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Sleep disorders and posttraumatic stress in raped victims
Alteraciones del sueño y estrés postraumático en víctimas de asalto sexual
Palabras clave:
Excessive Somnolence Disorders, sleep disorders, stress disorders, post-traumatic, disorders of excessive somnolence, rape (en)Trastornos del Sueño, Trastornos por Estrés Postraumático, Trastornos por Excesiva Somnolencia, Rape (es)
Objective. To determine sleep disorders and posttraumatic stress symptoms in a group of raped female victims and to assess the causal influence by a survey of the association between exposed and unexposed groups and compare those events.
Material and Methods. A prospective analytic double-group study. Sample of raped women selected according to inclusion and exclusion criteria, which went to a Forensic Medicine Institute. A group of non-exposed women matched by age, gender, socioeconomic status, location, timing, and status was selected. We applied the Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale, and the Impact of Event Scale.
Results. Data distribution was not normal. Size, weight, and BMI were similar in both groups. We found statistically significant differences in the total score of the sleep quality variables, subjective quality, efficiency and sleep disturbances, awakening early in the morning, not breathing, coughing or snoring, feeling too cold, feeling too hot, nightmares, use of hypnotics, daytime dysfunction and posttraumatic stress symptoms.
Conclusions. The presence of sleep disorders and posttraumatic stress symptoms in victims of rape are significant compared with a matched group of non-raped women in Bogotá.
Objetivo. determinar alteraciones del sueño y síntomas por estrés postraumático en una cohorte de mujeres víctimas de asalto sexual y evaluar la influencia causal mediante la mensura de la asociación entre exposición y comparar eventos con un grupo de no expuestas.
Materiales y Métodos. estudio de doble cohorte prospectivo. Muestra de mujeres asaltadas sexualmente seleccionadas según criterios de inclusión y exclusión, que acudieron a valoraciones médico legales y una cohorte no expuesta pareada por edad, género, estrato socioeconómico, lugar, temporalidad y estado civil. Se aplicó el Índice de Calidad del Sueño de Pittsburg, la Escala de Somnolencia de Epworth y la Escala de Impacto de Eventos.
Resultados. La distribución de datos no fue normal. La talla, peso e IMC fueron similares en ambos grupos. Se hallaron diferencias estadísticamente significativas en las variables puntaje total calidad de sueño, calidad subjetiva, eficiencia y perturbaciones del sueño, despertar de madrugada, no respirar bien, toser o roncar, sentir frío, sentir calor, pesadillas, consumo de hipnóticos, disfunción diurna y síntomas por estrés postraumático.
Conclusiones. La presencia de alteraciones del sueño y síntomas por estrés postraumático en víctimas de asalto sexual son significativas en comparación con mujeres no asaltadas en Bogotá.
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Derechos de autor 2012 Revista de la Facultad de Medicina
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