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The long-term sequelae of sexual abuse: Support for a complex posttraumatic stress disorder
Authors:Caron Zlotnick  Audrey L. Zakriski  M. Tracie Shea  Ellen Costello  Ann Begin  Teri Pearlstein  Elizabeth Simpson
Affiliation:(1) Brown University and Butler Hospital, 345 Blackstone Blvd., 02906 Providence, Rhode Island
Abstract:This study examined the relationship between childhood sexual abuse and symptoms of a newly proposed complex posttraumatic stress disorder or disorder of extreme stress not otherwise specified (DESNOS). Compared to 34 women without histories of sexual abuse, 74 survivors of sexual abuse showed increased severity on DESNOS symptoms of somatization, dissociation, hostility, anxiety, alexithymia, social dysfunction, maladaptive schemas, self-destruction, and adult victimization. In addition, a logistic regression found that a complex of symptoms representing DESNOS was significantly related to a history of sexual abuse. Consistent with other studies, the results of this study provide support for the idea that symptoms of DESNOS characterize survivors of sexual abuse.
Keywords:childhood sexual abuse  complex posttraumatic stress disorder  disorder of extreme stress
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