RESUMO
Among 43 women with panic disorder (38 with agoraphobia), 23 reported histories of childhood sexual abuse associated with high incidence of other early adverse experiences. The finding that subjects reporting childhood sexual and physical abuse were more likely to receive an Axis II diagnosis than those who did not confirms prior work.
Assuntos
Agorafobia/psicologia , Abuso Sexual na Infância/psicologia , Maus-Tratos Infantis/psicologia , Transtorno de Pânico/psicologia , Desenvolvimento da Personalidade , Transtornos da Personalidade/psicologia , Adolescente , Adulto , Agorafobia/diagnóstico , Criança , Maus-Tratos Infantis/diagnóstico , Abuso Sexual na Infância/diagnóstico , Filho de Pais com Deficiência/psicologia , Feminino , Humanos , Acontecimentos que Mudam a Vida , Transtorno de Pânico/diagnóstico , Determinação da Personalidade , Transtornos da Personalidade/diagnósticoRESUMO
This study investigated MMPI characteristics of adult female outpatients in a behavior therapy clinic (N = 110). Those reporting histories of childhood sexual or physical abuse or both differed from those who did not on global Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1943) indices of psychopathology and on Scales F, K, L, 4, 7, and 8. Subjects reporting abuse also reported high rates of other early traumas: witnessing family violence, parental alcohol abuse, and parental divorce. Physical abuse history was the best predictor of adult maladjustment as assessed by the MMPI. Findings suggest the potential utility of the MMPI for assessing long-range trauma effects and highlight the importance of considering multiple early-risk factors for the development of psychological disturbance.
Assuntos
Transtornos de Adaptação/etiologia , Maus-Tratos Infantis/psicologia , MMPI , Transtornos de Adaptação/epidemiologia , Transtornos de Adaptação/psicologia , Transtornos de Adaptação/terapia , Adulto , Idoso , Assistência Ambulatorial , Terapia Comportamental , Criança , Análise Discriminante , Feminino , Humanos , Pessoa de Meia-Idade , Análise Multivariada , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Fatores de RiscoRESUMO
Development of a 25-item Psychological Maltreatment Inventory, based on five categories of psychological maltreatment found in the literature on child development, is described. Two major factors emerged from a factor analytic study of the responses of 118 clinical outpatients. Reported childhood experiences of Emotional Neglect and Hostile Rejection were related to several measures of psychological dysfunction among adult outpatients.
Assuntos
Maus-Tratos Infantis/diagnóstico , Maus-Tratos Infantis/psicologia , Transtornos Mentais/diagnóstico , Inventário de Personalidade/estatística & dados numéricos , Adulto , Assistência Ambulatorial , Criança , Pré-Escolar , Análise Fatorial , Feminino , Seguimentos , Humanos , Masculino , Transtornos Mentais/psicologia , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia , Reprodutibilidade dos TestesRESUMO
This study examined the effects of Supporter Endurance Training (SET) on family supporters of elderly demented patients. Single case methodology was used in evaluating the outcome of providing eight supporters with eight weekly training sessions in meditative relaxation and assertiveness. Four such supporters received no special training. A videotape dramatizing typical problem situations encountered with a demented family member was used to elicit information about supporters' coping styles. Post-training and six-month follow-up evaluation indicated improvements among trained individuals on measures related to assertiveness, problem solving, and stress reduction. Trained subjects' estimates of the length of time they would be able to cope with problems involved in caring for their relatives also increased. Few such improvements occurred among untrained subjects. These results suggest the usefulness of brief structured skills training programs in helping supporters to improve their coping abilities.