识别性虐待儿童受害者的创伤后应激障碍和复杂创伤后应激障碍特征。

IF 1.4 4区 心理学 Q3 FAMILY STUDIES
Martine Hébert, Laetitia Mélissande Amédée, Amélie Tremblay-Perreault
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引用次数: 0

摘要

遭受性虐待的儿童经常会出现创伤后应激障碍(PTSD)症状。作者们认为,早期创伤可能会导致发育方面的改变,这些改变远远超出了创伤后应激障碍的主要症状,并提出了复杂创伤后应激障碍(C-PTSD),涉及依恋、生物学、情感调节、意识、行为调节、认知和自我概念等方面的改变,可能会更好地描述在早期发育阶段经历慢性创伤的儿童。本研究的目的是在 C-PTSD 框架的基础上揭示性虐待受害儿童特征的多样性。研究采用潜特征分析法从 861 名 6 至 12 岁的性虐待儿童样本中识别出不同的亚群。儿童及其未施暴的父母填写了创伤后应激障碍症状评估问卷和记录 C-PTSD 发展特征变化的测量问卷。潜特征分析确定了一个由三个特征组成的最佳拟合模型:创伤后应激障碍(40.7% 的儿童)、复原力(32.8% 的儿童)和 C-PTSD(26.5% 的儿童)。与其他儿童相比,C-创伤后应激障碍儿童更有可能经历过更多形式的人际创伤,并在多个领域表现出障碍。研究结果表明,有针对性地采取干预措施以有效满足性创伤青少年受害者的需求非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying PTSD and Complex PTSD Profiles in Child Victims of Sexual Abuse.

Post-traumatic stress disorder (PTSD) symptoms are frequent in child victims of sexual abuse. Authors argued that early trauma could lead to alterations in development that go far beyond the primary symptoms of PTSD and have proposed that Complex PTSD (C-PTSD) involving alterations in attachment, biology, affect regulation, consciousness, behavioral regulation, cognition, and self-concept, may better describe children experiencing chronic trauma at an early developmental stage. The aim of the study was to disentangle the diversity of profiles in child victims of sexual abuse based on the C-PTSD framework. Latent profile analysis was used to identify distinct subgroups in a sample of 861 sexually abused children aged 6 to 12. Children and their non-offending parents completed questionnaires evaluating PTSD symptoms and measures documenting alterations in development characteristics of C-PTSD. Latent profile analysis identified a best-fitting model consisting of three profiles: PTSD (40.7% of children), Resilient (32.8% of children), and C-PTSD (26.5% of children). Compared to others, children in the C-PTSD profile were more likely to have experienced more forms of interpersonal trauma and showed impairments in several domains. Findings underscore the importance of tailoring interventions to efficiently address the needs of young victims of sexual trauma.

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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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