Factors predicting PTSD, depression, and dissociative severity in female treatment-seeking childhood sexual abuse survivors.

Abstract:

OBJECTIVE:Two main questions were asked: (1) what abuse characteristics relate to PTSD, depressive, and dissociative severity in adult survivors of child sexual abuse (CSA); and (2) what abuse characteristics influence the severity of dissociation during CSA. METHOD:89 female CSA survivors' current symptoms of PTSD, depression, and dissociation were assessed with standardized measures. Additionally, abuse characteristics (e.g., age of onset, peritraumatic dissociation) were assessed with a structured interview. RESULTS:Correlational analyses indicated that peritraumatic dissociation was most strongly related to all three types of symptom severity. Additional posthoc correlational analyses revealed that women who experienced penile penetration, believed someone/thing else would be killed, and/or were injured as a result of the abuse exhibited more severe peritraumatic dissociation. Regression analyses indicated that peritraumatic dissociation was the only variable to significantly predict symptom severity across symptom type or disorder. Furthermore, different abuse characteristics predicted adult symptom severity and peritraumatic dissociation. CONCLUSIONS:The relation between peritraumatic dissociation and adult symptomatology was most intriguing and has two main clinical implications: (1) teaching engagement strategies to some CSA survivors in hopes of containing dissociative symptoms immediately following the abuse and (2) the inclusion of exposure-based interventions in the treatment of some adult CSA survivors where indicated.

journal_name

Child Abuse Negl

journal_title

Child abuse & neglect

authors

Johnson DM,Pike JL,Chard KM

doi

10.1016/s0145-2134(00)00225-8

keywords:

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

179-98

issue

1

eissn

0145-2134

issn

1873-7757

pii

S0145213400002258

journal_volume

25

pub_type

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