Sam Houston State University , Huntsville, TX, USA.
J Child Sex Abus. 2020 Aug-Sep;29(6):659-676. doi: 10.1080/10538712.2020.1751368. Epub 2020 May 15.
Establishing trust is an important part of building the therapeutic relationships and achieving the goal of effective trauma treatment for individuals who have experienced childhood sexual abuse. The current study explored the associations between attachment style, therapeutic bond, distress, and interpersonal problems. This study investigated whether attachment style and therapeutic bond mediated the association between the level of early treatment emotional distress and later treatment interpersonal problems among two groups: clients reporting histories of childhood sexual abuse and clients not reporting histories of childhood sexual abuse. Research indicates that disruption of attachment security as well as the therapeutic relationship is common in survivors of childhood sexual abuse. We explored the mediating role of insecure attachment and the therapeutic bond on the predictive relationship between early treatment emotional distress and the interpersonal difficulties that one experiences in their daily life. For clients with histories of child sexual abuse, the model showed that anxious attachment and avoidant attachment mediated the associations between emotional distress and interpersonal relations. Therapeutic bond was not a significant mediator. For clients without histories of sexual abuse, results showed significant association between emotional distress and interpersonal relations, but insecure attachment or therapeutic bond did not mediate this relationship.
建立信任是建立治疗关系和实现对经历过儿童期性虐待的个体进行有效创伤治疗目标的重要组成部分。本研究探讨了依恋风格、治疗关系、痛苦和人际关系问题之间的关联。本研究调查了依恋风格和治疗关系是否在两组人群中调节了早期治疗情绪困扰与后期治疗人际问题之间的关联：报告有儿童期性虐待史的客户和未报告有儿童期性虐待史的客户。研究表明，依恋安全性和治疗关系的破坏在儿童期性虐待幸存者中很常见。我们探讨了不安全依恋和治疗关系在早期治疗情绪困扰和日常生活中经历的人际困难之间的预测关系中的中介作用。对于有儿童性虐待史的客户，该模型表明焦虑依恋和回避依恋调节了情绪困扰和人际关系之间的关联。治疗关系不是一个重要的中介因素。对于没有性虐待史的客户，结果显示情绪困扰和人际关系之间存在显著关联，但不安全依恋或治疗关系并没有调节这种关系。
