a École de psychologie , Université Laval.
b Département de sexologie , Université du Québec à Montréal.
J Sex Res. 2017 Oct;54(8):994-1005. doi: 10.1080/00224499.2017.1316816. Epub 2017 May 3.
Previous research has shown an association between child maltreatment (sexual abuse, physical abuse, neglect, or witnessing interparental violence) and adolescent sexual risk behaviors (SRBs). The mechanisms explaining this association are not well understood, but attachment theory could provide further insight into them. This study examined the relationships between child maltreatment and SRBs and investigated anxious and avoidant attachment as mediators. The sample comprised 1,900 sexually active adolescents (13 to 17 years old; 60.8% girls) attending Quebec high schools. The results of path analyses indicated that neglect was associated with a higher number of sexual partners, casual sexual behavior, and being younger at first intercourse. Anxious attachment mediated the relation between neglect and number of sexual partners, whereas avoidant attachment explained the relation between neglect and number of sexual partners, casual sexual behavior, and age at first intercourse (for boys only). Sexual abuse was directly associated with all three SRBs. Neither anxious attachment nor avoidant attachment mediated these associations. Youth with a history of neglect and sexual abuse represent a vulnerable population that is likely to engage in SRBs. Interventions designed to induce a positive change in attachment security may reduce SRBs among victims of neglect.
先前的研究表明,儿童虐待(性虐待、身体虐待、忽视或目睹父母间暴力)与青少年性行为风险行为(SRBs)之间存在关联。但造成这种关联的机制尚不清楚,而依恋理论可以为这些机制提供更深入的见解。本研究调查了儿童虐待与 SRBs 之间的关系,并探讨了焦虑和回避依恋作为中介因素的作用。样本包括来自魁北克高中的 1900 名有过性行为的青少年(13 至 17 岁;60.8%为女孩)。路径分析的结果表明,忽视与性伴侣数量较多、随意性行为以及初次性行为年龄较小有关。焦虑依恋中介了忽视与性伴侣数量之间的关系,而回避依恋则解释了忽视与性伴侣数量、随意性行为和初次性行为年龄(仅适用于男孩)之间的关系。性虐待与所有三种 SRBs 都有直接关联。焦虑依恋和回避依恋都没有中介这些关联。有忽视和性虐待史的青少年是一个弱势群体,他们很可能会参与性行为风险行为。旨在促进依恋安全性积极变化的干预措施可能会减少忽视受害者的性行为风险行为。