Self-Deprivation: A Proposal for a Maladaptive Behavioral Outcome for Survivors of Childhood Maltreatment.

IF 1.7 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2024-11-28 eCollection Date: 2025-03-01 DOI:10.1007/s40653-024-00667-w

Rachel A Oakes, Terri L Weaver, Annie A Garner

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引用次数: 0

Abstract

Childhood maltreatment is associated with significant psychological distress and coping-related maladaptive behaviors that can extend into adulthood. Non-suicidal self-injury is one form of maladaptive coping characterized by engaging in the commission of self-harm. This study explored if coping with childhood maltreatment may manifest in different forms, including behavioral omission in which an individual harms themselves through a lack of self-care. We proposed the novel construct of self-deprivation as an omissive self-harming behavior. Self-deprivation is defined as engaging in low levels of self-care motivated by an intent to harm oneself. One hundred twenty adults (72% women; M age = 31.5) with reported childhood maltreatment were recruited from an online research platform using voluntary response sampling for our cross-sectional, survey-based study. Participants responded to questions about their trauma history, self-care behaviors, and the motivations underlying their decisions about such behaviors. We found a significant, negative relationship between history of childhood maltreatment and frequency of self-care (r(118) = -.210, p = .02). We then used PROCESS macro to examine the meditating role of an motivation to harm oneself. Consistent with the construct of self-deprivation, this association was significantly mediated by an intrapersonal motivation to harm oneself (ab = -.0692, CI [-.1605, -.0021]). These findings provided preliminary support for the novel construct of self-deprivation. Results have implications for both research and clinical practice, including evidence for omissive self-harming behaviors that upon future research may be relevant to the overall framework of self-harm. Further study with different methodologies and populations are needed to continue the exploration and boundaries of this construct.

Supplementary information: The online version contains supplementary material available at 10.1007/s40653-024-00667-w.

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自我剥夺：儿童虐待幸存者适应不良行为结果的建议。

儿童虐待与严重的心理困扰和应对相关的适应不良行为有关，这些行为可能会延续到成年期。非自杀性自伤是一种以自伤行为为特征的适应不良应对形式。这项研究探讨了应对童年虐待是否会以不同的形式表现出来，包括行为疏忽，即个体因缺乏自我照顾而伤害自己。我们提出了自我剥夺作为一种省略性自我伤害行为的新概念。自我剥夺被定义为出于伤害自己的意图而从事低水平的自我照顾。120名成年人(72%为女性；（年龄= 31.5岁），在我们的横断面调查研究中采用自愿回应抽样的方式，从在线研究平台招募了有儿童虐待报告的患者。参与者回答了关于他们的创伤史、自我照顾行为以及他们做出这些行为决定的动机的问题。我们发现儿童虐待史与自我照顾频率之间存在显著的负相关（r(118) = -）。210, p = .02)。然后，我们使用PROCESS宏来检验伤害自己的动机在冥想中的作用。与自我剥夺的概念一致，这种关联在很大程度上是由伤害自己的内在动机介导的。[qh] . [qh]1605年,-.0021])。这些发现为自我剥夺的新概念提供了初步支持。结果对研究和临床实践都有启示，包括在未来的研究中可能与自我伤害的整体框架相关的遗漏自残行为的证据。需要用不同的方法和人群进行进一步的研究，以继续探索这一结构的边界。补充信息：在线版本包含补充资料，提供地址：10.1007/s40653-024-00667-w。

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来源期刊

Journal of Child & Adolescent Trauma Multiple-

CiteScore

3.00

自引率

6.70%

发文量

期刊介绍： Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.