Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury
Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury
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DOI：
10.1037/0022-006x.76.1.39
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发表时间：
2008-02-01
影响因子：
5.9
通讯作者：
Nock, Matthew K.
中科院分区：
文献类型：
--
作者：
Weierich, Mariann R.;Nock, Matthew K.
先前的研究一致表明，儿童期虐待与非自杀性自残（NSSI）之间存在密切关系，但尚不清楚为什么存在这种关系。作者研究了 2 个特定的创伤后应激障碍 (PTSD) 症状群，作为儿童虐待与 NSSI 相关的潜在机制。参与者为 86 名青少年（78% 女性，22% 男性；73% 白种人，27% 其他种族/族裔；平均年龄 = 17.03 岁，范围 = 12-19 岁），他们完成了儿童虐待、精神疾病诊断和统计手册（第四版）PTSD 症状和 NSSI 的测量。分析显示，儿童期性虐待与 NSSI 的存在和频率之间存在显着关系。此外，数据支持了一个理论模型，其中创伤后应激障碍（PTSD）重新体验和回避/麻木症状独立地介导了这种关系。未来的研究必须测试儿童性虐待、创伤后应激障碍症状和 NSSI 之间的时间关系，并确定参与 NSSI 的其他途径。
Prior research consistently has shown a strong relation between childhood abuse and nonsuicidal self-injury (NSSI), yet it is unclear why this relation exists. The authors examined 2 specific posttraumatic stress disorder (PTSD) symptom clusters as potential mechanisms through which childhood abuse may be related to NSSI. Participants were 86 adolescents (78% female, 22% male; 73% Caucasian, 27% other races/ethnicities; mean age = 17.03 years, range = 12-19 years) who completed measures of childhood abuse, Diagnostic and Statistical Manual of Mental Disorders (4th ed.) PTSD symptoms, and NSSI. Analyses revealed a significant relation between childhood sexual abuse in particular and the presence and frequency of NSSI. Moreover, data supported a theoretical model in which PTSD reexperiencing and avoidance/numbing symptoms independently mediate this relation. Future research must test the temporal relation between childhood sexual abuse, PTSD symptoms, and NSSI and identify additional pathways to engagement in NSSI.