Northern Illinois University, DeKalb, IL 60115, USA.
J Interpers Violence. 2012 Jul;27(10):2039-61. doi: 10.1177/0886260511431440. Epub 2012 Feb 10.
It is well documented that most trauma survivors recover from adversity and only a number of them go on to develop posttraumatic stress disorder (PTSD). In addition, survivors of interpersonal trauma (IPT) appear to be at heightened risk for developing PTSD in comparison to survivors of noninterpersonal trauma (NIPT). Despite a robust association between IPT exposure and attachment disruptions, there is a dearth of research examining the role of attachment-related processes implicated in predicting PTSD. Using a sample of college undergraduates exposed to IPT and NIPT, this study explores the mediating effect of self-worth in the relationship between attachment and PTSD. It is hypothesized that insecure attachment will be related to posttraumatic symptomatology via a reduced sense of self-worth in IPT survivors but not in NIPT survivors. Mediation analyses provide support for this hypothesis, suggesting the importance of considering negative cognitions about the self in therapeutic interventions, particularly those offered to IPT survivors.
有大量文献记录表明，大多数创伤幸存者能够从逆境中恢复，只有少数人会发展为创伤后应激障碍（PTSD）。此外，与非人际创伤（NIPT）幸存者相比，人际创伤（IPT）幸存者似乎面临更高的 PTSD 发病风险。尽管 IPT 暴露与依恋障碍之间存在很强的关联，但很少有研究探讨依恋相关过程在预测 PTSD 中的作用。本研究使用了一组经历过 IPT 和 NIPT 的大学生样本，探讨了自我价值感在依恋与 PTSD 之间关系中的中介作用。研究假设，不安全的依恋会通过 IPT 幸存者自我价值感的降低与创伤后症状相关，而在 NIPT 幸存者中则不会。中介分析为这一假设提供了支持，表明在治疗干预中，特别是对 IPT 幸存者，考虑关于自我的消极认知的重要性。
