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.
复制标题
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:
影响因子:
--
通讯作者:
Riley,EliseD
中科院分区:
文献类型:
--
作者:
Young,DmitriA;Shumway,Martha;Flentje,Annesa;Riley,EliseD
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)