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首页> 外文期刊>Journal of Clinical Medicine >Impaired Executive Functioning of Sexual Assault Survivors with Acute Stress Disorder
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Impaired Executive Functioning of Sexual Assault Survivors with Acute Stress Disorder

机译：急性应激障碍性侵犯幸存者的执行功能受损

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This study aimed to examine the executive functioning of survivors exposed to recent sexual assaults. Twenty-seven female rape survivors who met the criterion for acute stress disorder (ASD) were enrolled and completed the assessment within 4 weeks after the traumatic experience. Additionally, 25 age-matched female health controls (HC) never exposed to such a traumatic event were enrolled. The assessments evaluated psychiatric symptoms including post-traumatic stress symptoms, depression, anxiety, and trait and state anger; general intelligence indexed by intellectual quotient (IQ); and executive functioning including set-shift/attention, planning, spatial working memory, and inhibition using the Cambridge Neuropsychological Test Automated Battery. The ASD group showed higher levels of depression, anxiety, and state anger, and lower IQ than the HC group. The ASD group also showed global impairment of executive functioning for set-shifting, attention, planning, and response inhibition compared to the HC group. Rather than being associated with low IQ and education levels, these results could be from trauma-related effects in survivors with ASD. Additionally, the state anger level was related to survivors’ deficient executive functioning. The findings indicate the importance of providing assessment and intervention efforts to sexual assault survivors soon after the trauma occurs.
机译：这项研究的目的是检查遭受最近性攻击的幸存者的执行功能。入选了符合急性应激障碍（ASD）标准的27名女性强奸幸存者，并在经历创伤后4周内完成了评估。此外，还招募了25名从未遭受过这种创伤事件的与年龄匹配的女性健康对照（HC）。评估评估了精神症状，包括创伤后应激症状，抑郁，焦虑以及特质和状态愤怒。以智商（IQ）索引的一般情报;使用剑桥神经心理学测试自动电池，执行功能包括班次转移/注意力，计划，空间工作记忆和抑制。与HC组相比，ASD组表现出更高的抑郁，焦虑和状态愤怒程度，智商较低。与HC组相比，ASD组还显示出整体转移，注意力，计划和反应抑制等执行功能的整体损害。这些结果可能与ASD幸存者的创伤相关影响有关，而不是与低智商和教育水平有关。此外，该州的愤怒程度与幸存者的行政功能不足有关。研究结果表明在创伤发生后立即向性侵犯幸存者提供评估和干预工作的重要性。

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