童年期性虐待、污名化、内化症状以及性方面的困难和约会攻击行为的发展。
Childhood sexual abuse, stigmatization, internalizing symptoms, and the development of sexual difficulties and dating aggression.
作者信息
Feiring Candice, Simon Valerie A, Cleland Charles M
机构信息
Center for Youth Relationship Development, The College of New Jersey, P.O. Box 7718, Ewing, NJ 08628, USA.
出版信息
J Consult Clin Psychol. 2009 Feb;77(1):127-37. doi: 10.1037/a0013475.
Abstract
Potential pathways from childhood sexual abuse (CSA) to subsequent romantic intimacy problems were examined in a prospective longitudinal study of 160 ethnically diverse youth with confirmed CSA histories. Participants were interviewed at the time of abuse discovery, when they were 8-15 years of age, and again 1-6 years later. Stigmatization (abuse-specific shame and self-blame) and internalizing symptoms (posttraumatic stress and depressive symptoms), more than abuse severity, explained which youth with CSA histories experienced more sexual difficulties and dating aggression. Stigmatization was found to operate as a predictive mechanism for subsequent sexual difficulties. Internalizing symptoms were not predictive of romantic intimacy problems, although they did show correlational relations with sexual difficulties and dating aggression. Early interventions such as trauma-focused cognitive-behavioral therapy that target stigmatization may be important for preventing the development of sexual difficulties in CSA youth.
摘要
在一项针对160名有确凿童年性虐待（CSA）史的不同种族青少年的前瞻性纵向研究中，研究了从童年性虐待到随后浪漫亲密关系问题的潜在途径。在发现虐待行为时（当时他们8至15岁）以及1至6年后再次对参与者进行访谈。与虐待严重程度相比，污名化（特定于虐待的羞耻感和自责）和内化症状（创伤后应激和抑郁症状）更能解释哪些有CSA史的青少年经历了更多的性困难和约会攻击行为。研究发现，污名化是随后性困难的一种预测机制。内化症状虽然与性困难和约会攻击行为存在相关关系，但并不能预测浪漫亲密关系问题。针对污名化的早期干预措施，如以创伤为重点的认知行为疗法，对于预防CSA青少年性困难的发展可能很重要。
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