Intimate partner violence, sexual abuse, and the mediating role of loneliness on psychosis
Intimate partner violence, sexual abuse, and the mediating role of loneliness on psychosis
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DOI：
10.1080/17522439.2014.917433
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发表时间：
2015-01-02
影响因子：
1.2
通讯作者：
Shevlin, Mark
中科院分区：
文献类型：
--
作者：
Boyda, David;McFeeters, Danielle;Shevlin, Mark
背景：亲密伴侣暴力(IPV)和儿童期性虐待(CSA)的受害者有更高的精神病症状倾向。此外，由于这样的经历，个体可能会退出社交并体验孤独感；因此，孤独感可能是创伤和精神病症状之间的中介联系。目的：检验IPV和CSA是否与孤独感和精神病性症状有关。此外，检验孤独感是否在IPV与精神病症状之间以及CsA与精神病症状之间的关系中起中介作用。采用精神病筛查问卷结合IPV、CSA和孤独感测评精神症状。结果：IPV和CSA均与孤独感相关。此外，IPV而不是CsA被发现可以预测精神病症状。最后，孤独感在IPV和精神病性症状之间起中介作用，但未能中介CSA和精神病之间的关系。结论：这一结果与文献中将人际创伤与社会边缘化和精神病联系在一起的结果是一致的。这项研究扩展了先前的知识，提出了一种过渡性联系，通过这种联系，IPV导致的社会退缩可能会传播孤独感，最终导致随后的精神病症状的出现。
Background: Victims of intimate partner violence (IPV) and childhood sexual abuse (CSA) experience a higher propensity for psychotic symptoms. Furthermore, as a result of such experiences individuals may withdraw socially and experience feelings of loneliness; thus, loneliness may represent an intermediary link between trauma and psychosis symptomology.Objective: To examine whether IPV and CSA are associated with feelings of loneliness and psychotic symptoms. In addition, to examine if loneliness mediates the relationships between IPV and psychotic symptoms and between CSA and psychotic symptoms.Method: The study utilized the Adult Psychiatric Morbidity Survey (N=7403). Psychotic symptoms were assessed using the Psychosis Screening Questionnaire along with devised measures of IPV, CSA and loneliness.Results: Results revealed that both IPV and CSA were associated with loneliness. In addition, IPV but not CSA was found to predict psychotic symptoms. Finally, loneliness mediated the relationship between IPV and psychotic symptoms, but failed to mediate the relationship between CSA and psychosis.Conclusions: The results are consistent with literature linking interpersonal trauma to both social marginalization and psychosis. The study extends prior knowledge by proposing a transitional link whereby social withdrawal resulting from IPV may propagate feelings of loneliness, ultimately precipitating the onset of subsequent psychosis symptoms.