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早期适应不良图式与亲密伴侣对女性的暴力行为之间的关系:童年创伤的调节作用。

The Relationship Between Early Maladaptive Schemas and Intimate Partner Violence Against Women: The Moderating Effect of Childhood Trauma.

作者信息

Rahme Clara, Haddad Chadia, Akel Marwan, Khoury Chloe, Obeid Hala, Fekih-Romdhane Feten, Hallit Souheil, Obeid Sahar

机构信息

Business & Decision by Orange, Clinical Research, Paris, France.

Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.

出版信息

J Interpers Violence. 2025 Jan 10:8862605241311609. doi: 10.1177/08862605241311609.

Abstract

The study objectives were to test the hypothesis that childhood trauma moderates the associations between early maladaptive schemas (EMS) and intimate partner violence (IPV) among women in the specific Lebanese patriarchal context. This is a cross-sectional study that was conducted on Lebanese women between September and December 2018; 1,655 participants enrolled in this study were from all of Lebanon's governorates and were selected using an equitable representative sample. The "Disconnection and Rejection" EMS domain showed the strongest correlations with both physical and nonphysical IPV ( = .46 and  = .51, respectively) in our sample. Moderation analyses findings showed that at low, moderate, and high levels of childhood trauma, greater endorsement of the "Disconnection and Rejection" schema domain was strongly linked to more severe physical and nonphysical IPV. Furthermore, childhood trauma (only at high levels) emerged as a significant moderator in the link between the "Impaired autonomy and performance" domain and physical/nonphysical IPV. High levels of childhood trauma significantly moderated the association between "Other directedness" and nonphysical IPV. Finally, low levels of childhood trauma moderated the link between "Over-vigilance and Inhibition" and physical IPV. Given that EMS are known to be resistant to change, identifying childhood trauma as a moderator in the link between certain specific EMS and IPV can provide novel avenues for the prevention IPV and its long-lasting detrimental consequences. Childhood trauma can be regarded as a target for prevention and intervention, as it can assist in mitigating correlations between EMS and IPV occurrence.

摘要

本研究的目的是检验这样一个假设

在黎巴嫩特定的父权制背景下,童年创伤会调节女性早期适应不良图式(EMS)与亲密伴侣暴力(IPV)之间的关联。这是一项横断面研究,于2018年9月至12月对黎巴嫩女性进行;本研究招募的1655名参与者来自黎巴嫩所有省份,采用公平的代表性样本进行选取。在我们的样本中,“分离与拒绝”EMS领域与身体暴力和非身体暴力形式的IPV均呈现出最强的相关性(分别为r = 0.46和r = 0.51)。调节分析结果表明,在童年创伤程度低、中、高的情况下,对“分离与拒绝”图式领域的更高认同与更严重的身体暴力和非身体暴力形式的IPV密切相关。此外,童年创伤(仅在高水平时)在“自主性和表现受损”领域与身体/非身体暴力形式的IPV之间的联系中成为显著的调节因素。高水平的童年创伤显著调节了“他人导向”与非身体暴力形式的IPV之间的关联。最后,低水平的童年创伤调节了“过度警惕与抑制”与身体暴力形式的IPV之间的联系。鉴于已知EMS难以改变,将童年创伤确定为某些特定EMS与IPV之间联系的调节因素可为预防IPV及其长期有害后果提供新途径。童年创伤可被视为预防和干预的目标,因为它有助于减轻EMS与IPV发生之间的相关性。

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