Complex PTSD in victims exposed to sexual and physical abuse: Results from the DSM-IV field trial for posttraumatic stress disorder

被引:204
作者
Roth, S
Newman, E
Pelcovitz, D
vanderKolk, B
Mandel, FS
机构
[1] UNIV TULSA, TULSA, OK 74104 USA
[2] CORNELL UNIV, COLL MED, N SHORE UNIV HOSP, ITHACA, NY 14853 USA
[3] BOSTON UNIV, SCH MED, BOSTON, MA 02118 USA
关键词
disorder of extreme stress; PTSD; diagnosis; childhood abuse; complex PTSD;
D O I
10.1002/jts.2490100403
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Two hundred thirty four participants in the DSM-IV Posttraumatic Stress Disorder (PTSD) Field Trial who reported sexual and/or physical abuse were evaluated. Participants were categorized according to type of abuse (physical, sexual both), duration of abuse (acute versus chronic), and onset of abuse (ear ly versus late). Separate logistic regression analyses examined the relationship between age of onset, duration abuse type, and the complex PTSD (CP) lifetime diagnosis for women and men. Sexually abused women, especially those who also experienced physical abuse, had a higher-risk of developing CI: although CP symptoms occurred at a high base rate among physically abused women. The theoretical implications and incremental clinical usefulness of targeting CP symptoms with abused populations are discussed.
引用
收藏
页码:539 / 555
页数:17
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