Department of Clinical Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Department of Clinical Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Child Abuse Negl. 2021 Oct;120:105208. doi: 10.1016/j.chiabu.2021.105208. Epub 2021 Jul 28.
BACKGROUND: Childhood maltreatment is relatively common and is related to a range of negative consequences, such as Posttraumatic Stress Disorder (PTSD). There are indications that various maltreatment types are related to PTSD severity, although not all types, such as emotional abuse, meet the PTSD Criterion-A. OBJECTIVE: The aim of the present study was to examine the relationship between 5 types of childhood maltreatment (i.e., sexual, physical, and emotional abuse, and physical and emotional neglect) and the severity of adult PTSD and PTSD symptoms. PARTICIPANTS AND SETTING: Adult participants (N = 147) with Childhood-related PTSD (Ch-PTSD) recruited from clinical sites completed the Childhood Trauma Questionnaire-short form (CTQ-sf) and 2 PTSD measures: The Clinician Administered PTSD Scale for DSM-5 (CAPS-5) and the PTSD Checklist for DSM-5 (PCL-5). METHODS: Childhood maltreatment predictors and 2 covariates, age and gender, were analysed in multivariate multilevel models as participants were nested within sites. A model selection procedure, in which all combinations of predictors were examined, was used to select a final set of predictors. RESULTS: The results indicated that emotional abuse was the only trauma type that was significantly related to severity of PTSD and to the severity of specific PTSD symptom clusters (r between 0.130 and 0.338). The final models explained between 6.5% and 16.7% of the variance in PTSD severity. CONCLUSIONS: The findings suggest that emotional abuse plays a more important role in Ch-PTSD than hitherto assumed, and that treatment should not neglect processing of childhood emotional abuse.
背景:儿童期虐待较为常见,与一系列负面后果相关,如创伤后应激障碍(PTSD)。有迹象表明,各种虐待类型与 PTSD 严重程度相关,尽管并非所有类型,如情感虐待,都符合 PTSD 的 Criterion-A。
目的:本研究旨在探讨 5 种儿童期虐待类型(即性虐待、身体虐待、情感虐待、身体忽视和情感忽视)与成人 PTSD 严重程度和 PTSD 症状的关系。
参与者和设置:来自临床场所的患有与儿童期相关 PTSD(Ch-PTSD)的成年参与者(N=147)完成了儿童期创伤问卷简表(CTQ-sf)和 2 项 PTSD 测量工具:DSM-5 临床医师管理 PTSD 量表(CAPS-5)和 DSM-5 PTSD 清单(PCL-5)。
方法:在多变量多层次模型中,对儿童期虐待预测因素和 2 个协变量(年龄和性别)进行分析,因为参与者嵌套在地点内。使用模型选择程序,检查所有预测因素的组合,选择最终的预测因素集。
结果:结果表明,情感虐待是唯一与 PTSD 严重程度和特定 PTSD 症状群严重程度显著相关的创伤类型(r 值在 0.130 至 0.338 之间)。最终模型解释了 PTSD 严重程度方差的 6.5%至 16.7%。
结论:这些发现表明,情感虐待在 Ch-PTSD 中扮演的角色比以往认为的更为重要,治疗不应忽视对儿童期情感虐待的处理。
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