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童年期受暴力伤害的受害者的羞耻感预测再次受害:对挪威一般人群样本的前瞻性研究。

Shame predicts revictimization in victims of childhood violence: A prospective study of a general Norwegian population sample.

机构信息

Norwegian Centre for Violence and Traumatic Stress Studies.

出版信息

Psychol Trauma. 2019 Jan;11(1):43-50. doi: 10.1037/tra0000373. Epub 2018 May 10.

Abstract

OBJECTIVE

Victims of childhood violence often experience new victimization in adult life. However, risk factors for such revictimization are poorly understood. In this longitudinal study, we investigated whether violence-related shame and guilt were associated with revictimization.

METHOD

Young adults (age = 17-35) exposed to childhood violence (n = 505) were selected from a (Country) population study of 6,589 persons (Wave 1), and reinterviewed by telephone 12-18 months later (Wave 2). Wave 1 measures included shame, guilt, social support, posttraumatic stress, and binge drinking frequency, as well as childhood violence. Logistic regression was used to estimate associations between Wave 1 risk factors and Wave 2 revictimization (physical or sexual violence, or controlling partner behavior).

RESULTS

In total, 31.5% (n = 159) had been revictimized during the period between Wave 1 and 2. Of these, 12.9% (n = 65) had experienced sexual assault, 22% (n = 111) had experienced physical assault and 7.1% (n = 36) had experienced controlling behavior from partner. Both shame and guilt were associated with revictimization, and withstood adjustment for other potentially important risk factors. In mutually adjusted models, guilt was no longer significant, leaving shame and binge drinking frequency as the only factors uniquely associated with revictimization.

CONCLUSIONS

Violence-prevention aimed at victims of childhood violence should be a goal for practitioners and policymakers. This could be achieved by targeting shame, both on both on the individual level (clinical settings) and the societal level (changing the stigma of violence). (PsycINFO Database Record (c) 2018 APA, all rights reserved).

摘要

目的

童年期受暴者在成年后常遭受新的受害。然而,此类再受害的风险因素尚未明晰。在这项纵向研究中,我们调查了与暴力相关的羞耻感和内疚感是否与再受害相关。

方法

从一项(国家)6589 人的人群研究(第 1 波)中选择童年期受暴的青年成人(年龄=17-35 岁,n=505),并在 12-18 个月后通过电话进行再访谈(第 2 波)。第 1 波的测量包括羞耻感、内疚感、社会支持、创伤后应激和 binge drinking 频率,以及童年期暴力。使用 logistic 回归来估计第 1 波风险因素与第 2 波再受害(身体或性暴力,或控制伴侣行为)之间的关联。

结果

共有 31.5%(n=159)在第 1 波和第 2 波之间遭受再受害。其中,12.9%(n=65)遭受过性侵犯,22%(n=111)遭受过身体侵犯,7.1%(n=36)遭受过伴侣的控制行为。羞耻感和内疚感均与再受害相关,并经受了其他潜在重要风险因素的调整。在相互调整的模型中,内疚感不再显著,仅留下羞耻感和 binge drinking 频率作为与再受害唯一相关的因素。

结论

针对童年期受暴者的暴力预防应成为从业者和决策者的目标。这可以通过针对羞耻感来实现,包括在个体层面(临床环境)和社会层面(改变暴力耻辱感)。(APA,2018,所有权利保留)。

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