 20). Results indicated that children with psychotic disorders experienced trauma earlier than children with PTSD (p < .02). Children with psychotic disorders reported more familial conflict (p < .04) than those children with PTSD. When compared to mothers of children with PTSD, mothers of psychotic children rated their family as less cohesive (p < .03). Implications of this research were discussed.
创伤性事件后儿童差异精神病理发展的理论基础表明,创伤发生的时间和家庭环境可能影响心理障碍的发展。我们预测,有精神病症状的受虐儿童会比那些被诊断为创伤后应激障碍(PTSD)的儿童更早经历创伤。我们还预测,有精神病症状的孩子来自的家庭凝聚力和家庭冲突比那些患有创伤后应激障碍的孩子更高。参与者是40名6至17岁的儿童和他们的母亲。所有儿童都在社区精神卫生中心接受治疗,并被诊断患有创伤后应激障碍(PTSD);N = 20)或精神障碍(N = 20)。结果显示,精神障碍患儿比PTSD患儿更早经历创伤(p < 0.02)。精神障碍儿童报告的家庭冲突多于PTSD儿童(p < 0.04)。与患有创伤后应激障碍儿童的母亲相比,精神病儿童的母亲认为她们的家庭凝聚力较低(p < .03)。讨论了本研究的意义。
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引用次数: 5
Trauma and Schizophrenia 创伤和精神分裂症
Pub Date : 2008-01-04 DOI: 10.1300/j513v06n02_08
B. Karon
SUMMARY Schizophrenia is a chronic terror syndrome. In World War II there were battlefield traumas that always produced classic schizophrenic symptoms. However, if the patients were healthy before the trauma, they spontaneously recovered. The myth of the incurability of schizophrenia led to the belief that these individuals could not be schizophrenic if they recovered. But all schizophrenics are the victims of lives filled with trauma, sometimes subtle but usually obvious. Examples are described. Professionals have tried not to listen. But if one investigates, most of the bad things patients talk about or symbolize in their symptoms are not delusional, but real traumas. It helps to face the truth.
精神分裂症是一种慢性恐惧综合征。在第二次世界大战中,战场创伤总是会产生典型的精神分裂症症状。然而,如果患者在创伤前是健康的,他们会自发康复。精神分裂症不可治愈的神话导致人们相信,如果这些人康复了,就不可能是精神分裂症患者。但所有精神分裂症患者都是生活中充满创伤的受害者,这些创伤有时很微妙,但通常很明显。举例说明。专业人士试着不去听。但如果调查一下,就会发现大多数病人在症状中谈论或象征的坏事并不是妄想,而是真实的创伤。它有助于面对事实。
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引用次数: 2
Dissociation and Psychosis: Conceptual Issues 分离和精神病:概念问题
Pub Date : 2008-01-04 DOI: 10.1300/J513v06n02_03
C. Ross
SUMMARY The relationship between dissociation and psychosis is not a topic of serious study and research in the psychosis field, though it has received attention in the dissociation literature. A number of conceptual problems must be solved before the role of dissociation in schizophrenia and other psychoses can be a central issue in diagnosis, research and treatment. These include problems with: the model of mind-body interaction accepted in psychiatry, definitions of dissociation and psychosis, the concept of pseudo-hallucinations, DSM criteria for schizophrenia, research measures for dissociation and psychosis, the sociology of psychiatry, the drug industry, assumptions about etiology of dissociation and psychosis, and assumptions about treatment. These problems are discussed and recommendations are made for DSM-V and future research.
在精神病领域,分离与精神病之间的关系并不是一个认真研究的话题,尽管它在分离文献中得到了关注。在解离在精神分裂症和其他精神病中的作用成为诊断、研究和治疗的中心问题之前,必须解决一些概念性问题。这些问题包括:精神病学中接受的身心相互作用模型,分离和精神病的定义,伪幻觉的概念,精神分裂症的DSM标准,分离和精神病的研究措施,精神病学社会学,药物工业,关于分离和精神病病因学的假设,以及关于治疗的假设。对这些问题进行了讨论,并对dsm第五版和今后的研究提出了建议。
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引用次数: 7
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Journal of Psychological Trauma
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