"我不能告诉任何人:"有很多原因
Paula Thomson1, S Victoria Jaque1
1Department of Kinesiology, California State University, Northridge, California, USA.
概括
难以披露过去的创伤与更高的累积创伤,羞耻和离散处理有关. 人际创伤和羞耻是个人无法分享创伤经历的关键预测因素.
科学领域:
- 心理学 心理学 心理学
- 创伤研究 创伤研究
- 临床研究 临床研究
背景情况:
- 很大一部分成年人 (26%) 推迟披露童年虐待,直到研究促使他们这样做.
- 了解阻碍创伤披露的因素对于治疗干预至关重要.
研究的目的:
- 识别与披露过去创伤事件困难相关的变量.
- 检查那些能够和无法披露创伤的人之间的群体差异.
- 在非临床人群中确定创伤披露困难的预测因素.
主要方法:
- 一项对693名非临床参与者的研究评估了创伤披露的患病率和群体差异.
- 关键变量包括分离处理,内化羞耻,应对策略和累积创伤暴露.
- 使用后勤回归分析来确定披露困难的预测因素.
主要成果:
- 难以披露创伤的个人报告了更高的累积创伤,病态分离处理,情感导向的应对和羞耻.
- 人际创伤事件预测无法披露创伤 (90%的分类准确度).
- 羞耻和累积的创伤暴露是披露困难的重要预测因素 (90%的分类准确度).
结论:
- 难以讨论创伤事件与人际创伤,羞耻和累积暴露有关.
- 临床医生应该在患有创伤披露挑战的患者中解决羞耻,分离处理和以情感为中心的应对.
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