Complex Trauma and Sexual Abuse: Relations to Caregiver-Child Symptom Disagreement.

IF 1.4 4区 心理学 Q3 FAMILY STUDIES
Journal of Child Sexual Abuse Pub Date : 2023-07-01 Epub Date: 2023-09-13 DOI:10.1080/10538712.2023.2257176
Rachel A Wamser
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Abstract

Trauma-exposed children and their caregivers often differ with regards to how the child is faring following trauma exposure, and this symptom discordance is related to negative clinical outcomes. Even though this symptom disagreement is common, it remains less clear if it is universal across trauma types and there may be sub-groups of trauma-exposed children and their caregivers who are at greater risk for discordance. At this time, prior work has not investigated how more severe traumatic events, such as childhood sexual abuse (CSA) and complex trauma (i.e. chronic/multiple interpersonal traumas prior to age 10), may correspond with caregiver-child symptom concordance. The study objectives were to examine: 1) the level and direction of children's symptom discordance and 2) whether CSA and complex trauma were associated with higher levels of caregiver-child symptom disagreement. Two hundred and sixty-nine treatment-seeking children ages 8-12 (M = 9.91, SD = 2.31; 64.7% female; 51.7% Black) and their caregivers participated in the study. Rates of symptom agreement were in the low range, and caregivers endorsed higher levels of symptoms than children. Complex trauma was only tied to greater posttraumatic stress symptoms (PTSS) disagreement, with caregivers of complex trauma survivors being more likely to acknowledge higher levels of symptoms than children. CSA was not associated with symptom concordance across difficulties. Aspects of the complex trauma definition were also not linked with symptom agreement. Caregivers and trauma-exposed children may have divergent symptom reports and children who have experienced more severe traumatic events may present with greater discordance for PTSS.

复杂创伤和性虐待:与照顾者儿童症状不一致的关系。
暴露于创伤的儿童及其照顾者在儿童暴露于创伤后的表现方面往往存在差异,这种症状不一致与负面临床结果有关。尽管这种症状分歧很常见,但尚不清楚它是否在各种创伤类型中普遍存在,并且可能有暴露于创伤的儿童及其照顾者的亚组存在更大的不和谐风险。目前,先前的工作尚未调查更严重的创伤事件,如儿童性虐待(CSA)和复杂创伤(即10岁之前的慢性/多发性人际创伤),如何与照顾者-儿童症状一致性相对应。研究目的是检查:1)儿童症状不一致的程度和方向,2)CSA和复杂创伤是否与较高水平的照顾者-儿童症状不同意有关。2069名寻求治疗的8-12岁儿童(M = 9.91,标准差 = 2.31;女性64.7%;51.7%的黑人)及其照顾者参与了这项研究。症状一致率在较低范围内,护理人员认可的症状水平高于儿童。复杂创伤只与更大的创伤后应激症状(PTSS)分歧有关,复杂创伤幸存者的照顾者比儿童更有可能承认更高水平的症状。CSA与各种困难的症状一致性无关。复杂创伤定义的各个方面也与症状一致性无关。护理人员和接触创伤的儿童可能有不同的症状报告,经历过更严重创伤事件的儿童可能会出现更大的PTSS不一致性。
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来源期刊
CiteScore
3.20
自引率
10.50%
发文量
38
期刊介绍: The Journal of Child Sexual Abuse is interdisciplinary and provides an essential interface for researchers, academicians, attorneys, clinicians, and practitioners. The journal advocates for increased networking in the sexual abuse field, greater dissemination of information and research, a higher priority for this international epidemic, and development of effective assessment, intervention, and prevention programs. Divided into sections to provide clear information, the journal covers research issues, clinical issues, legal issues, prevention programs, case studies, and brief reports, focusing on three subject groups - child and adolescent victims of sexual abuse or incest, adult survivors of childhood sexual abuse or incest, and sexual abuse or incest offenders.
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