Wenninger K, Ehlers A
Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle 98105, USA.
J Trauma Stress. 1998 Apr;11(2):281-300. doi: 10.1023/A:1024451103931.
Two studies explored the relationship between cognitions and long-term symptoms in adult child sexual abuse (CSA) survivors. In Study 1, an American sample of 43 survivors completed questionnaires assessing attributional style and dysfunctional beliefs in cognitive themes affected by victimization, as well as measures of posttraumatic symptoms. Survivors' attributions of negative events were more internal, stable, and global than those of 29 comparison subjects without a history of CSA. However, only the globality scale was significantly related with severity of long-term symptoms. High correlations between dysfunctional beliefs concerning safety, trust, esteem, or intimacy, and posttrauma symptoms were found. The latter finding was replicated in Study 2 with a German sample of 35 CSA survivors, even when controlling for frequency of abuse.
两项研究探讨了成年期儿童性虐待(CSA)幸存者的认知与长期症状之间的关系。在研究1中,43名美国幸存者样本完成了问卷调查,评估受受害经历影响的认知主题中的归因风格和功能失调信念,以及创伤后症状的测量。与29名无CSA病史的对照受试者相比,幸存者对负面事件的归因更具内在性、稳定性和全局性。然而,只有全局性量表与长期症状的严重程度显著相关。发现关于安全、信任、自尊或亲密关系的功能失调信念与创伤后症状之间存在高度相关性。在研究2中,对35名德国CSA幸存者样本进行研究时,即便控制了虐待频率,也重复了后一项发现。