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首页> 外文期刊>Clinical Psychology & Psychotherapy >Derealization and self-harm strategies are used to regulate disgust, fear, and sadness in adult survivors of childhood sexual abuse
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Derealization and self-harm strategies are used to regulate disgust, fear, and sadness in adult survivors of childhood sexual abuse

机译：致命和自我伤害策略用于规范童年性虐待的成人幸存者中的厌恶，恐惧和悲伤

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Emotion regulation (ER) difficulties have been identified as an important target for clinical intervention in the treatment of post-traumatic stress disorder (PTSD) symptoms in survivors of childhood sexual abuse (CSA). However, there is limited research regarding the use of specific strategies to regulate specific emotions following exposure to traumatic events. The aim of the current study was to investigate the indirect effects of four trauma-related emotions (anger, sadness, disgust, and fear) on PTSD severity via two mediators: derealization and self-harm. In particular, we tested that if the two hypothetical mediators operate sequentially, derealization precedes self-harm and/or self-harm precedes derealization. A predominate female clinical sample (N=109) of CSA survivors completed measures of experience of emotions, ER, and post-traumatic stress. Bivariate and serial mediation analyses were conducted to test the direct and indirect effects of trauma-related emotions on PTSD severity. Serial mediation analyses indicated that there were significant total effects of all trauma-related emotions on PTSD severity. Three trauma-related emotions (sadness, disgust, and fear) were indirectly associated to PTSD severity via derealization and self-harm and via self-harm and derealization. Results indicate that difficulties in regulating the emotions of sadness, disgust, and fear may result in more severe derealization and self-harm as coping strategies, which in turn lead to greater PTSD severity. The sequence of mediators does not hold great importance in these pathways. Overall, our findings suggest that therapeutically targeting derealization and self-harm might enable the reduction of PTSD among CSA survivors.
机译：情绪调节（ER）已被识别为临床干预治疗儿童时期性虐待幸存者（CSA）的创伤后应激障碍（PTSD）症状的重要目标。然而，有关使用特定策略的研究有限，以调节暴露于创伤事件后的特异性情绪。目前研究的目的是通过两位调解员调查四项创伤相关情绪（愤怒，悲伤，厌恶，恐惧和恐惧）对应激病的间接影响：致命和自我危害。特别是，我们测试了，如果两个假想的介质依次运作，则致命化在自我危害和/或自我危害之前致命。 CSA幸存者的临床临床样本（n = 109）完成了情绪，ER和创伤后应力的经验措施。进行了双抗体和串行调解分析，以测试创伤相关的情绪对应激病严重程度的直接和间接影响。串行调解分析表明，所有创伤与晚期严重程度都有显着的完全效应。通过致命和自我危害以及通过自我危害和致命，三个与创伤相关的情绪（悲伤，厌恶和恐惧）间接与应激病严重程度相关联。结果表明，调节悲伤，厌恶和恐惧情绪的困难可能导致更严重的致命和自我危害，作为应对策略，又导致更大的可击性严重程度。介质序列在这些途径中并不重要。总体而言，我们的研究结果表明，治疗终身致命和自我危害可能降低CSA幸存者中的应激障碍。

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