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被困在时间里:时间视角解释了童年期受虐后的创伤后应激障碍症状严重程度。

Trapped in time: Time perspective explains PTSD symptom severity following childhood abuse.

作者信息

Keidar Anastasia, Gafter Lee, Lahav Yael

机构信息

Department of Occupational Therapy, School of Health Professions, Faculty of Medical and Health Sciences, Tel Aviv University, Israel.

Faculty of Architecture and Town Planning, Technion-Israel Institute of Technology, Haifa, Israel; The Interuniversity Institute for Marine Sciences, Eilat, Israel.

出版信息

Child Abuse Negl. 2025 Jun;164:107450. doi: 10.1016/j.chiabu.2025.107450. Epub 2025 Apr 18.

Abstract

BACKGROUND

Childhood abuse (CA) has profound impact on mental health, with survivors often exhibiting heightened vulnerability to posttraumatic stress disorder (PTSD). Time perspective-a psychological construct reflecting attitudes towards the past, present, and future-has emerged as a potential explanatory factor for PTSD symptoms; however, its role among CA survivors remains underexplored.

OBJECTIVE

This study investigated time perspective following CA and its contribution to explaining PTSD symptom clusters, beyond known risk factors such as age, polyvictimization, the role of the perpetrator in survivors' lives, and abuse severity.

PARTICIPANTS AND SETTING

The study included 977 Israeli women aged 18-70 years (M = 33.40, SD = 9.54), 80 % of whom reported a history of CA. Data were collected via an online survey.

METHODS

Participants completed measures assessing CA, time perspective, and PTSD symptoms. Non-parametric tests, correlation analyses, and regression models were utilized to explore the study's hypotheses.

RESULTS

CA survivors exhibited lower past-positive and future perspectives, higher past-negative and present-fatalistic perspectives, and greater deviations from balanced time perspective (all ps < .001, ε range = 0.02-0.29). Additionally, CA survivors exhibited a higher present-hedonistic perspective (p < .05, ε = 0.01). Time perspectives explained PTSD symptoms beyond the effects of age, polyvictimization, the role of the perpetrator in survivors' lives, and abuse severity, with varying effects across symptom clusters.

CONCLUSIONS

The findings underscore the impact of CA on time perspective and its contribution to PTSD symptomatology. Addressing maladaptive time perspectives through tailored interventions may enhance treatment outcomes for CA survivors.

摘要

背景

童年期虐待(CA)对心理健康有深远影响,幸存者往往表现出对创伤后应激障碍(PTSD)的易感性增强。时间观——一种反映对过去、现在和未来态度的心理结构——已成为PTSD症状的一个潜在解释因素;然而,其在CA幸存者中的作用仍未得到充分研究。

目的

本研究调查了CA后的时间观及其在解释PTSD症状群方面的作用,超出了年龄、多重受害、加害者在幸存者生活中的角色以及虐待严重程度等已知风险因素的影响。

参与者和背景

该研究纳入了977名年龄在18 - 70岁之间的以色列女性(M = 33.40,SD = 9.54),其中80%报告有CA史。数据通过在线调查收集。

方法

参与者完成了评估CA、时间观和PTSD症状的测量。采用非参数检验、相关分析和回归模型来探讨研究假设。

结果

CA幸存者表现出较低的过去积极和未来时间观、较高的过去消极和当前宿命论时间观,以及与平衡时间观的更大偏差(所有p <.001,效应量范围 = 0.02 - 0.29)。此外,CA幸存者表现出较高的当前享乐主义时间观(p <.05,效应量 = 0.01)。时间观在解释PTSD症状时超出了年龄、多重受害、加害者在幸存者生活中的角色以及虐待严重程度的影响,且对不同症状群的影响各异。

结论

研究结果强调了CA对时间观的影响及其对PTSD症状学的作用。通过量身定制的干预措施来解决适应不良的时间观可能会提高CA幸存者的治疗效果。

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