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早期适应不良图式在受虐成年女性心理症状表现中的作用。

The Role of Early Maladaptive Schemas in the Appearance of Psychological Symptomatology in Adult Women Victims of Child Abuse.

作者信息

Estévez Ana, Jauregui Paula, Ozerinjauregi Nagore, Herrero-Fernández David

机构信息

a Department of Personality, Evaluation and Psychological Treatment , Universidad de Deusto , Bilbao , Spain.

b School of Teaching, Department of Developmental and Educational Psychology , University of the Basque Country (UPV) , Leioa , Spain.

出版信息

J Child Sex Abus. 2017 Nov-Dec;26(8):889-909. doi: 10.1080/10538712.2017.1365318. Epub 2017 Oct 3.

DOI:10.1080/10538712.2017.1365318
PMID:28972452
Abstract

Child abuse affects people's ways of thinking, feeling, and observing the world, resulting in dysfunctional beliefs and maladaptive schemas. Thus, consequences of child abuse may persist during adulthood. Therefore, the aim of this study was to analyze the psychological consequences (anxiety, phobic anxiety, depression, and hopelessness) of different types of maltreatment (physical, sexual, and emotional abuse and physical and emotional neglect) and to study the role of early maladaptive schemas in the onset of symptomatology in adult female victims of child abuse. The sample consisted of 75 women referred by associations for treatment of abuse and maltreatment in childhood. Sexual abuse was the type of maltreatment that was most strongly related to most dysfunctional symptomatology, followed by emotional abuse and physical abuse, whereas physical neglect was the least related. Also, early maladaptive schemas were found to correlate with child abuse and dysfunctional symptomatology. Finally, early maladaptive schemas mediated the relationship between sexual abuse and dysfunctional symptomatology when the effect of other types of abuse was controlled. These results may provide important guidance for clinical intervention.

摘要

儿童虐待会影响人们思考、感受和观察世界的方式,导致功能失调的信念和适应不良的模式。因此,儿童虐待的后果可能在成年期持续存在。所以,本研究的目的是分析不同类型虐待(身体虐待、性虐待、情感虐待以及身体忽视和情感忽视)的心理后果(焦虑、恐惧性焦虑、抑郁和绝望),并研究早期适应不良模式在儿童虐待成年女性受害者症状发作中的作用。样本包括75名由相关协会转介来治疗童年期虐待和不当对待问题的女性。性虐待是与大多数功能失调症状关联最紧密的虐待类型,其次是情感虐待和身体虐待,而身体忽视的关联最小。此外,研究发现早期适应不良模式与儿童虐待及功能失调症状相关。最后,在控制其他类型虐待影响的情况下,早期适应不良模式介导了性虐待与功能失调症状之间的关系。这些结果可能为临床干预提供重要指导。

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Clin Psychol Psychother. 2025 Jul-Aug;32(4):e70114. doi: 10.1002/cpp.70114.
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The long-term impact of early adverse experience on adaptive functioning: a pilot study integrating measures of mental status, nonverbal communication, and heart rate variability.早期不良经历对适应功能的长期影响:一项整合心理状态、非言语交流和心率变异性测量的初步研究。
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