Griffing Sascha, Lewis Carla S, Jospitre Tania, Chu Melissa, Sage Robert, Primm Beny J, Madry Lorraine
Urban Resource Institute, Brooklyn, NY 11201, USA.
J Child Sex Abus. 2006;15(2):23-41. doi: 10.1300/J070v15n02_02.
Research suggests that the use of disengaged or avoidant strategies to cope with interpersonal violence contributes to the development of depressive symptoms and other psychological difficulties. Survivors of childhood sexual abuse (CSA) who are exposed to subsequent episodes of abuse may be more likely to rely on disengaged coping strategies, placing them at elevated risk of psychological symptomatology. In this study, we explored the interrelationships between coping, depression, and self-esteem in an ethnically diverse sample of domestic violence survivors (N = 219) with and without a history of CSA. As predicted, CSA survivors (n = 86) reported significantly greater use of disengaged coping strategies (wishful thinking, self-criticism, and social withdrawal) than non-CSA survivors (n = 133). As hypothesized, both a CSA history and the use of disengaged coping significantly predicted higher levels of depression and lower self- esteem. Clinical implications of the findings are discussed.
研究表明，使用脱离或回避策略来应对人际暴力会导致抑郁症状和其他心理问题的出现。童年期遭受性虐待（CSA）的幸存者若再次遭受虐待，可能更倾向于依赖脱离应对策略，从而使其出现心理症状的风险升高。在本研究中，我们探讨了有或没有CSA病史的不同种族家庭暴力幸存者样本（N = 219）中应对方式、抑郁和自尊之间的相互关系。正如预期的那样，CSA幸存者（n = 86）报告称，与非CSA幸存者（n = 133）相比，他们显著更多地使用脱离应对策略（一厢情愿的想法、自我批评和社交退缩）。正如假设的那样，CSA病史和脱离应对方式的使用均显著预测了更高水平的抑郁和更低的自尊。文中讨论了这些发现的临床意义。
