性虐待,创伤后应激障碍和精神病学特征在女性功能性/离散性发作
Alejandra Inés Lanzillotti1, Mercedes Sarudiansky1, Laura Scévola2
1Universidad de Buenos Aires (UBA), Instituto de Investigaciones, Facultad de Psicología, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), C1425FQB Buenos Aires, Argentina.
Actas espanolas de psiquiatria
|October 15, 2024
概括
性虐待创伤对有功能性/离散性发作 (FDS) 的女性产生重大影响,导致发作更早发作,增加创伤后应激障碍和自杀企图的风险. 解决创伤史对于有效的FDS患者护理至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 功能性/离散性发作 (FDS),也称为心理性非发作 (PNES),涉及运动,感官,认知或自主功能的改变.
- 心理创伤,特别是性虐待 (SA),正在被调查其在FDS心理病理中的作用.
研究的目的:
- 分析患有FDS的女性的精神病理特征.
- 调查心理创伤,特别是性虐待在FDS中的特定作用.
主要方法:
- 研究包括45名被诊断患有FDS的女性 (18-64岁).
- 使用临床面试,DSM-IV轴I和II诊断面试 (SCID-I,SCID II) 和全球功能评估 (GAF).
- 评估性虐待史,其他创伤,以及没有创伤的情况.
主要成果:
- 80%的患者报告有创伤史;40%报告有性虐待史 (SA).
- 与其他创伤相比,SA与明显较早的发作年龄有关 (p=0.021).
- 在SA和创伤后应激障碍 (PTSD) (p=0.031),SA和自杀企图 (p=0.037) 之间发现了显著的关联.
结论:
- 性虐待 (SA) 对患有FDS的女性的心理健康有深远的影响.
- 心理健康专业人员应考虑SA史,以获得适当的FDS患者护理.
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