Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL 60612, USA.
Behav Ther. 2013 Mar;44(1):152-61. doi: 10.1016/j.beth.2012.09.003. Epub 2012 Sep 28.
We examined how difficulties with emotion regulation, social support, and interpersonal violence in adult relationships mediated the relationship between childhood abuse and post traumatic symptoms (PTS) in adults. We fit a multiple mediation model to data from 139 socio-economically disadvantaged women (85% African American) of whom 44% endorsed moderate to severe levels of childhood physical, sexual, or emotional abuse and 12% screened positive for probable posttraumatic stress disorder (PTSD). The model accounted for 63% of the variance in adult PTS symptoms. Child abuse exerted a direct effect on PTS symptoms and indirect effects through difficulties with emotion regulation, lower social support, and greater exposure to adult interpersonal violence. Implications of findings for the treatment of individuals at high risk of having experienced childhood abuse and PTS are discussed.
我们研究了成人期情绪调节困难、社会支持和人际关系暴力如何在童年期虐待与成人创伤后应激症状（PTS）之间起中介作用。我们根据 139 名社会经济地位低下的女性（85%为非裔美国人）的数据拟合了一个多重中介模型，其中 44%的人报告有中度到重度的儿童期身体、性或情感虐待，12%的人筛查出可能患有创伤后应激障碍（PTSD）。该模型解释了成人 PTS 症状 63%的方差。儿童虐待对 PTS 症状有直接影响，也通过情绪调节困难、社会支持降低和成人人际暴力暴露增加产生间接影响。讨论了这些发现对治疗有经历过童年期虐待和 PTS 高风险的个体的意义。
