Psychiatric disorders, such as post-traumatic stress disorder (PTSD), are significantly more likely among those exposed to child maltreatment. Not all who are exposed to maltreatment develop PTSD; while many contributing factors are understood, more research is needed to understand why some develop this disorder. The purpose of this study was to examine relationships among an understudied form of maltreatment: childhood emotional maltreatment (CEM) and cognitive processes that may directly or indirectly explain development of PTSD among CEM survivors. A sample of college students (N = 396) completed surveys related to childhood trauma history, cognitive processing, and PTSD. Mediation analyses revealed that CEM had a significant direct effect on PTSD, and that centrality of the event and intrusive rumination significantly mediated this relationship. Recommendations are provided for identifying maladaptive cognitive processes with the aim of facilitating adaptive cognitive processing related to prior trauma exposure and current PTSD symptoms.

中文翻译：

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事件中心性和侵入性反刍背景下的童年情绪虐待和创伤后应激障碍

精神疾病，例如创伤后应激障碍 (PTSD)，在那些遭受虐待儿童的人中的可能性要大得多。并非所有遭受虐待的人都会患上创伤后应激障碍；虽然了解了许多促成因素，但需要更多的研究来了解为什么有些人会患上这种疾病。本研究的目的是检查一种未被充分研究的虐待形式之间的关系：童年情绪虐待 (CEM) 和可能直接或间接解释 CEM 幸存者 PTSD 发展的认知过程。大学生样本 (N = 396) 完成了与童年创伤史、认知处理和 PTSD 相关的调查。中介分析表明，CEM 对 PTSD 有显着的直接影响，事件的中心性和侵入性的沉思显着调节了这种关系。提供了识别适应不良认知过程的建议，目的是促进与先前创伤暴露和当前 PTSD 症状相关的适应性认知过程。