Closeness in relationships as a mediator between sexual abuse in childhood or adolescence and psychopathological outcome in adulthood
Identifieur interne : 001160 ( Istex/Corpus ); précédent : 001159; suivant : 001161Closeness in relationships as a mediator between sexual abuse in childhood or adolescence and psychopathological outcome in adulthood
Auteurs : Nevena Dimitrova ; Blaise Pierrehumbert ; Nathalie Glatz ; Raffaella Torrisi ; Markus Heinrichs ; Oliver Halfon ; Oliver ChouchenaSource :
- Clinical Psychology & Psychotherapy [ 1063-3995 ] ; 2010-05.
English descriptors
Abstract
The risk of adverse psychological outcomes in adult victims of childhood and adolescent sexual abuse (CSA) has been documented; however, research on possible mediating variables is still required, namely with a clinical perspective. The attachment literature suggests that secure interpersonal relationships may represent such a variable. Twenty‐eight women who had experienced episodes of CSA, and 16 control women, were interviewed using Bremner's Early Trauma Inventory and the DSM‐IV Global Assessment of Functioning; they also responded to Collins' Relationship Scales Questionnaire, evaluating adult attachment representations in terms of Closeness, Dependence and Anxiety. Subjects with an experience of severe abuse reported significantly more interpersonal distance in relationships (low index of Closeness) than other subjects. The index of psychopathological functioning was correlated with both the severity of abuse and attachment (low index of Closeness). Regression analysis on the sample of abused women revealed that attachment predicted psychopathology when abuse was controlled for, whereas abuse did not predict psychopathology when attachment was controlled for. Therefore, preserving a capacity for closeness with attachment figures in adulthood appears to mediate the consequences of CSA on subsequent psychopathological outcome. Copyright © 2009 John Wiley & Sons, Ltd.
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DOI: 10.1002/cpp.650
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ISTEX:7E831B3F7D284748C406192BEC2088AADF85CFB5Le document en format XML
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The attachment literature suggests that secure interpersonal relationships may represent such a variable. Twenty‐eight women who had experienced episodes of CSA, and 16 control women, were interviewed using Bremner's Early Trauma Inventory and the DSM‐IV Global Assessment of Functioning; they also responded to Collins' Relationship Scales Questionnaire, evaluating adult attachment representations in terms of Closeness, Dependence and Anxiety. Subjects with an experience of severe abuse reported significantly more interpersonal distance in relationships (low index of Closeness) than other subjects. The index of psychopathological functioning was correlated with both the severity of abuse and attachment (low index of Closeness). Regression analysis on the sample of abused women revealed that attachment predicted psychopathology when abuse was controlled for, whereas abuse did not predict psychopathology when attachment was controlled for. Therefore, preserving a capacity for closeness with attachment figures in adulthood appears to mediate the consequences of CSA on subsequent psychopathological outcome. Copyright © 2009 John Wiley & Sons, Ltd.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Nevena Dimitrova</name><affiliations><json:string>Institute of Psychology, University of Lausanne, Lausanne, Switzerland</json:string><json:string>Institute of Psychology, University of Lausanne, Lausanne, Switzerland</json:string></affiliations></json:item><json:item><name>Blaise Pierrehumbert</name><affiliations><json:string>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</json:string></affiliations></json:item><json:item><name>Nathalie Glatz</name><affiliations><json:string>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</json:string></affiliations></json:item><json:item><name>Raffaella Torrisi</name><affiliations><json:string>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, 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xml:id="author-2"><persName><forename type="first">Blaise</forename><surname>Pierrehumbert</surname></persName><note type="biography">These two authors have contributed equally to this paper.</note><affiliation>These two authors have contributed equally to this paper.</affiliation><affiliation>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</affiliation></author><author xml:id="author-3"><persName><forename type="first">Nathalie</forename><surname>Glatz</surname></persName><affiliation>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</affiliation></author><author xml:id="author-4"><persName><forename type="first">Raffaella</forename><surname>Torrisi</surname></persName><affiliation>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</affiliation></author><author xml:id="author-5"><persName><forename 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The attachment literature suggests that secure interpersonal relationships may represent such a variable. Twenty‐eight women who had experienced episodes of CSA, and 16 control women, were interviewed using Bremner's Early Trauma Inventory and the DSM‐IV Global Assessment of Functioning; they also responded to Collins' Relationship Scales Questionnaire, evaluating adult attachment representations in terms of Closeness, Dependence and Anxiety. Subjects with an experience of severe abuse reported significantly more interpersonal distance in relationships (low index of Closeness) than other subjects. The index of psychopathological functioning was correlated with both the severity of abuse and attachment (low index of Closeness). Regression analysis on the sample of abused women revealed that attachment predicted psychopathology when abuse was controlled for, whereas abuse did not predict psychopathology when attachment was controlled for. Therefore, preserving a capacity for closeness with attachment figures in adulthood appears to mediate the consequences of CSA on subsequent psychopathological outcome. Copyright © 2009 John Wiley & Sons, Ltd.</p></abstract><abstract><p>Key Practitioner Message:</p></abstract><abstract><p>• The way CSA victims deal with closeness and intimacy in relationships contributes to the quality of psychological outcome in adulthood.</p></abstract><abstract><p>• Treatment strategies for CSA victims should emphasize the enhancement of interpersonal experiences and the strengthening of the subject's sense of closeness to others, intimacy in relationships, and confidence in others.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>Child Sexual Abuse</term></item><item><term>Attachment</term></item><item><term>Psychological Outcome</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article-category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2010-05">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/7E831B3F7D284748C406192BEC2088AADF85CFB5/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>John Wiley & Sons, Ltd.