民间道德伤害:与创伤类型和高频率心率变异的关联在两个受创伤影响的社区基样本中
Emma C Lathan1, Abigail Powers1, Anna Kottakis1
1Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Psychological medicine
|August 31, 2023
概括
精神伤害,特别是来自性暴力,与平民的心率变化较低有关. 这表明道德伤害可能是导致自主失调的途径,并影响创伤治疗选择.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 自主神经系统研究 自主神经系统研究
- 创伤研究 创伤研究
背景情况:
- 道德伤害暴露 (MIE) 和痛苦 (MID) 可能调解创伤和自主调节之间的关系.
- 之前的研究还没有在平民中探索这种间接影响.
- 自主调节通过高频率心率变化 (hfHRV) 来评估.
研究的目的:
- 在平民医疗患者中检查与MIE和MID相关的创伤类型.
- 探索MIE和MID如何间接影响心理健康服务寻求者的创伤类型和hfHRV之间的关系.
- 调查道德伤害在自主性失调中的作用.
主要方法:
- 与平民参与者进行了两项探索性研究.
- 研究1评估了医疗患者的创伤类型,MIE和MID (n=72).
- 第二项研究研究了创伤类型通过MIE或MID对精神健康患者的hfHRV的间接影响 (n=46),使用心电图进行hfHRV评估.
主要成果:
- 儿童性虐待预测了MIE;儿童性虐待和成人性侵犯预测了MID.
- 较高的MIE和MID与较低的hfHRV有关.
- 成年性侵犯通过MID对hfHRV产生间接影响.
结论:
- 道德伤害与性暴力有独特的关联,并且在平民中减少了hfHRV.
- 道德伤害可能是导致自主失调的途径.
- 这些发现强调了在创伤治疗选择中考虑道德伤害的重要性.
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