在未披露创伤的沉默背后：儿童性虐待背景下支持和幸福的社会网络研究。

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-10-01 DOI:10.1016/j.chiabu.2025.107702

Kyra E. Verboon , Iva A.E. Bicanic , Peter Muris , Bart Verkuil , Bernet M. Elzinga , Marie-Louise J. Kullberg

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引用次数: 0

摘要

背景：揭露童年性虐待（CSA）通常是一个情感上复杂的过程，三分之一的人对他们的经历保持沉默。虽然大量的研究已经确定了社会支持在PTSD症状中的保护作用，但它在未分享的创伤经历（如未公开的CSA）背景下的功能仍然知之甚少。目的：本研究考察了(1)社会支持和创伤相关症状在披露CSA的成年人与未披露CSA的成年人之间的差异，以及(2)感知到的社会支持和社会网络特征是否作为预防PTSD的保护因素，特别是在未披露CSA的成年人中。方法：参与者为有CSA病史的成年人（N = 327），分为非披露者（未向其核心圈子的任何人披露，N = 96）、部分披露者（已披露，但对某些人来说仍是秘密，N = 114）和完全披露者（已披露，不再认为是秘密，N = 117）。参与者完成了一项关于创伤后应激障碍症状、感知支持和社会网络特征的调查。结果：方差分析结果表明，与部分和完全披露者相比，未披露者报告了更严重的PTSD症状，更低的感知支持和更小的社会网络（所有p值2 = 0.08-0.09）。回归分析显示更高的感知支持（β = -0.40, p）。结论：这些发现强调了社会支持和培养强大的社会网络的重要性，即使对于尚未披露CSA的个体也是如此。

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Behind the silence of undisclosed trauma: A social network study on support and well-being in the context of childhood sexual abuse

Background

Disclosing childhood sexual abuse (CSA) is often an emotionally complex process, and one in three individuals remains silent about their experiences. While ample research has established the protective role of social support in relation to PTSD symptoms, its function in the context of unshared traumatic experiences, such as undisclosed CSA, remains poorly understood.

Objective

This study examined (1) differences in social support and trauma-related symptoms between adults who disclosed CSA and those who did not, and (2) whether perceived social support and social network characteristics serve as protective factors against PTSD, particularly among non-disclosers.

Methods

Participants were adults (N = 327) with a history of CSA, categorized as non-disclosers (no disclosure to anyone in their inner circle, n = 96), partial-disclosers (disclosed, but still a secret for some, n = 114), and full-disclosers (disclosed, no longer considered it a secret, n = 117). Participants completed a survey on PTSD symptoms, perceived support, and social network characteristics.

Results

The results of the MANOVAs indicate that non-disclosers reported more severe PTSD symptoms, lower perceived support, and smaller social networks than partial- and full-disclosers (all p-values < 0.01; multivariate η² = 0.08–0.09). Regression analyses showed that higher perceived support (β = −0.40, p < 0.001) and denser networks (β = −0.16, p = 0.010) were associated with fewer PTSD symptoms across all participants. Notably, perceived support was beneficial even among non-disclosers (β = −0.34, p < 0.001).

Conclusions

These findings underscore the importance of social support and cultivating strong social networks even for individuals who have not (yet) disclosed CSA.

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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.