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儿童虐待、创伤后应激障碍症状与创伤后成长之间的关系:不安全依恋的中介作用。

The Relationship Between Child Maltreatment, Posttraumatic Stress Disorder Symptoms, and Posttraumatic Growth: Mediating Role of Insecure Attachment.

作者信息

Özdemir Münevver, Yazici Hikmet

机构信息

Trabzon University, Turkey.

出版信息

J Interpers Violence. 2025 Jun 19:8862605251347645. doi: 10.1177/08862605251347645.

DOI:10.1177/08862605251347645
PMID:40537451
Abstract

Although the direct link between child maltreatment and adult mental health outcomes is well known, the mediating role of relational factors in these associations has been underexamined. The current study aims to examine the potential mediating role of insecure attachment to romantic partners on the relationship between child maltreatment and posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG). A cross-sectional study with 366 adults who have been in a romantic relationship for at least 3 months was conducted in Turkey. Data were collected through the Childhood Trauma Questionnaire Short Form, Post-Traumatic Stress Disorder Checklist-5, Posttraumatic Growth Inventory, and Experiences in Close Relationships-Revised Scale. Structural equation modeling was used to test the research hypotheses. Attachment anxiety mediated the relationship between child maltreatment and PTSD symptoms. Further, attachment avoidance mediated the relationship between child maltreatment and PTG. The findings strengthened the evidence on impaired attachment is a significant risk factor associated with psychological adjustment in adults who were maltreated as children. The findings might provide new strategies or targets for attachment-based therapeutic and preventive interventions aimed at mitigating PTSD symptoms and fostering PTG in adults who were maltreated as children.

摘要

尽管儿童期受虐与成人心理健康后果之间的直接联系已为人熟知,但关系因素在这些关联中的中介作用却未得到充分研究。当前研究旨在探讨对浪漫伴侣的不安全依恋在儿童期受虐与创伤后应激障碍(PTSD)症状及创伤后成长(PTG)之间关系中的潜在中介作用。在土耳其对366名处于浪漫关系中至少3个月的成年人进行了一项横断面研究。通过儿童期创伤问卷简表、创伤后应激障碍检查表-5、创伤后成长量表和亲密关系经历修订版量表收集数据。采用结构方程模型来检验研究假设。依恋焦虑在儿童期受虐与PTSD症状之间起中介作用。此外,依恋回避在儿童期受虐与PTG之间起中介作用。这些发现强化了以下证据:依恋受损是与童年期受虐的成年人心理调适相关的一个重要风险因素。这些发现可能为基于依恋的治疗和预防性干预提供新的策略或靶点,旨在减轻童年期受虐成年人的PTSD症状并促进其PTG。

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