title: The relationship between childhood sexual abuse, complex post-traumatic stress disorder and alexithymia in two outpatient samples: examination of women treated in community and institutional clinics.
abstract: Relationships between trauma variables, complex post-traumatic stress disorder (complex PTSD), affect dysregulation, dissociation, somatization, and alexithymia were studied in 70 women with early-onset sexual abuse treated in community-based private (n = 25) or clinic outpatient settings (n = 45). Measures were the Toronto Alexithymia Scale-20 and the Psychological Trauma Assessment Program. Compared with the community sample, the clinic sample (1) met diagnostic criteria for both lifetime and current complex PTSD; (2) showed correlations between current affect dysregulation, dissociation, and somatization with alexithymia; and (3) higher levels of alexithymia. Results suggest the clinic sample continued to experience current forms of suffering, risk, and vulnerability associated with early-onset sexual trauma. The findings may have implications regarding types of treatment available in community versus clinic settings.
authors.affiliation: Princess Margaret Hospital, Psychosocial Oncology & Palliative Care, Room 16-755, 610 University Ave, Toronto, ON, Canada. linda.mclean@uhn.on.ca
authors.forename: Linda M
authors.initials: LM
authors.lastname: McLean
authors.forename: Brenda
authors.initials: B
authors.lastname: Toner
authors.forename: Jennifer
authors.initials: J
authors.lastname: Jackson
authors.forename: Mary
authors.initials: M
authors.lastname: Desrocher
authors.forename: Noreen
authors.initials: N
authors.lastname: Stuckless
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000706:statistics & numerical data; D003156:Community Mental Health Services; D015897:Comorbidity; D005260:Female; D006801:Humans; D008016:Life Change Events; D010045:Outpatients / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D017741:Survivors / Q000523:psychology*; D016387:Women's Health