Trauma cognitions as intervening variables in the relation of chronic child abuse and thwarted interpersonal needs.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-10-01 Epub Date: 2023-08-10 DOI:10.1037/tra0001561
Johnathan Walker, Alexandria F Sowers, Robert A Kaya, M Kati Lear, Ryan M Kozina, Joshua D Clapp
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Abstract

Objective: Chronic childhood trauma is consistently linked to negative mental health outcomes in adulthood, but research exploring specific paths of risk remains limited. The aims of the current study were to examine trauma cognitions as intervening variables in the relation of chronic victimization with perceived burdensomeness and thwarted belongingness, variables implicated in transdiagnostic risk for psychopathology.

Method: Semistructured interviews were used to identify university students reporting exposure to systematic physical and/or sexual violence prior to age 18 (n = 101) versus those experiencing other Criterion-A events (n = 254). Trauma cognitions (self, world, and self-blame) and thwarted interpersonal needs (burdensomeness and thwarted belongingness) were measured using scores from the posttrauma cognitions inventory (PTCI) and the Interpersonal Needs Questionnaire-10 (INQ-10). Path models in these cross-sectional data were evaluated to assess the indirect effects of chronic abuse on burdensomeness and thwarted belongingness through self, world, and blame cognitions.

Results: An initial model indicated associations of chronic victimization on self (p = .044) and world (p = .005) scales of the PTCI and a unique effect of self-beliefs on INQ-10 burdensomeness (p < .001). An indirect effect of abuse on burdensomeness through self-beliefs was supported (p = .050). A second model identified direct effects of PTCI self (p < .001) and world (p < .001) scores on thwarted belongingness as well as an indirect effect of chronic abuse on belongingness through world beliefs (p = .026).

Conclusions: While typically assessed within the context of posttraumatic stress disorder, results suggest that shifts in fundamental beliefs about the self and the world may have more general impacts on perceptions of burdensomeness and belonging in survivors of early, systematic abuse. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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创伤认知是长期虐待儿童与人际需求受挫关系中的干预变量。
目的:童年时期的慢性创伤一直与成年后的负面心理健康结果有关,但探索具体风险路径的研究仍然有限。本研究旨在探讨创伤认知作为长期受害与感知到的负担和归属感受挫之间关系的干预变量,这些变量与精神病理学的跨诊断风险有关:方法:采用半结构式访谈,对报告在 18 岁之前遭受过系统性身体暴力和/或性暴力的大学生(n = 101)与经历过其他标准-A 事件的大学生(n = 254)进行识别。通过创伤后认知清单(PTCI)和人际需求问卷-10(INQ-10)的得分来测量创伤认知(自我、世界和自责)和受挫的人际需求(负担感和受挫的归属感)。对这些横截面数据的路径模型进行了评估,以评估长期虐待通过自我、世界和自责认知对负担感和归属感受挫的间接影响:初始模型显示,长期受害与 PTCI 的自我(p = 0.044)和世界(p = 0.005)量表有关,自我信念对 INQ-10 负担感有独特影响(p < 0.001)。虐待通过自我信念对负担感的间接影响得到了支持(p = .050)。第二个模型确定了 PTCI 自我(p < .001)和世界(p < .001)得分对归属感受挫的直接影响,以及长期虐待通过世界信念对归属感的间接影响(p = .026):结论:虽然通常是在创伤后应激障碍的背景下进行评估,但结果表明,关于自我和世界的基本信念的转变可能会对早期系统性虐待幸存者的负担感和归属感产生更普遍的影响。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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