This review examines posttraumatic stress disorder (PTSD) related to child maltreatment in adults, PTSD comorbidities, and complex PTSD, with a focus on emotion dysregulation. Adults maltreated as children report high rates of PTSD. Although all forms of child maltreatment are associated with increased PTSD risk, effects are stronger for child sexual and emotional abuse, abuse in the context of other adverse childhood experiences, and cumulative abuse. PTSD comorbidities that involve emotion dysregulation are examined, including substance use disorders, eating disorders, and borderline personality disorder. Emotion dysregulation appears to be a coalescent factor in the nexus of child maltreatment, PTSD, and other comorbidities. Treatment recommendations are made for adults with child maltreatment–related PTSD and comorbidities.

【摘要】该综述考察了成年期与童年期虐待相关的创伤后应激障碍（Posttraumatic Stress Disorder，简称PTSD），PTSD合并症和复杂型PTSD，其中重点关注情绪调节障碍。PTSD在遭受过童年期虐待的成人间发生率很高。所有形式的童年期虐待都会导致罹患PTSD的风险增加，但是儿童性侵、情绪虐待、在儿童不良经历中发生的虐待以及累积性虐待的影响更大。我们研究了涉及情绪失调的PTSD并发症，其中包括物质使用障碍、进食障碍和边缘性人格障碍。情绪失调似乎是关联童年期虐待、PTSD和其他合并症的联合因素。我们为患有童年期虐待相关PTSD及其合并症的成年人提出了治疗建议。