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CHILDHOOD SEXUAL ASSAULT, SCHEMAS, AND REVICTIMIZATION: THE ROLE OF EARLY MALADAPTIVE SCHEMAS ON REVICTIMIZATION

机译:儿童性侵害,模式和验证:早期适应不良的模式在验证中的作用

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摘要

Childhood sexual assault (CSA) refers to a sexual act that is imposed on a child or adolescent who lacks the emotional capacity, maturity, and cognitive development to understand what they are engaging in, and is incapable or unwilling to give consent. Many individuals who experience CSA also experience adult sexual assault, such as rape. To date, there is limited research that has examined early maladaptive schemas (EMS) and CSA, and no research that examines the relationship between CSA, EMS, and revictimization. The present study examined EMS as mediators of revictimization and mental health outcomes (i.e., depression and PTSD) among 263 college women who experienced CSA. Participants completed the Sexual Experiences Survey (SES-LFV; Koss et al., 2007) which assesses victimization and perpetration of unwanted sexual experiences, the Young Schema Questionnaire (YSQ-SF: Young, 1998) to measure early maladaptive schemas, Posttraumatic Stress Disorder Checklist 5, a brief self-report instrument consisting of 20 items that reflect the symptoms of PTSD outlined in DSM-5, and the Center for Epidemiological Studies Depression Scale (CESD-R; Radloff, 1977) is a brief self-report instrument used to measure symptoms of depression.As hypothesized, CSA was positively correlated with revictimization. CSA was correlated with EMS, specifically, emotional deprivation, mistrust/abuse, social isolation, defectiveness/shame, and self-sacrifice, but not abandonment. Surprisingly, EMS did not mediate the relationship between CSA and revictimization. EMS mediated the relationship between CSA and mental health outcomes, such as, depression and PTSD. EMS social isolation mediated the relationship between CSA and depression symptoms and EMS mistrust/abuse, social isolation, and self-sacrifice mediates the relationship between CSA and PTSD. In conclusion, our findings could be used to further investigate what appropriate early childhood interventions could possibly be used to address and treat early maladaptive schemas.
机译:儿童性攻击(CSA)是指对缺乏情感能力,成熟度和认知能力以了解他们所从事的活动且无能力或不愿表示同意的儿童或青少年实施的性行为。许多经历过CSA的人还会遭受成人性侵犯,例如强奸。迄今为止,仅有有限的研究检查了早期不良适应方案(EMS)和CSA,而没有研究检查CSA,EMS和重新受害之间的关系。本研究调查了263名经历了CSA的大学女性中EMS的作用,它们是重新获得胜利和心理健康结局(即抑郁和PTSD)的媒介。参与者完成了性经验调查(SES-LFV; Koss等,2007),该调查评估了不想要的性经历的受害程度和作案方式,即“年轻图式问卷”(YSQ-SF:Young,1998),以评估早期适应不良的图式,创伤后应激障碍。清单5是一种简短的自我报告工具,它由20个项目组成,反映了DSM-5中概述的PTSD症状,而流行病学研究中心抑郁量表(CESD-R; Radloff,1977)是使用的简短自我报告工具如所假设的那样,CSA与重新受伤害呈正相关。 CSA与EMS相关,特别是情感剥夺,不信任/滥用,社会孤立,缺陷/羞耻和自我牺牲,但没有被遗弃。出人意料的是,EMS并未调解CSA与重新受害者化之间的关系。 EMS介导了CSA与心理健康结局(例如抑郁症和PTSD)之间的关系。 EMS社会隔离介导了CSA与抑郁症状之间的关系,而EMS不信任/滥用,社会隔离和自我牺牲介导了CSA与PTSD之间的关系。总之,我们的发现可用于进一步调查哪些适当的早期儿童干预措施可用于解决和治疗早期不良适应方案。

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    Motley Lisa S;

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