Association of nonsexual and sexual traumatizations with body image and psychosomatic symptoms in psychosomatic outpatients

作者：Sack Martin^*; Boroske Leiner Katja; Lahmann Claas

来源：General Hospital Psychiatry, 2010, 32(3): 315-320.

DOI：10.1016/j.genhosppsych.2010.01.002

• Childhood sexual trauma
• Personal identity
• Body image
• Somatization disorder

Objective: A coherent body image is constituted in an interpersonal process during early development. Violations of body self-boundaries (e.g., sexual traumatizations during childhood) could alter the development of a coherent body image and promote symptoms of dissociation and somatization.
Method: A total of 240 psychosomatic outpatients underwent a clinical diagnostic interview and a psychometric evaluation including the Posttraumatic Stress Scale (PDS), the Body Image Questionnaire (FKB-20), an inventory of somatoform symptoms (SOMS-7), the Brief Symptom Questionnaire (BSI) and the Dissociative Experiences Scale (DES). Subjects were assigned to one of the following subgroups according to their self-reported trauma status: "nontraumatized," "nonsexually traumatized" and "sexually traumatized".
Results: Nonsexual traumatizations were more often reported by men (53.4% vs. 35.9%), whereas women more often reported sexual traumatization (9.6% vs. 33.5%). Women reporting sexual traumatizations showed a significantly higher negative validation of their own body and significantly more psychological symptoms (BSI-GSI), whereas both men and women with sexual traumatizations reported significantly more somatoform complaints and more dissociative symptoms when compared with nonsexual or nontraumatized patients.
Conclusion: Victims of sexual trauma suffer from a more complex symptom pattern including a more negative perception of their own body compared with patients with nonsexual trauma or no trauma.

• 出版日期2010-6