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

Sack, Martin and Boroske-Leiner, Katja and Lahmann, Claas (2010) Association of nonsexual and sexual traumatizations with body image and psychosomatic symptoms in psychosomatic outpatients. GENERAL HOSPITAL PSYCHIATRY, 32 (3). pp. 315-320. ISSN 0163-8343,

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Abstract

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. (C) 2010 Elsevier Inc. All rights reserved.

Item Type: Article
Uncontrolled Keywords: ABUSE; SCALE; DISSOCIATION; DISORDERS; TRAUMA; ADULTS; PTSD; Childhood sexual trauma; Personal identity; Body image; Somatization disorder
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Psychosomatische Medizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 03 Aug 2020 05:39
Last Modified: 03 Aug 2020 05:39
URI: https://pred.uni-regensburg.de/id/eprint/24765

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