Posttraumatic Appraisals Mediate the Relationship Between Childhood Psychological Abuse and Complex PTSD Symptom Severity

IF 2.3 3区心理学 Q2 PSYCHOLOGY, APPLIED

Journal of Counseling and Development Pub Date : 2025-03-31 DOI:10.1002/jcad.12561

Justin Watts, Jaeyoung Kim, Lindsey Warwick

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Abstract

Previous research established a connection between childhood psychological abuse (CPA), a common but understudied form of child maltreatment, and symptoms of posttraumatic stress. However, the connection between CPA and complex PTSD remains underexplored. This study investigated the relationship between CPA, posttraumatic appraisals (i.e., fear, alienation, betrayal, self-blame, anger, and shame), and complex PTSD symptoms among a sample of 263 college students using structural equation modeling. The model uncovered significant direct and indirect effects, demonstrating a significant association between CPA and posttraumatic appraisals. Further, posttraumatic appraisals were significantly associated with complex PTSD symptoms. The indirect effect of CPA on complex PTSD symptoms via posttraumatic appraisals was significant, confirming the mediating role of posttraumatic appraisals between CPA and complex PTSD symptoms. The model demonstrated substantial explanatory power, explaining 51.9% of the variance in posttraumatic appraisals and 94.7% of the variance in complex PTSD symptoms. Implications for counselors are discussed

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创伤后评估对儿童心理虐待与创伤后应激障碍症状严重程度的影响

以前的研究建立了儿童心理虐待（CPA）与创伤后应激症状之间的联系，这是一种常见的儿童虐待形式，但尚未得到充分研究。然而，CPA与复杂创伤后应激障碍之间的联系仍未得到充分探讨。本研究以263名大学生为研究对象，采用结构方程模型探讨了创伤后心理评估（恐惧、疏离、背叛、自责、愤怒和羞耻）与创伤后应激障碍复杂症状之间的关系。该模型揭示了显著的直接和间接影响，证明了CPA与创伤后评估之间的显著关联。此外，创伤后评估与复杂的创伤后应激障碍症状显著相关。创伤后评估对创伤后应激障碍复杂症状的间接影响显著，证实了创伤后评估对创伤后应激障碍复杂症状的中介作用。该模型具有很强的解释力，解释了51.9%的创伤后评估方差和94.7%的创伤后应激障碍复杂症状方差。讨论了对辅导员的影响

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来源期刊

Journal of Counseling and Development PSYCHOLOGY, APPLIED-

CiteScore

5.40

自引率

13.00%

发文量

期刊介绍： Journal of Counseling & Development publishes practice, theory, and research articles across 18 different specialty areas and work settings. Sections include research, assessment and diagnosis, theory and practice, and trends.