Emotion dysregulation and risky sexual behavior in revictimization
Emotion dysregulation and risky sexual behavior in revictimization
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DOI：
10.1016/j.chiabu.2010.06.004
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发表时间：
2010-12-01
影响因子：
4.8
通讯作者：
DiLillo, David
中科院分区：
文献类型：
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作者：
Messman-Moore, Terri L.;Walsh, Kate L.;DiLillo, David
目的：本研究探讨了情绪失调是儿童性虐待 (CSA) 和儿童身体虐待 (CPA) 成年受害者中危险性行为和性再次受害的潜在机制。方法：参与者为 752 名女大学生。通过采用横断面设计的匿名自我报告调查来评估受害史、情绪失调和危险性行为。结果：大约 6.3% 的参与者报告了 CSA，25.5% 报告了 CPA，17.8% 报告了青春期或成年期间的强奸行为。 CSA 和 CPA 与青少年/成人强奸风险增加有关； 29.8%的CSA受害者和24.3%的CPA受害者再次受害。路径分析模型测试了虐待儿童、情绪失调、青少年/成人强奸和三种形式的危险性行为（例如，不使用安全套、避孕或与酒精/毒品影响下的人发生性行为）之间的假设关系，包括与常规约会伙伴、陌生人的危险性行为的频率以及一生中性伙伴的数量。情绪失调介导 CSA 和 CPA 的再次受害。情绪失调还可以预测终生性伴侣的数量以及与陌生人发生危险性行为的频率，但不能预测与常规约会对象发生危险性行为的频率。结论：研究结果表明，情绪失调是远端预测因素，而高风险性行为，尤其是与不太知名的伴侣进行性行为，是性行为再次受害的近端预测因素。由于情绪失调也是再次受害的重要直接途径，因此危险性行为似乎是再次受害的几个近端风险因素之一。实践意义：研究结果证实，情绪失调是导致危险性行为等更近端风险因素的关键途径，并表明旨在改善情绪失调的临床干预措施可能有助于减少危险性行为和再次受害的风险。 (C) 2010 Elsevier Ltd. 保留所有权利。
Objective: The current study examined emotion dysregulation as a mechanism underlying risky sexual behavior and sexual revictimization among adult victims of child sexual abuse (CSA) and child physical abuse (CPA).Methods: Participants were 752 college women. Victimization history, emotion dysreguladon, and risky sexual behavior were assessed with anonymous, self-report surveys utilizing a cross-sectional design.Results: Approximately 6.3% of participants reported CSA, 25.5% reported CPA, and 17.8% reported rape during adolescence or adulthood. CSA and CPA were associated with increased risk for adolescent/adult rape; 29.8% of CSA victims and 24.3% of CPA victims were revictimized. Path analytic models tested hypothesized relationships among child abuse, emotion dysregulation, adolescent/adult rape and three forms of risky sexual behavior (e.g., failure to use condoms, contraception, or having sex with someone under the influence of alcohol/drugs), including frequency of risky sexual behavior with a regular dating partner, with a stranger, and lifetime number of intercourse partners. Emotion dysregulation mediated revictimization for both CSA and CPA. Emotion dysregulation also predicted lifetime number of sexual partners and frequency of risky sex with a stranger, but not frequency of risky sex with a regular dating partner.Conclusions: Findings suggest that emotion dysregulation is a distal predictor, and risky sex, particularly with lesser known partners, is a proximal predictor of sexual revictimization. Because emotion dysregulation also maintained a significant direct path to revictimization, risky sexual behavior appears to be one of several proximal risk factors for revictimization.Practice implications: Findings confirm that emotion dysregulation is a critical pathway to more proximal risk factors such as risky sexual behavior, and suggest that clinical interventions aimed at improving emotion dysregulation may help reduce risky sexual behavior and risk for revictimization. (C) 2010 Elsevier Ltd. All rights reserved.