Symptomatology in adolescents following initial disclosure of sexual abuse: The roles of crisis support, appraisals and coping
Symptomatology in adolescents following initial disclosure of sexual abuse: The roles of crisis support, appraisals and coping
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DOI：
10.1016/j.chiabu.2008.11.006
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发表时间：
2009-10-01
影响因子：
4.8
通讯作者：
Van Oost, Paulette
中科院分区：
文献类型：
--
作者：
Bal, Sarah;Crombez, Geert;Van Oost, Paulette
目的：本研究探讨了受性虐待青少年症状发展和变异的可能解释。性虐待的理论模型，其中评估。应对和危机支持发挥着重要作用，在 100 名遭受性虐待青少年的临床小组中进行了测试。方法：参与者，年龄 12-18 岁，完成了有关虐待严重程度、负面评价、危机支持、应对策略的调查问卷。结果：由于虐待的严重程度对评价和症状之间的关联没有影响，因此从我们的模型中消除了它。结构方程模型分析显示，所检查的概念之间存在显着的相互关系。将虐待评价为更具威胁性的青少年表现出更多的内化和外化创伤症状。此外，更多的负面评价与更多的回避以及更积极的应对策略相关。直接危机支持与更少的负面评价和使用更积极的应对策略相关。结论：研究表明，特别是危机支持的缓冲作用和负面评价的作用解释了受性虐待青少年的症状发展和多样性。实践意义：对性虐待的适应包括青少年将事件视为威胁和有害的方式。他们如何应对虐待经历。以及他们如何从家庭临床医生那里获得直接支持。因此，需要将评估的重点从特定于年龄和创伤的症状扩展到特定于年龄和创伤的评估、应对和社会支持。对这些因素的评估应在虐待事件披露后尽快进行。个性化治疗计划和临床干预措施需要基于这些个人和环境变量，而不是依赖于虐待相关特征的影响，例如虐待的严重程度或类型 (C) 2009 爱思唯尔有限公司出版。
Objective: The present study examined possible explanations for symptom development and variability in sexually abused adolescents A theoretical model of sexual abuse, in which appraisal. coping and crisis support play prominent roles, was tested in a clinical group of 100 sexually abused adolescentsMethod: Participants, aged 12-18 years, completed questionnaires regarding severity of abuse, negative appraisals, crisis support, coping strategies. and trauma-related stress symptomsResults: Since severity of abuse had no influence oil the association between appraisals and symptoms it was eliminated from our model Structural equation modeling analyses showed a significant interrelationship between the examined concepts Adolescents who appraised the abuse as more threatening showed more internalizing and externalizing trauma symptoms. Moreover, more negative appraisals were associated with more avoidance as well as with more active coping strategies Direct crisis Support was associated with less negative appraisals and with the use of more active coping strategiesConclusions: The study showed that especially the buffering role of crisis Support and the role of negative appraisals explained symptom development and variety in sexually abused adolescentsPractice implications: Adaptation to sexual abuse Includes the ways in which adolescents perceive the event as threatening and harmful. how they cope with the abusive experience. and how they receive direct support from their family Clinicians. therefore, need to expand the focus of their assessments beyond age- and trauma-specific symptoms, to age-and trauma-specific appraisals, coping, and social Support The assessment of these factors should take place as soon as possible after the disclosure of the abuse Individualized treatment plans and clinical interventions need to be based on these personal and environmental variables, rather than reliance oil the influence of abuse-related characteristics, such as the severity or type of abuse (C) 2009 Published by Elsevier Ltd.