Ullman Sarah E
University of Illinois at Chicago.
Traumatology (Tallahass Fla). 2014 Sep;20(3):219-224. doi: 10.1037/h0099402.
This exploratory study examined how demographics, child sexual abuse (CSA), assault-related factors, and post-assault responses predict posttraumatic growth in a diverse sample (N = 1863) of female adult sexual assault victims. Multiple regression analysis showed that demographics (older age, ethnic minority race, less education) were all significantly related to greater posttraumatic growth, while CSA was unrelated to posttraumatic growth. Assault characteristics were weaker predictors of posttraumatic growth; whereas women's perception of life threat during the assault was related to greater posttraumatic growth. Post-assault factors including: greater levels of maladaptive coping, characterological self-blame, negative social reactions from others, and posttraumatic stress disorder (PTSD) symptoms were all related to less posttraumatic growth. Conversely, positive social reactions from others, perceived control over recovery, adaptive individual coping, and disrupted core beliefs were all related to greater posttraumatic growth. Clinicians should facilitate these modifiable social psychological factors when treating survivors.
这项探索性研究考察了人口统计学因素、儿童期性虐待(CSA)、与攻击相关的因素以及攻击后的反应如何预测成年女性性侵犯受害者的多元化样本(N = 1863)中的创伤后成长。多元回归分析表明,人口统计学因素(年龄较大、少数族裔、受教育程度较低)均与更大程度的创伤后成长显著相关,而儿童期性虐待与创伤后成长无关。攻击特征对创伤后成长的预测作用较弱;而女性在攻击过程中对生命威胁的感知与更大程度的创伤后成长相关。攻击后的因素包括:更高水平的适应不良应对、性格上的自我责备、他人的负面社会反应以及创伤后应激障碍(PTSD)症状,这些均与较少的创伤后成长相关。相反,他人的积极社会反应、对康复的感知控制、适应性个体应对以及核心信念的扰乱均与更大程度的创伤后成长相关。临床医生在治疗幸存者时应促进这些可改变的社会心理因素。