Loading...
Publication
Attachment and world assumptions mediate associations between polytraumatization and complex PTSD symptoms in Faroese Adolescents
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 633.37 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Experienciar acontecimentos adversas na infância e adolescência (AAI) pode colocar esta população em risco de desenvolveres sintomas de perturbação de stress pós-traumático complexo (PSPTC). As preocupações crescentes com os problemas de saúde física e mental de longa duração associados tornam o estudo desta associação uma necessidade para melhor prevenir e informar os planos de tratamento. As orientações de vinculação e os pressupostos básicos podem ajudar a explicar aspetos desta relação. Testámos um modelo de mediação de duas fases com estas variáveis como mediadores da associação entre a exposição a AAI e os sintomas de PSPTC. Foram recolhidos dados de 687 adolescentes das Ilhas Faroé, com uma idade média de 14,4 anos (DP = 0,6), através de questionários de autorrelato. Foram testados dois modelos, um para cada sexo. Nas participantes do sexo feminino, uma maior exposição direta a AAI esteve associada a níveis mais elevados de orientação de vinculação ansiosa, que por sua vez esteve associada a níveis mais baixos de valor próprio e, finalmente, a níveis mais elevados em todos os sintomas de PSPT. Nos participantes do sexo masculino, tanto a exposição direta como indireta a AAI estiveram associadas a níveis mais elevados em orientação de vinculação evitante, o que por sua vez estava associado a níveis mais baixos de valor próprio e, finalmente, a níveis mais elevados em todos os grupos de sintomas de PSPT. No mesmo modelo, a exposição indireta a AAI estava associada a níveis mais elevados na orientação de vinculação ansiosa, o que, por sua vez, estava associado a níveis mais baixos de valor próprio e a níveis mais elevados de significado do mundo e, finalmente, ambos estavam associados a níveis mais elevados em todos os sintomas de PSPT. Os resultados indicam que as orientações de vinculação e os pressupostos básicos são variáveis importantes na relação entre a exposição a AAI e o desenvolvimento de CPTSD, e os profissionais de saúde podem tê-las em consideração na intervenção, tanto para a prevenção como para o tratamento.
Exposure to adverse childhood experiences (ACE) could increase children and adolescents’ risk of developing complex post-traumatic stress disorder (CPTSD) symptoms. Growing concerns about the long lasting mental and physical health problems associated with this disorder make the study of this association a necessity to better prevent and inform treatment plans. Attachment orientations and world assumptions could help explain the link between ACE in CPTSD symptoms. We tested a two-step mediation model with attachment orientations and world assumptions as mediators of the association between ACE exposure and CPTSD symptoms. Data were collected from 687 Faroese adolescents, mean age of 14.4 (SD = 0.6) through self-report questionnaires. Two models were tested, one for each sex. In female participants, higher direct ACE exposure was associated with higher levels of attachment anxiety, which in turn was associated with lower levels in worthiness of the self, and finally these were associated with higher levels in all CPTSD symptom clusters. In male participants both direct and indirect exposure to ACE were associated with higher levels of attachment avoidance, which was associated with lower levels in worthiness of the self, and finally these were associated with higher levels in all CPTSD symptom clusters. In the same model indirect exposure to ACE was associated with higher levels in attachment anxiety, which in turn was associated with lower levels of worthiness of the self and higher levels in meaningfulness of the world, and finally both were associated with higher levels in all CPTSD symptom clusters. Results indicate that attachment orientations and world assumptions are important variables in the relationship between ACE exposure and development of CPTSD, and clinicians could take these into consideration in intervention for both prevention and treatment.
Exposure to adverse childhood experiences (ACE) could increase children and adolescents’ risk of developing complex post-traumatic stress disorder (CPTSD) symptoms. Growing concerns about the long lasting mental and physical health problems associated with this disorder make the study of this association a necessity to better prevent and inform treatment plans. Attachment orientations and world assumptions could help explain the link between ACE in CPTSD symptoms. We tested a two-step mediation model with attachment orientations and world assumptions as mediators of the association between ACE exposure and CPTSD symptoms. Data were collected from 687 Faroese adolescents, mean age of 14.4 (SD = 0.6) through self-report questionnaires. Two models were tested, one for each sex. In female participants, higher direct ACE exposure was associated with higher levels of attachment anxiety, which in turn was associated with lower levels in worthiness of the self, and finally these were associated with higher levels in all CPTSD symptom clusters. In male participants both direct and indirect exposure to ACE were associated with higher levels of attachment avoidance, which was associated with lower levels in worthiness of the self, and finally these were associated with higher levels in all CPTSD symptom clusters. In the same model indirect exposure to ACE was associated with higher levels in attachment anxiety, which in turn was associated with lower levels of worthiness of the self and higher levels in meaningfulness of the world, and finally both were associated with higher levels in all CPTSD symptom clusters. Results indicate that attachment orientations and world assumptions are important variables in the relationship between ACE exposure and development of CPTSD, and clinicians could take these into consideration in intervention for both prevention and treatment.
Description
Keywords
Adverse childhood experiences Attachment orientations World assumptions Complex post-traumatic stress disorder Faroese adolescents