Finzi-Dottan Ricky, Karu Toby
Geha Mental Health Center, Petah Tiqva, Israel.
J Nerv Ment Dis. 2006 Aug;194(8):616-21. doi: 10.1097/01.nmd.0000230654.49933.23.
The present study examined the course traveled from childhood emotional abuse to adulthood psychopathology. One hundred ninety-six undergraduate students age 20 to 45 (M = 27; SD = 8.17), answered self-report questionnaires assessing emotional abuse in childhood (Childhood Trauma Questionnaire), parental attitudes (Parental Bonding Instrument), psychopathological symptomatology (Brief Symptom Inventory), self-esteem (Rosenberg Self-Esteem Scale), and defense mechanism organization (Defense Style Questionnaire). Results indicated that reported psychopathological symptomatology highly exceeded the Israeli norm. Structure Equation Modeling provided a statistically significant explanation (52%) of the target variable of psychopathological symptomatology. According to the path model, emotional abuse in childhood and perceptions of controlling and noncaring parents had an indirect effect on the psychopathology. This was mediated by immature defenses and low self-esteem. We conclude that the manifest psychopathology among adults who suffered emotional abuse in childhood is produced by the detrimental effect of abuse on personality, and takes the form of immature defense organization and damaged self-representation.
本研究考察了从童年期情感虐待到成年期精神病理学的发展历程。196名年龄在20至45岁之间的本科生（M = 27；SD = 8.17）回答了自我报告问卷，这些问卷评估了童年期的情感虐待（儿童创伤问卷）、父母态度（父母教养方式问卷）、精神病理症状（简明症状量表）、自尊（罗森伯格自尊量表）和防御机制组织（防御方式问卷）。结果表明，报告的精神病理症状显著超过以色列的标准。结构方程模型对精神病理症状这一目标变量提供了具有统计学意义的解释（52%）。根据路径模型，童年期情感虐待以及对控制欲强和冷漠父母的认知对精神病理学有间接影响。这是由不成熟的防御机制和低自尊介导的。我们得出结论，童年期遭受情感虐待的成年人中明显的精神病理学是由虐待对人格的有害影响产生的，并且表现为不成熟的防御组织和受损的自我表征形式。
