The Impact of Childhood Maltreatment on PTSD Symptoms Among Female Survivors of Intimate Partner Violence

被引:20
|
作者
Gobin, Robyn L. [1 ,2 ,3 ]
Iverson, Katherine M. [2 ,4 ]
Mitchell, Karen [2 ,4 ]
Vaughn, Rachel [1 ]
Resick, Patricia A. [2 ,4 ,5 ]
机构
[1] VA Boston Healthcare Syst, Boston, MA USA
[2] Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02215 USA
[3] Harvard Univ, Sch Med, Dept Psychiat, Cambridge, MA 02138 USA
[4] VA Boston Healthcare Syst, Womens Hlth Sci Div, Natl Ctr PTSD, Boston, MA USA
[5] Boston Univ, Sch Med, Dept Psychol, Boston, MA 02215 USA
关键词
domestic violence; childhood maltreatment; PTSD; mediation; structural equation modeling; POSTTRAUMATIC-STRESS-DISORDER; FAMILY VIOLENCE; SEXUAL-ABUSE; SELF-REPORT; RISK; HEALTH; WOMEN; VICTIMIZATION; PREVALENCE; SAMPLE;
D O I
10.1891/0886-6708.VV-D-12-00090
中图分类号
DF [法律]; D9 [法律];
学科分类号
0301 ;
摘要
Objective: Intimate partner violence (IPV) survivors often report histories of childhood maltreatment, yet the unique contributions of childhood maltreatment on IPV survivors' distinct posttraumatic stress disorder (PTSD) symptoms remain inadequately understood. Method: Using interview and self-report measures, we examined IPV as a potential-mediator of the association between childhood maltreatment and severity of PTSD symptom clusters (reexperiencing, avoidance, numbing, and hyperarousal) among a sample of 425 women seeking help for recent IPV. Results: Structural equation modeling demonstrated that while both childhood maltreatment and IPV were both positively associated with PTSD symptom clusters, IPV did not mediate the association between childhood maltreatment and severity of PTSD symptom clusters among acute IPV survivors. Conclusions: Childhood maltreatment has persistent effects on the PTSD symptoms of IPV survivors, suggesting that child maltreatment may need to be addressed in addition to IPV during PTSD treatment.
引用
收藏
页码:984 / 999
页数:16
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