Zheng Sally, Stewart Jeremy G, Bagby R Michael, Harkness Kate L
Department of Psychology, Ryerson University, Toronto, Ontario, Canada.
Department of Psychology, Queen's University, Kingston, Ontario, Canada.
Clin Psychol Psychother. 2022 May;29(3):1020-1033. doi: 10.1002/cpp.2681. Epub 2021 Nov 11.
The current study provided a novel investigation of relations among particular types of childhood maltreatment (emotional vs. physical vs. sexual maltreatment), specific cognitive schema themes and the generation of dependent versus independent life events. Participants included 227 adolescents and emerging adults (74% female; aged 12-29) in a current episode of a unipolar depressive disorder drawn from three archival cross-sectional studies. Childhood maltreatment and life events from the past 6 months were assessed using detailed contextual interviews with independent, standardized ratings. Emotional maltreatment was uniquely associated with schema themes of emotional deprivation and subjugation, and sexual maltreatment was uniquely associated with schema themes of abandonment, vulnerability and dependence/incompetence. Further, subjugation and abandonment cross-sectionally mediated the relations of emotional and sexual maltreatment, respectively, to greater dependent, but not independent, life events. Physical maltreatment was not associated with cognitive schemas or recent life events after accounting for its overlap with emotional and sexual maltreatment. Results suggest targets for cognitive intervention that may improve outcomes for youth with specific histories of emotional and sexual maltreatment.
本研究对特定类型的童年虐待（情感虐待与身体虐待与性虐待）、特定认知模式主题以及依赖型与独立型生活事件的产生之间的关系进行了新颖的调查。参与者包括来自三项档案横断面研究的227名青少年和新兴成年人（74%为女性；年龄在12 - 29岁之间），他们正处于单相抑郁症发作期。通过与独立的标准化评分进行详细的情境访谈，评估了童年虐待和过去6个月的生活事件。情感虐待与情感剥夺和征服的模式主题独特相关，性虐待与遗弃、脆弱性以及依赖/无能力的模式主题独特相关。此外，征服和遗弃分别在横断面中介导了情感虐待和性虐待与更多依赖型而非独立型生活事件之间的关系。在考虑了身体虐待与情感虐待和性虐待的重叠后，身体虐待与认知模式或近期生活事件无关。结果表明了认知干预的目标，这可能改善有情感和性虐待特定经历的青少年的预后。
