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儿童期虐待经历、依恋、性犯罪:检验一种理论。

Childhood Maltreatment Experiences, Attachment, Sexual Offending: Testing a Theory.

机构信息

The Catholic University of American, Washington, DC, USA.

Colorado State University, Fort Collins, USA.

出版信息

J Interpers Violence. 2021 Jun;36(11-12):NP6183-NP6217. doi: 10.1177/0886260518814262. Epub 2018 Nov 25.

Abstract

The aim of this study was to empirically examine the theoretical model proposed by Grady, Levenson, and Bolder used to explain the relationships between experiencing trauma, attachment styles, and risk factors associated with sexual offending. The specific risk factors tested were emotional, behavioral, and cognitive regulation deficits. The research questions were as follows: (1) What specific childhood traumatic experiences (physical and sexual abuse and/or other domestic trauma events) are associated with anxious-ambivalent and anxious-avoidant attachments? (2) Are anxious-ambivalent and anxious-avoidant attachment styles differentially linked to dysregulation outcomes (emotional, behavioral and cognitive shift, and inhibitions)? (3) Do insecure attachment styles explain why childhood trauma is associated with dysregulation? and (4) Do these early life experiences contribute to sexual offending behavior? The sample included 200 male youth adjudicated for either a sexual or nonsexual crime and living in the community or a residential facility. The average age of the youth was 17.17 years ( = 1.81 years). Structural equation modeling was used to determine the direct and indirect relationships between abuse and traumatic experiences, anxious-avoidant and ambivalent-anxious attachment styles, and regulation deficits. Authors found a direct relationship between physical abuse and both of the attachment styles, separately. Both anxious-ambivalent and anxious-avoidant attachment styles related similarly to regulation deficits. Separately, anxious-ambivalent and anxious-avoidant attachment styles served as mediators between physical abuse and regulation deficits. Sexual abuse predicted the later commission of sexual crimes with no influence from attachment style. Finally, domestic trauma independently predicted regulation deficits in the model that included anxious-ambivalent attachment but had no effect on deficits in the model that included anxious-avoidant attachment. Implications for treatment include the need to consider using attachment-based interventions and prevention strategies, and a trauma-informed approach when working with justice involved youth. Suggestions for future research are also discussed.

摘要

本研究旨在实证检验 Grady、Levenson 和 Bolder 提出的理论模型,该模型用于解释创伤经历、依恋风格和与性犯罪相关的风险因素之间的关系。测试的具体风险因素包括情绪、行为和认知调节缺陷。研究问题如下:(1) 哪些特定的儿童期创伤经历(身体和性虐待以及其他家庭创伤事件)与焦虑矛盾和焦虑回避依恋有关?(2) 焦虑矛盾和焦虑回避依恋风格是否与失调结果(情绪、行为和认知转变以及抑制)存在差异联系?(3) 不安全的依恋风格是否解释了为什么儿童期创伤与失调有关?(4) 这些早期生活经历是否导致性犯罪行为?样本包括 200 名因性犯罪或非性犯罪而被判定有罪的男性青年,他们居住在社区或住宿设施中。青年的平均年龄为 17.17 岁(=1.81 岁)。结构方程模型用于确定虐待和创伤经历、焦虑回避和焦虑矛盾依恋风格以及调节缺陷之间的直接和间接关系。作者发现身体虐待与这两种依恋风格之间存在直接关系。焦虑矛盾和焦虑回避依恋风格与调节缺陷的关系相似。单独来看,焦虑矛盾和焦虑回避依恋风格作为身体虐待与调节缺陷之间的中介。性虐待预测了后来的性犯罪行为的发生,而依恋风格没有影响。最后,家庭创伤独立预测了包括焦虑矛盾依恋的模型中的调节缺陷,但对包括焦虑回避依恋的模型中的缺陷没有影响。治疗的意义包括需要考虑使用依恋为基础的干预和预防策略,以及在与涉及司法的青年合作时采用创伤知情方法。还讨论了未来研究的建议。

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