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当团结变成伤害:(文化内)信任、文化背叛、性创伤与 PTSD 在向成年期过渡的文化多元少数族裔青年中

When solidarity hurts: (Intra)cultural trust, cultural betrayal sexual trauma, and PTSD in culturally diverse minoritized youth transitioning to adulthood.

机构信息

2954Wayne State University.

Center for Institutional Courage.

出版信息

Transcult Psychiatry. 2022 Jun;59(3):292-301. doi: 10.1177/13634615211062970. Epub 2021 Dec 16.

DOI:10.1177/13634615211062970
PMID:34913370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9149028/
Abstract

Sexual trauma is associated with PTSD, with perpetrators putting women and girls more at risk than men and boys. Young adulthood is a time where risk of victimization and susceptibility to mental health problems increase. Certain contributors of costly trauma outcomes may be affected by the larger context of societal inequality. Cultural betrayal trauma theory (CBTT) highlights cultural betrayal in within-group trauma in minoritized populations as a dimension of harm that affects outcomes. In CBTT, within-group trauma violates the (intra)cultural trust-solidarity, love, loyalty, connection, responsibility-that is developed between group members to buffer against societal inequality. This violation, termed a cultural betrayal, can contribute to poorer mental health. The purpose of the current study is to address a gap in the CBTT literature by examining the role of (intra)cultural trust on the association between cultural betrayal sexual trauma and symptoms of PTSD among diverse minoritized youth transitioning to adulthood. Participants ( = 173) were diverse minoritized college students, who completed a 30-min online questionnaire at a location of their own choosing. Participants received course credit and could decline to answer any question without penalty. The results reveal that the interaction between cultural betrayal sexual trauma and (intra)cultural trust predicted clinically significant symptoms of PTSD. These findings have implications for increased cultural and contextual specificity in trauma research in minoritized populations, which can aid in the development and implementation of culturally competent interventions for diverse minoritized youth survivors of sexual trauma.

摘要

性创伤与创伤后应激障碍有关,施害者使女性和女孩比男性和男孩面临更大的风险。青年期是受害风险和心理健康问题易感性增加的时期。造成创伤后果代价高昂的某些因素可能受到社会不平等的更大背景的影响。文化背叛创伤理论(CBTT)强调少数群体中群体内创伤中的文化背叛是一种伤害维度,会影响结果。在 CBTT 中,群体内创伤违反了(内)文化信任-团结、爱、忠诚、联系、责任,这些是群体成员之间为缓冲社会不平等而建立的。这种违反被称为文化背叛,会导致更差的心理健康。本研究的目的是通过检查(内)文化信任在文化背叛性创伤与不同少数族裔青年向成年期过渡时 PTSD 症状之间的关联中的作用,来填补 CBTT 文献中的空白。参与者(n=173)为不同少数族裔的大学生,他们在自己选择的地点完成了 30 分钟的在线问卷调查。参与者获得课程学分,并且可以拒绝回答任何问题而不受惩罚。结果表明,文化背叛性创伤与(内)文化信任之间的相互作用预测了 PTSD 的临床显著症状。这些发现对少数群体创伤研究中增加文化和背景特异性具有意义,这有助于为不同少数族裔性创伤幸存者开发和实施文化上合适的干预措施。

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本文引用的文献

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Trainee Perspectives on Relational Cultural Therapy and Cultural Competency in Supervision of Trauma Cases.实习生对创伤案例督导中的关系文化疗法和文化能力的看法。
J Psychother Integr. 2020 Mar;30(1):60-66. doi: 10.1037/int0000154.
2
Gendered Sexual Violence: Betrayal Trauma, Dissociation, and PTSD in Diverse College Students.性别化的性暴力:不同大学生群体中的背叛创伤、解离与创伤后应激障碍
J Aggress Maltreat Trauma. 2021;30(5):625-640. doi: 10.1080/10926771.2020.1783737. Epub 2020 Aug 4.
3
Cultural Betrayal as a Dimension of Traumatic Harm: Violence and PTSS among Ethnic Minority Emerging Adults.文化背叛作为创伤性伤害的一个维度:少数民族青少年中的暴力与创伤后应激障碍症状
J Child Adolesc Trauma. 2020 Jun 22;14(3):347-356. doi: 10.1007/s40653-020-00314-0. eCollection 2021 Sep.
4
Group dynamics as a predictor of dissociation for Black victims of violence: An exploratory study of cultural betrayal trauma theory.群体动力学对暴力行为中黑人受害者的解离的预测:文化背叛创伤理论的探索性研究。
Transcult Psychiatry. 2019 Oct;56(5):878-894. doi: 10.1177/1363461519847300. Epub 2019 May 2.
5
Isn't It All About Victimization? (Intra)cultural Pressure and Cutural Betrayal Trauma in Ethnic Minority College Women.这一切不都是关于受害经历吗?少数族裔女大学生面临的(内部)文化压力与文化背叛创伤
Violence Against Women. 2019 Aug;25(10):1211-1225. doi: 10.1177/1077801218811682. Epub 2018 Nov 30.
6
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Am J Orthopsychiatry. 2019;89(2):237-247. doi: 10.1037/ort0000367. Epub 2018 Nov 8.
7
Does Gender Matter? An Exploratory Study of Cultural Betrayal Trauma and Hallucinations in Latino Undergraduates at a Predominantly White University.性别重要吗?一项对一所白人为主大学的拉丁裔本科生中文化背叛创伤和幻觉的探索性研究。
J Interpers Violence. 2021 Feb;36(3-4):NP1375-1390NP. doi: 10.1177/0886260517746942. Epub 2017 Dec 12.
8
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J Immigr Minor Health. 2018 Dec;20(6):1458-1467. doi: 10.1007/s10903-017-0687-0.
9
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