Child multi-type maltreatment and associated depression and PTSD symptoms: The role of social support and stress
Child multi-type maltreatment and associated depression and PTSD symptoms: The role of social support and stress
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DOI：
10.1016/j.chiabu.2006.04.010
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发表时间：
2007-01-01
影响因子：
4.8
通讯作者：
Johnson, Robert J.
中科院分区：
文献类型：
--
作者：
Vranceanu, Ana-Maria;Hobfoll, Stevan E.;Johnson, Robert J.
目的：这项回顾性的横断面研究探讨了多种形式的虐待和忽视儿童的假设，儿童多类型虐待（child multi-type maltreatment，CMM）与女性在成年期的社会支持较低和压力较高有关，这反过来又会放大她们对抑郁症和创伤后应激障碍（posttraumatic stress disorder，PTSD）症状的脆弱性。参与者是100名妇女从市中心的妇科治疗中心招募的低收入妇女。结果：CMM对成年后社会支持减少和压力增加有直接预测作用。CMM也可以直接预测PTSD症状，但不能预测成年后的抑郁症状。社会支持部分介导CMM和成人PTSD症状之间的关系，压力完全介导CMM和成人症状的depression.Conclusions：调查结果支持直接和中介作用的社会资源对成年抑郁症和PTSD症状的妇女与CMM的历史，这表明资源的关键因素，在心理调整的CMM受害者。(c)2006爱思唯尔有限公司保留所有权利。
Objective: This retrospective, cross-sectional study explored the hypothesis that multiple forms of child abuse and neglect (child multi-type maltreatment; CMM) would be associated with women's lower social support and higher stress in adulthood, and that this, in turn, would amplify their vulnerability to symptoms of depression and posttraumatic stress disorder (PTSD).Method: Participants were 100 women recruited from an inner-city gynecological treatment center for low-income women. Data were analyzed via structural equation modeling (SEM) with Lisrel 8.0.Results: CMM was directly predictive of decreased social support and increased stress in adulthood. CMM was also directly predictive of PTSD symptoms, but not depression symptoms in adulthood. Social support partially mediated the relationship between CMM and adult PTSD symptoms, and stress fully mediated the relationship between CMM and adult symptoms of depression.Conclusions: Findings support both direct and mediational effects of social resources on adult depression and PTSD symptoms in women with histories of CMM, suggesting that resources are key factors in psychological adjustment of CMM victims. (c) 2006 Elsevier Ltd. All rights reserved.