Jouriles Ernest N, Sitton Melissa J, Rancher Caitlin, Johnson Jeanine, Reedy Madeline, Mahoney Annette, McDonald Renee
Department of Psychology, Southern Methodist University, P.O. Box 750442, Dallas, TX 75275-0442, USA.
Department of Psychology, Southern Methodist University, P.O. Box 750442, Dallas, TX 75275-0442, USA.
Child Abuse Negl. 2025 Feb;160:107214. doi: 10.1016/j.chiabu.2024.107214. Epub 2025 Jan 7.
Adolescents who have been sexually abused commonly experience trauma symptoms, and many spend considerable time waiting for treatment.
This study examines the extent to which adolescent perceptions of divine spiritual support, divine spiritual struggles, and self-blame collected during a screening assessment predict trauma symptoms at the beginning of treatment.
Participants were 224 adolescents (92.9 % female, Mean age = 13.46 years; 53.6 % identified as Hispanic/Latino/a and 24.1 % Black/African American). All obtained services at a Children's Advocacy Center in the southern United States.
Adolescents reported on trauma symptoms, divine spiritual support, divine spiritual struggles, and self-blame appraisals at a screening assessment (T1). Trauma symptoms were also reported a second time when beginning treatment (T2).
The mean level of trauma symptoms declined over time for the total sample, t(223) = 9.37, p < .001, d = 0.63. Greater divine spiritual struggles (β = 0.10, t[219] = 1.98, p = .049, sr = 0.02) and self-blame for the abuse (β = 0.11, t[219] = 2.03, p = .044, sr = 0.02) at the screening assessment were associated with higher levels of trauma symptoms at the beginning of treatment, controlling for sex, trauma symptoms and age at the screening assessment.
Assessing adolescents' divine spiritual struggles and self-blame for sexual abuse may be important in triage and treatment planning for youth who have experienced sexual abuse.
遭受性虐待的青少年通常会出现创伤症状，许多人要花费大量时间等待治疗。
本研究探讨在筛查评估中收集到的青少年对神圣精神支持、神圣精神挣扎和自责的认知在治疗开始时对创伤症状的预测程度。
参与者为224名青少年（92.9%为女性，平均年龄 = 13.46岁；53.6%为西班牙裔/拉丁裔，24.1%为黑人/非裔美国人）。所有人都在美国南部的一家儿童权益中心接受服务。
青少年在筛查评估（T1）时报告创伤症状、神圣精神支持、神圣精神挣扎和自责评估情况。在开始治疗时（T2）也再次报告了创伤症状。
总样本的创伤症状平均水平随时间下降，t(223) = 9.37，p <.001，d = 0.63。在筛查评估中，更大程度的神圣精神挣扎（β = 0.10，t[219] = 1.98，p =.049，sr = 0.02）和对虐待的自责（β = 0.11，t[219] = 2.03，p =.044，sr = 0.02）与治疗开始时更高水平的创伤症状相关，同时控制了筛查评估时的性别、创伤症状和年龄。
评估青少年对性虐待的神圣精神挣扎和自责对于经历过性虐待的青少年的分诊和治疗计划可能很重要。
