Attachment Orientations Mediate the Effect of World Assumptions on Posttraumatic Stress in Survivors of Childhood Sexual Abuse

Q2 Social Sciences

Illness Crisis and Loss Pub Date : 2021-10-29 DOI:10.1177/10541373211050498

P. Ferrajão, A. Elklit

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引用次数: 0

Abstract

Recent research indicates that world assumptions are broad cognitive-affective schemas that affect attachment orientations in close relationships which in turn affect psychological symptoms severity. The present study analyzed if adult attachment mediated the effect of world assumptions (worthiness of the self, benevolence and meaningfulness of the world) on PTSD symptoms (PTS), in survivors of childhood sexual abuse during treatment for PTSD. Sample included 327 individuals who were sexually abused in childhood. Variables were assessed using self-report measures. Structural equation modeling was conducted to examine if the effect of world assumptions at the beginning of psychotherapeutic treatment (T1) on PTS levels 12 months after the beginning of psychotherapeutic treatment (T3) was mediated by both attachment avoidance and attachment anxiety six months after the beginning of treatment (T2). Attachment avoidance fully mediated the effect of both worthiness of the self and benevolence of the world at T1 on PTS at T3 was mediated by both attachment anxiety and attachment avoidance at T2. Findings suggest that world assumptions are broad cognitive-affective schemas about the self and the world that have their actual expression in close relationships which mediate the effect of world assumptions on PTS levels.

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依恋取向介导世界假设对儿童期性虐待幸存者创伤后应激的影响

最近的研究表明，世界假设是一种广泛的认知情感图式，它影响亲密关系中的依恋取向，进而影响心理症状的严重程度。本研究分析成人依恋是否介导世界假设(自我价值、仁慈和世界意义)对创伤后应激障碍治疗期间儿童期性虐待幸存者PTSD症状(PTS)的影响。样本包括327名童年时遭受过性虐待的人。采用自我报告方法评估变量。采用结构方程模型来检验心理治疗开始(T1)时的世界假设对心理治疗开始(T3)后12个月PTS水平的影响是否由治疗开始(T2)后6个月的依恋回避和依恋焦虑共同介导。在T1阶段，依恋回避完全介导自我价值感和世界仁慈感对T3阶段PTS的影响，而在T2阶段，依恋焦虑和依恋回避同时介导。研究结果表明，世界假设是关于自我和世界的广泛的认知情感图式，它们的实际表达在密切的关系中，介导了世界假设对PTS水平的影响。

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

Illness Crisis and Loss Social Sciences-Sociology and Political Science

CiteScore

1.80

自引率

0.00%

发文量

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