走向背叛的主观概念化:检查性创伤幸存者感知背叛、情绪失调和PTSD症状之间的联系

IF 4.8 2区 医学 Q1 PSYCHIATRY
Mariel Emrich , Camille L. Garnsey, Erika K. Osherow, Crystal L. Park
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引用次数: 0

摘要

性创伤幸存者通常会有被背叛的感觉。背叛在很大程度上被研究为一种静态创伤特征,它是由幸存者与施害者的亲密程度决定的。这种方法忽视了幸存者的主观感受和经历。本研究旨在探讨:1)感知背叛的程度是否随生还者-加害者关系类型的不同而不同;2)创伤后早期感知背叛能否预测随后的PTSD症状;3)情绪失调是否介导感知背叛与PTSD症状之间的关系。MethodsWomen (N = 203;年龄19-86岁)在招募的一个月内经历过性创伤的患者分别在T1(创伤30天内)、T2(创伤后4周)和T3(创伤后8周)完成了多产问卷。描述性统计和独立样本t检验检验了幸存者-加害者关系特征中感知背叛的差异。结构方程模型评估了T1时感知背叛对T3时PTSD症状的预测以及T2时情绪失调的潜在中介作用。结果尽管在创伤前就认识施暴者的幸存者背叛程度最高(M = 76.8,范围0-100),但整个样本的平均感知背叛程度很高(M = 70.5),四分之一认为施暴者是陌生人的幸存者也报告了更高的背叛程度(M = 51.6)。T1感知背叛显著预测T3 PTSD症状,情绪失调的增加部分介导了这种影响(p = .01)。结论:研究结果支持对背叛进行主观概念化,并结合幸存者的看法。此外,情绪失调可能是性创伤早期的一个重要干预目标,值得进一步的实证研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Moving towards a subjective conceptualization of betrayal: Examining associations between perceived betrayal, emotion dysregulation, and PTSD symptoms in sexual trauma survivors

Background

Sexual trauma survivors commonly experience feelings of betrayal. Betrayal has largely been studied as a static trauma characteristic that is determined by a survivor’s closeness to the perpetrator. This approach overlooks survivors’ subjective feelings and experiences. This study examines whether: 1) degree of perceived betrayal differs by type of survivor-perpetrator relationship, 2) perceived betrayal in the early aftermath of trauma predicts subsequent PTSD symptoms, and 3) emotion dysregulation mediates the relationship between perceived betrayal and PTSD symptoms.

Methods

Women (N = 203; ages 19–86) who experienced sexual trauma within a month of recruitment completed questionnaires on Prolific at T1 (within 30 days of trauma), T2 (4 weeks post-T1), and T3 (8 weeks post-T1). Descriptive statistics and an independent samples t-test examined differences in perceived betrayal across survivor-perpetrator relationship characteristics. Structural equation models assessed perceived betrayal at T1 predicting PTSD symptoms at T3 and the potential mediating effect of T2 emotion dysregulation.

Results

Although betrayal was highest among survivors who knew the perpetrator prior to the trauma (M = 76.8, range 0–100), average perceived betrayal was high across the sample (M = 70.5), and the quarter of survivors who identified the perpetrator as a stranger also reported elevated betrayal (M = 51.6). T1 perceived betrayal significantly predicted T3 PTSD symptoms with increases in emotion dysregulation partially mediating this effect (p = .01).

Conclusions

Findings support moving towards a subjective conceptualization of betrayal that incorporates survivors’ perceptions. Moreover, emotion dysregulation may be an important intervention target in the early aftermath of sexual trauma and warrants further empirical research.
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来源期刊
CiteScore
16.60
自引率
2.90%
发文量
95
期刊介绍: The Journal of Anxiety Disorders is an interdisciplinary journal that publishes research papers on all aspects of anxiety disorders for individuals of all age groups, including children, adolescents, adults, and the elderly. Manuscripts that focus on disorders previously classified as anxiety disorders such as obsessive-compulsive disorder and posttraumatic stress disorder, as well as the new category of illness anxiety disorder, are also within the scope of the journal. The research areas of focus include traditional, behavioral, cognitive, and biological assessment; diagnosis and classification; psychosocial and psychopharmacological treatment; genetics; epidemiology; and prevention. The journal welcomes theoretical and review articles that significantly contribute to current knowledge in the field. It is abstracted and indexed in various databases such as Elsevier, BIOBASE, PubMed/Medline, PsycINFO, BIOSIS Citation Index, BRS Data, Current Contents - Social & Behavioral Sciences, Pascal Francis, Scopus, and Google Scholar.
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