</publisherName><publisherLoc>Chichester, UK</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1099-0879</doi><issn type="print">1063-3995</issn><issn type="electronic">1099-0879</issn><idGroup><id type="product" value="CPP"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY">Clinical Psychology & Psychotherapy</title><title type="subtitle">An International Journal of Theory & Practice</title><title type="short">Clin. 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The attachment literature suggests that secure interpersonal relationships may represent such a variable. Twenty‐eight women who had experienced episodes of CSA, and 16 control women, were interviewed using Bremner's Early Trauma Inventory and the DSM‐IV Global Assessment of Functioning; they also responded to Collins' Relationship Scales Questionnaire, evaluating adult attachment representations in terms of Closeness, Dependence and Anxiety. Subjects with an experience of severe abuse reported significantly more interpersonal distance in relationships (low index of Closeness) than other subjects. The index of psychopathological functioning was correlated with both the severity of abuse and attachment (low index of Closeness). Regression analysis on the sample of abused women revealed that attachment predicted psychopathology when abuse was controlled for, whereas abuse did not predict psychopathology when attachment was controlled for. Therefore, preserving a capacity for closeness with attachment figures in adulthood appears to mediate the consequences of CSA on subsequent psychopathological outcome. Copyright © 2009 John Wiley & Sons, Ltd.</p><p><b>Key Practitioner Message:</b></p><p>• The way CSA victims deal with closeness and intimacy in relationships contributes to the quality of psychological outcome in adulthood.</p><p>• Treatment strategies for CSA victims should emphasize the enhancement of interpersonal experiences and the strengthening of the subject's sense of closeness to others, intimacy in relationships, and confidence in others.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>These two authors have contributed equally to this paper.</p></note><note xml:id="fn2"><p>These two authors have contributed equally to this paper.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Closeness in relationships as a mediator between sexual abuse in childhood or adolescence and psychopathological outcome in adulthood</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Attachment and Sexual Abuse Psychological Outcome</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Closeness in relationships as a mediator between sexual abuse in childhood or adolescence and psychopathological outcome in adulthood</title></titleInfo><name type="personal"><namePart type="given">Nevena</namePart><namePart type="family">Dimitrova</namePart><affiliation>Institute of Psychology, University of Lausanne, Lausanne, Switzerland</affiliation><description>These two authors have contributed equally to this paper.</description><affiliation>Institute of Psychology, University of Lausanne, Lausanne, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Blaise</namePart><namePart type="family">Pierrehumbert</namePart><affiliation>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</affiliation><description>These two authors have contributed equally to this paper.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nathalie</namePart><namePart type="family">Glatz</namePart><affiliation>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Raffaella</namePart><namePart type="family">Torrisi</namePart><affiliation>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Markus</namePart><namePart type="family">Heinrichs</namePart><affiliation>Department of Clinical Psychology, University of Zurich, Zurich, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Oliver</namePart><namePart type="family">Halfon</namePart><affiliation>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Oliver</namePart><namePart type="family">Chouchena</namePart><affiliation>Department of Child and Adolescent Psychiatry, University of Lausanne, Lausanne, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>John Wiley & Sons, Ltd.</publisher><place><placeTerm type="text">Chichester, UK</placeTerm></place><dateIssued encoding="w3cdtf">2010-05</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">3</extent><extent unit="references">64</extent></physicalDescription><abstract>The risk of adverse psychological outcomes in adult victims of childhood and adolescent sexual abuse (CSA) has been documented; however, research on possible mediating variables is still required, namely with a clinical perspective. The attachment literature suggests that secure interpersonal relationships may represent such a variable. Twenty‐eight women who had experienced episodes of CSA, and 16 control women, were interviewed using Bremner's Early Trauma Inventory and the DSM‐IV Global Assessment of Functioning; they also responded to Collins' Relationship Scales Questionnaire, evaluating adult attachment representations in terms of Closeness, Dependence and Anxiety. Subjects with an experience of severe abuse reported significantly more interpersonal distance in relationships (low index of Closeness) than other subjects. The index of psychopathological functioning was correlated with both the severity of abuse and attachment (low index of Closeness). Regression analysis on the sample of abused women revealed that attachment predicted psychopathology when abuse was controlled for, whereas abuse did not predict psychopathology when attachment was controlled for. Therefore, preserving a capacity for closeness with attachment figures in adulthood appears to mediate the consequences of CSA on subsequent psychopathological outcome. Copyright © 2009 John Wiley & Sons, Ltd.</abstract><abstract>Key Practitioner Message:</abstract><abstract>• The way CSA victims deal with closeness and intimacy in relationships contributes to the quality of psychological outcome in adulthood.</abstract><abstract>• Treatment strategies for CSA victims should emphasize the enhancement of interpersonal experiences and the strengthening of the subject's sense of closeness to others, intimacy in relationships, and confidence in others.</abstract><subject lang="en"><genre>keywords</genre><topic>Child Sexual Abuse</topic><topic>Attachment</topic><topic>Psychological Outcome</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Psychology & Psychotherapy</title><subTitle>An International Journal of Theory & Practice</subTitle></titleInfo><titleInfo type="abbreviated"><title>Clin. Psychol. Psychother.</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Research Article</topic></subject><identifier type="ISSN">1063-3995</identifier><identifier type="eISSN">1099-0879</identifier><identifier type="DOI">10.1002/(ISSN)1099-0879</identifier><identifier type="PublisherID">CPP</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>17</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>183</start><end>195</end><total>13</total></extent></part></relatedItem><identifier type="istex">7E831B3F7D284748C406192BEC2088AADF85CFB5</identifier><identifier type="DOI">10.1002/cpp.650</identifier><identifier type="ArticleID">CPP650</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2009 John Wiley & Sons, Ltd.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>John Wiley & Sons, Ltd.</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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