The relationship between childhood abuse and violent victimization in homeless and marginally housed women: The role of dissociation as a potential mediator.

The relationship between childhood abuse and violent victimization in homeless and marginally housed women: The role of dissociation as a potential mediator.
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无家可归和边缘住房妇女的童年虐待与暴力受害之间的关系:分离作为潜在调解者的作用。

DOI:
10.1037/tra0000288
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发表时间:
2017
期刊:
Psychological trauma : theory, research, practice and policy
影响因子:
--
通讯作者:
Riley,EliseD
Riley,EliseD
中科院分区:
--
文献类型:
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作者:
Young,DmitriA;Shumway,Martha;Flentje,Annesa;Riley,EliseD

文献摘要

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以前的研究已经建立了儿童虐待和解离之间的联系。其他研究表明,童年虐待增加了成年后暴力受害的可能性。尽管有人认为解离可能介导童年虐待和成人暴力受害,但调查这一假设的研究很少,特别是对于无家可归者和居住不稳定的人等极其弱势群体。调查了一组无家可归和居住不稳定的妇女儿童期虐待和暴力受害解离之间的关系。我们还评估了是否解离介导的儿童虐待和暴力victiminationin this sample.MethodParticipants被要求在初步评估和6个月的后续报告任何身体或性暴力经历在过去的6个月。结果分层Logistic回归模型显示,儿童期性虐待(OR = 3.10,p <0.01)与儿童期性虐待(OR = 3.10,p<0.01)之间存在显著性差异(P<0.05)。01)重度分离(OR= 1.99,p <. 01)与近期身体暴力、儿童期性虐待显著相关(OR= 3.88,p <0.05)。01)解离(OR= 1.87,p <. 05)也与最近的性暴力有关解离调解既不童年虐待对最近的身体暴力或最近的sexualviolence.ConclusionDeveloping的方法,有效地识别和治疗解离的创伤知情的照顾无家可归和不稳定的妇女的整体框架的一部分,可能是一种有效的方式来减少未来的身体暴力在这个弱势群体。(PsycINFO数据库记录(c)2017阿帕,保留所有权利)
ObjectivePrevious studies have established a link between childhood abuse and dissociation. Other work has shown childhood abuse increases the likelihood of violent victimization in adulthood. Although it has been posited that dissociation may mediate childhood abuse and adult violent victimization, research investigating this hypothesis is sparse, particularly for extremely vulnerable populations such as homeless and unstably housed individuals. investigated the relationship between childhood abuse and dissociation on violent victimization in a cohort of homeless and unstably housed women. We also assessed whether dissociation mediated childhood abuse and violent victimization in this sample.MethodParticipants were asked at an initial assessment and a 6-month follow-up to report any physical or sexual violence experienced in the previous 6 months. Questionnaires recording history of specific types of childhood abuse, dissociation, and other factors were also recorded at the initial assessment.ResultsHierarchical logistic regression models revealed that childhood sexual abuse (Odds ratio [OR]= 3.10, p<. 01) and severe dissociation (OR= 1.99, p<. 01) were significantly associated with recent physical violence, and childhood sexual abuse (OR= 3.88, p<. 01) and dissociation (OR= 1.87, p<. 05) were also associated with recent sexual violence. Dissociation mediated neither childhood abuse on recent physical violence or recent sexual violence.ConclusionDeveloping approaches that effectively identify and treat dissociation as a part of an overall framework of trauma-informed care in homeless and unstably housed women may be an effective way to decrease future physical violence in this vulnerable population.(PsycINFO Database Record (c) 2017 APA, all rights reserved)