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Dissociation As a Mechanism of Risk for Interpersonal Victimization Among Adolescent Girls
Journal of Interpersonal Violence ( IF 2.621 ) Pub Date : 2024-05-06 , DOI: 10.1177/08862605241248431
Nicole A. Kouri 1 , Valerie A. Simon 1 , Ty Partridge 1
Affiliation  

Childhood interpersonal violence exposure (IVE) is associated with repeated victimization in adolescence and adulthood. Research suggests dissociation, a psychological phenomenon characterized by alterations and disruptions to consciousness, memory, and perceptions of the environment, and out-of-body experiences, increases the risk of revictimization. Self-report data from a longitudinal study of 92 violence-exposed adolescent girls from a large, urban area were analyzed to assess whether dissociation predicts polyvictimization or exposure to multiple types of interpersonal violence across adolescence. Participants’ mental and interpersonal health was assessed at four in-person laboratory visits scheduled across 3.5 years (i.e., T1–T4). IVE included direct or indirect victimization experienced at home, school, the neighborhood, or town, such as child maltreatment, domestic violence, peer victimization, dating aggression, and community violence. Polyvictimization was operationalized as a composite score of the different types of IVE endorsed by the participant or caregiver. A random-intercept cross-lagged panel model was used to test the bidirectional relationships between dissociation and polyvictimization longitudinally. Cross-lagged regressions were analyzed to determine whether dissociation and polyvictimization predicted subsequent dissociation symptoms and polyvictimization. Concurrent and previous dissociation significantly accounted for polyvictimization at T2, T3, and T4. Polyvictimization did not significantly predict future dissociation symptoms. The results from this study provide support for dissociation’s unique contribution to polyvictimization among violence-exposed girls, making it an important target for clinical assessment and treatment.

中文翻译:

分离是青春期女孩人际受害风险的机制

童年人际暴力暴露(IVE)与青春期和成年期的反复受害有关。研究表明,解离是一种心理现象,其特征是意识、记忆和环境感知的改变和破坏,以及灵魂出窍的经历,会增加再次受害的风险。对来自大城市地区的 92 名遭受暴力的少女进行的一项纵向研究的自我报告数据进行了分析,以评估分离是否预示着青春期的多重受害或遭受多种类型的人际暴力。参与者的心理和人际健康在 3.5 年(即 T1-T4)内安排的四次现场实验室访问中进行评估。 IVE 包括在家庭、学校、社区或城镇经历的直接或间接受害,例如虐待儿童、家庭暴力、同伴受害、约会攻击和社区暴力。多重受害被操作为参与者或护理人员认可的不同类型 IVE 的综合评分。使用随机截取交叉滞后面板模型来纵向测试解离和多重受害之间的双向关系。分析交叉滞后回归以确定解离和多重受害是否可以预测随后的解离症状和多重受害。同时发生的和之前发生的分离在 T2、T3 和 T4 时显着地导致了多重受害。多重受害并不能显着预测未来的分离症状。这项研究的结果支持了分离对遭受暴力的女孩遭受多重受害的独特贡献,使其成为临床评估和治疗的重要目标。
更新日期:2024-05-06
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