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Complex posttraumatic stress disorder: evidence from the primary care setting

L M Dickinson1, F V deGruy, W P Dickinson

  • 1Department of Family Practice and Community Medicine, College of Medicine, University of South Alabama, Mobile 36604, USA.

General Hospital Psychiatry
|August 28, 1998
PubMed
Summary

This study found empirical evidence supporting a complex posttraumatic stress syndrome in female patients with a history of sexual abuse. Severity of symptoms correlated with the severity of childhood abuse and family dysfunction.

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Area of Science:

  • Psychiatry
  • Trauma Studies
  • Primary Care Medicine

Background:

  • Sexual abuse is prevalent among female primary care patients.
  • Long-term consequences range from mild to complex posttraumatic stress symptoms.
  • Complex symptoms often arise from severe, chronic childhood abuse, potentially involving family violence and substance abuse.

Purpose of the Study:

  • To investigate empirical evidence for complex posttraumatic stress syndrome.
  • To examine this syndrome in female primary care patients with a history of sexual abuse.

Main Methods:

  • A structured interview was used to collect data.
  • Data included family history and psychiatric symptoms/diagnoses.
  • Cluster analysis was applied to the data from 99 women patients.

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Main Results:

  • Cluster analysis provided empirical support for a complex posttraumatic syndrome.
  • A severity gradient was observed.
  • Symptom severity paralleled childhood abuse severity and family sociopathic behavior/violence.

Conclusions:

  • The findings support the existence of complex posttraumatic stress syndrome.
  • The study links symptom patterns to severe childhood sexual abuse and adverse family environments.