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创伤后应激障碍症状与性虐待儿童中同伴受害之间关系中抑郁和敌对归因的相互作用。

The Interplay of Depression and Hostile Attributions in the Link Between PTSD Symptoms and Peer Victimization in Child Victims of Sexual Abuse.

机构信息

Canada Research Chair in Interpersonal Traumas and Resilience, Department of Sexology, Université du Québec à Montréal, C.P. 8888 Succursale Centre-Ville, Montreal, Quebec, H3C 3P8, Canada.

Department of Psychology, Université du Québec à Montréal, Montreal, Quebec, Canada.

出版信息

Child Psychiatry Hum Dev. 2021 Apr;52(2):291-300. doi: 10.1007/s10578-020-01011-7.

DOI:10.1007/s10578-020-01011-7
PMID:32504220
Abstract

This study sought to test a serial mediation model in which depressive symptoms and hostile attributions mediate the relationship between post-traumatic stress symptoms and peer victimization in a sample of child victims of sexual abuse. Participants included 771 children aged 6 to 12 years old, consulting specialized intervention settings following disclosure of sexual abuse. Children completed questionnaires assessing their levels of post-traumatic stress symptoms, depressive symptoms and experiences of peer victimization in the school context. Vignettes were used to assess hostile attributions for instrumental and relational provocations. Results of the path analysis revealed that post-traumatic stress symptoms were associated with depressive symptoms, which were linked to greater hostile attributions for relational provocations, which were in turn associated to a greater likelihood of reporting peer victimization. Hostile attributions for instrumental provocations were not related to peer victimization.

摘要

本研究旨在测试一个序列中介模型,即抑郁症状和敌对归因在创伤后应激症状和性虐待儿童受害者的同伴侵害之间的关系中起中介作用。参与者包括 771 名 6 至 12 岁的儿童,他们在性虐待披露后咨询专门的干预场所。儿童完成了评估他们创伤后应激症状、抑郁症状和在学校环境中遭受同伴侵害经历水平的问卷。采用情景模拟来评估对工具性和关系性挑衅的敌对归因。路径分析的结果表明,创伤后应激症状与抑郁症状相关,抑郁症状与对关系性挑衅的更大敌对归因相关,而后者又与报告同伴侵害的可能性更大相关。对工具性挑衅的敌对归因与同伴侵害无关。

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本文引用的文献

1
The Relevance of Cognitive Behavioral Models of Post-Traumatic Stress Following Child Maltreatment: A Systematic Review.儿童虐待后创伤后应激障碍的认知行为模型的相关性:系统评价。
Trauma Violence Abuse. 2021 Jan;22(1):191-206. doi: 10.1177/1524838019827894. Epub 2019 Mar 25.
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Reenacting Past Abuse - Identification with the Aggressor and Sexual Revictimization.重演过去的虐待——认同施虐者与性再受虐。
J Trauma Dissociation. 2019 Jul-Sep;20(4):378-391. doi: 10.1080/15299732.2019.1572046. Epub 2019 Feb 8.
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Depression: A cognitive perspective.
抑郁:认知视角。
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Emotion regulation is associated with PTSD and depression among female adolescent survivors of childhood sexual abuse.情绪调节与童年期性虐待女性青少年幸存者的 PTSD 和抑郁有关。
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Posttraumatic symptom profiles among adult survivors of childhood sexual abuse: A longitudinal study.创伤后症状在儿童期性虐待成年幸存者中的表现:一项纵向研究。
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Psychological Distress and Revictimization Risk in Youth Victims of Sexual Abuse.性虐待青年受害者的心理困扰和再次受害风险。
J Interpers Violence. 2019 May;34(9):1930-1960. doi: 10.1177/0886260516658755. Epub 2016 Jul 7.
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The association between peer victimization, PTSD, and dissociation in child victims of sexual abuse.遭受性虐待儿童中的同伴欺凌、创伤后应激障碍与分离之间的关联。
J Affect Disord. 2016 Mar 15;193:227-32. doi: 10.1016/j.jad.2015.12.080. Epub 2016 Jan 6.
9
Mental Health Pathways Linking Childhood Maltreatment to Interpersonal Revictimization During Adolescence for Girls in the Child Welfare System.儿童福利系统中的女孩,从儿童期虐待到青春期人际再受虐的心理健康途径。
J Interpers Violence. 2018 Apr;33(7):1169-1191. doi: 10.1177/0886260515614561. Epub 2015 Nov 29.
10
Participant roles of bullying in adolescence: Status characteristics, social behavior, and assignment criteria.青少年时期欺凌行为中的参与者角色:地位特征、社会行为及分配标准。
Aggress Behav. 2016 May-Jun;42(3):239-53. doi: 10.1002/ab.21614. Epub 2015 Sep 9.