Cumulative childhood trauma and life satisfaction in men: The role of complex posttraumatic stress and its dimensions

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-05-17 DOI:10.1016/j.chiabu.2025.107485

Natacha Godbout , Shalie-Emma Vaillancourt , Marie-Jeanne Ledoux-Labelle , Ateret Gewirtz-Meydan , Marie-Pier Vaillancourt-Morel , Audrey Brassard , Martine Hébert

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引用次数: 0

Abstract

Background

Cumulative childhood interpersonal trauma (CCIT) a represents an endemic phenomenon with lasting and harmful effects. However, male victimization remains overlooked and even taboo. Complex post-traumatic stress disorder (C-PTSD) is increasingly recognized as a crucial factor in understanding the long-term impact of CCIT on well-being.

Objective

This study aimed to examine the role of C-PTSD and its specific dimensions of symptoms in the relationship between CCIT and life satisfaction in a clinical sample of men seeking mental health services.

Participants and setting

Data were collected from 399 men who sought help from a community organization due to psychological distress.

Methods

Upon admission, participants completed validated measures assessing CCIT, C-PTSD, and life satisfaction. A path analysis was conducted to investigate the contribution of the different dimensions of C-PTSD in the link between CCIT and life satisfaction.

Results

According to the thresholds of the questionnaires, 34.1 % of participants met the criteria for PTSD, 23.8 % met the diagnostic criteria for C-PTSD, and 52.4 % reported being dissatisfied with their lives. Path analysis results indicated that two dimensions of C-PTSD significantly mediated the relationship between CCIT and life satisfaction: negative self-concept (β = −0.110, p = .000; 95 % CI [−0.070, −0.160]) and interpersonal disturbances (β = −0.075, p = .001; 95 % CI [−0.036, −0.123]). The model explained 33.5 % of the variance in life satisfaction.

Conclusions

The findings highlight the central role of C-PTSD symptoms, particularly in identity and relational aspects, as key mechanisms related to adaptation. These results support the implementation of trauma-sensitive practices that address survivors' identity and relational disturbances to better meet the needs of male survivors.

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男性累积童年创伤与生活满意度：复杂创伤后应激的作用及其维度

儿童期累积性人际创伤（CCIT）是一种具有持久和有害影响的地方性现象。然而，男性受害仍然被忽视，甚至是禁忌。复杂创伤后应激障碍（C-PTSD）越来越被认为是理解CCIT对幸福感长期影响的关键因素。目的本研究旨在探讨C-PTSD及其具体症状维度在寻求心理健康服务的男性临床样本中CCIT与生活满意度关系中的作用。参与者和背景数据来自399名因心理困扰向社区组织寻求帮助的男性。方法入院后，参与者完成CCIT、C-PTSD和生活满意度的评估。通过通径分析探讨C-PTSD不同维度在CCIT与生活满意度关系中的作用。结果根据问卷的阈值，34.1%的受试者符合PTSD的诊断标准，23.8%的受试者符合C-PTSD的诊断标准，52.4%的受试者对生活不满意。通径分析结果显示，C-PTSD的两个维度显著介导了CCIT与生活满意度的关系：负性自我概念(β = - 0.110, p = .000；95% CI[−0.070,−0.160])和人际关系障碍(β =−0.075,p = .001；95% ci[−0.036,−0.123])。该模型解释了33.5%的生活满意度差异。结论研究结果强调了C-PTSD症状的核心作用，特别是在身份和关系方面，是与适应相关的关键机制。这些结果支持实施创伤敏感做法，解决幸存者的身份和关系障碍，以更好地满足男性幸存者的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.