儿童期身体虐待和青年期身体约会暴力：不良心理健康的中介作用。
Childhood physical abuse and physical dating violence in young adulthood: The mediating role of adverse mental health.
机构信息
Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas.
Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.
出版信息
J Clin Psychol. 2019 Oct;75(10):1916-1929. doi: 10.1002/jclp.22827. Epub 2019 Jul 4.
OBJECTIVE
The purpose of this study was to examine whether adverse mental health (i.e., symptoms of anxiety, posttraumatic stress disorder, and depression) mediated the relation between childhood physical abuse (CPA) and physical dating violence (DV) victimization/perpetration in young adulthood.
METHOD
We used four waves of data from an ongoing longitudinal study. The sample consisted of 864 adolescents including 282 Hispanic Americans, 248 European Americans, 240 African Americans, and 94 other, with a mean age of 17 years at Wave 3.
RESULTS
Structural equation modeling suggested that posttraumatic stress disorder symptoms mediated the link between CPA and both physical DV victimization (β = .06, 95% CI: 0.01, 0.11) and perpetration (β = .07, 95% CI: 0.02, 0.13). Anxiety and depressive symptoms, however, did not show significant indirect effects.
CONCLUSIONS
Findings highlight the importance of interventions targeting posttraumatic stress symptoms for adolescents who experienced CPA in preventing physical DV in young adulthood.
目的
本研究旨在探讨青少年时期的负面心理健康（即焦虑、创伤后应激障碍和抑郁症状）是否在童年期身体虐待（CPA）与成年早期身体约会暴力（DV）受害/施暴之间起中介作用。
方法
我们使用了一项正在进行的纵向研究的四波数据。样本包括 864 名青少年，其中包括 282 名西班牙裔美国人、248 名欧洲裔美国人、240 名非裔美国人，以及 94 名其他种族，平均年龄为 17 岁，在第 3 波时。
结果
结构方程模型表明，创伤后应激障碍症状中介了 CPA 与身体 DV 受害（β=0.06，95%置信区间：0.01，0.11）和施暴（β=0.07，95%置信区间：0.02，0.13）之间的联系。然而，焦虑和抑郁症状并没有显示出显著的间接影响。
结论
研究结果强调了针对经历过 CPA 的青少年的创伤后应激症状干预的重要性，以预防成年早期的身体 DV。
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