创伤的连锁效应:评估儿童和青少年群体中的脆弱性,创伤后压力症状和侵略性
Laura Stoppelbein1, Elizabeth McRae2, Shana Smith3
1Children's Behavioral Health, 4 Dearth Tower, Children's of Alabama, 1600 7(th) Ave South, Birmingham, AL 35233, USA.
Child abuse & neglect
|July 11, 2024
概括
童年虐待和忽视 (CM-ACEs) 可以导致创伤后应激症状 (PTSS) 和攻击性. 易受伤害的感觉可能是一个共同的认知因素,将这些结果与受影响的年轻人联系起来.
科学领域:
- 儿童心理学 儿童心理学
- 创伤研究 创伤研究
- 发展心理学 发展心理学
背景情况:
- 童年不良经历 (ACE),特别是儿童虐待和忽视 (CM-ACE),有充分记录的负面影响.
- 创伤后应激症状 (PTSS) 和攻击性是 CM-ACE 暴露的儿童常见的行为和情绪结果.
- 现有的认知模型可以单独解释这些结果,但共享的认知漏洞仍然未被充分探索.
研究的目的:
- 调查一种认知模型的脆弱性/安全作为一个共享的机制背后的PTSS和CM-ACEs后侵略的发展.
- 评估脆弱和安全感如何调解CM-ACE和心理痛苦之间的关系.
- 确定潜在的共享认知途径,有助于虐待儿童的不良结果.
主要方法:
- 这项研究涉及在寄宿学校环境中6-14岁的男性年轻人.
- 数据收集是在学校绩效改进计划中进行的.
- 这些措施包括儿童的虐待史,PTSS,侵略性以及感知到的安全性/脆弱性.
主要成果:
- 结构方程建模 (SEM) 表明,脆弱性和PTSS对CM-ACE和反应性侵略之间的联系有显著的连续间接影响.
- 这一途径对于主动攻击并不重要.
- 研究结果表明,一种认知脆弱性模型将CM-ACE与特定的侵略性行为联系起来.
结论:
- 结果支持基于模式的模型,其中脆弱性和对不安全世界的看法有助于PTSS和有虐待/忽视史的儿童的反应性侵略.
- 针对脆弱感的干预措施可能有助于缓解PTSS和反应性侵略.
- 了解共享的认知漏洞对于解决CM-ACEs复杂的后续问题至关重要.
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