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从生命周期角度看解离在再次受害中的作用:一项 32 年的前瞻性研究。

The role of dissociation in revictimization across the lifespan: A 32-year prospective study.

机构信息

The Hebrew University, The Paul Baerwald School of Social Work and Social Welfare, Mt. Scopus, Jerusalem 9190501, Israel.

The Hebrew University, The Paul Baerwald School of Social Work and Social Welfare, Mt. Scopus, Jerusalem 9190501, Israel.

出版信息

Child Abuse Negl. 2018 May;79:144-153. doi: 10.1016/j.chiabu.2018.02.001. Epub 2018 Feb 20.

Abstract

Exposure to childhood abuse puts women at risk for revictimization in adult intimate relationships, but knowledge about the mechanism by which it occurs is limited. The present study investigated whether dissociation mediates the effect of exposure to physical or sexual child abuse on intimate partner violence in adulthood. We tested this using prospective data collected from birth to age 32 from 80 female participants in the Minnesota Longitudinal Study of Risk and Adaptation. We found that women who experienced sexual or physical abuse during the first 17.5 years of life (n = 37) were more likely (r = 0.30, p < .01) to experience intimate partner violence in adulthood (ages 20-32). Furthermore, we found that dissociation partially mediated this effect. Specifically, exposure to childhood abuse predicted greater dissociation in late adolescence (age 19), which in turn predicted more intimate partner violence during early to mid-adulthood. The results of this study highlight the mediating role played by dissociation in the revictimization of women abused during childhood, and speak to the need to develop interventions designed to prevent intimate partner violence among abused girls or adult women with a history of abuse.

摘要

童年期虐待使女性在成年亲密关系中再次成为受害者的风险增加,但对其发生机制的了解有限。本研究调查了分离是否在身体或性虐待儿童对成年后亲密伴侣暴力的影响中起中介作用。我们使用明尼苏达州风险和适应纵向研究中 80 名女性参与者从出生到 32 岁期间收集的前瞻性数据对此进行了测试。我们发现,在生命的头 17.5 年经历过性虐待或身体虐待的女性(n=37)在成年期(20-32 岁)更有可能经历亲密伴侣暴力(r=0.30,p<.01)。此外,我们发现分离部分介导了这种效应。具体而言,童年期虐待经历预测了青少年晚期(19 岁)更大的分离,而这反过来又预测了成年早期到中期更多的亲密伴侣暴力。这项研究的结果强调了分离在童年期受虐待的女性再次受害中所起的中介作用,并说明了需要制定干预措施,以防止遭受虐待的女孩或有虐待史的成年女性遭受亲密伴侣暴力。

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