التفاصيل البيبلوغرافية
| العنوان: |
Posttraumatic symptom profiles among adult survivors of childhood sexual abuse: A longitudinal study. |
| المؤلفون: |
Steine, Iris M.1,2 iris.steine@gmail.com, Winje, Dagfinn1, Skogen, Jens Christoffer3, Krystal, John H.4,5, Milde, Anne Marita6,7, Bjorvatn, Bjørn8,9, Nordhus, Inger Hilde1,10, Grønli, Janne7,11, Pallesen, Ståle9,12 |
| المصدر: |
Child Abuse & Neglect. May2017, Vol. 67, p280-293. 14p. |
| مصطلحات موضوعية: |
*POST-traumatic stress disorder, *PSYCHOLOGY of adult child sexual abuse victims, *ANXIETY, *HELPLESSNESS (Psychology), *LONGITUDINAL method |
| مستخلص: |
In the present study, our aim was to examine longitudinal posttraumatic stress symptom (PTSS) trajectories in a Norwegian sample of adults who had experienced sexual abuse during childhood, and to identify predictors of PTSS-trajectory belongingness. The sample consisted of 138 adult survivors of childhood sexual abuse (96.4% women, mean age = 42.9 years, mean age at the first abuse = 5.9 years), recruited from support centers for sexual abuse survivors. The majority (78.3%) reported penetrative abuse, and a large proportion of the sample reported that the perpetrator was a biological parent (38.4%) or someone they trusted (76.1%), reflecting a high severity level of the abusive experiences. Latent Profile Analyses revealed the best overall fit for a two PTSS-trajectories model; one trajectory characterized by sub-clinical and decreasing level of PTSS (54.9%), and the other by high and slightly decreasing level of PTSS (45.1%). Increased odds for belonging to the trajectory with clinical level symptoms was found among those who reported higher levels of exposure to other types of childhood maltreatment (OR = 3.69, p = 0.002), sexual abuse enforced by physical violence (OR = 3.04, p = 0.003) or threats (OR = 2.56, p = 0.014), very painful sexual abuse (OR = 2.73, p = 0.007), or who had experienced intense anxiety, helplessness or fear during the abuse (OR = 2.97, p = 0.044). Those in the trajectory with clinical level PTSS reported lower levels of perceived social support and more relational difficulties compared to those in the sub-clinical PTSS trajectory. In conclusion, different longitudinal PTSS trajectories can be found among adult survivors of childhood sexual abuse. Significant predictors of PTSS-trajectory belongingness are discussed alongside their potential implications for preventive efforts and clinical interventions. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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