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Specific early maladaptive schemas differentially mediate the relations of emotional and sexual maltreatment to recent life events in youth with depression
Clinical Psychology & Psychotherapy ( IF 3.2 ) Pub Date : 2021-11-01 , DOI: 10.1002/cpp.2681
Sally Zheng 1 , Jeremy G Stewart 2 , R Michael Bagby 3 , Kate L Harkness 2
Affiliation  

The current study provided a novel investigation of relations among particular types of childhood maltreatment (emotional vs. physical vs. sexual maltreatment), specific cognitive schema themes and the generation of dependent versus independent life events. Participants included 227 adolescents and emerging adults (74% female; aged 12–29) in a current episode of a unipolar depressive disorder drawn from three archival cross-sectional studies. Childhood maltreatment and life events from the past 6 months were assessed using detailed contextual interviews with independent, standardized ratings. Emotional maltreatment was uniquely associated with schema themes of emotional deprivation and subjugation, and sexual maltreatment was uniquely associated with schema themes of abandonment, vulnerability and dependence/incompetence. Further, subjugation and abandonment cross-sectionally mediated the relations of emotional and sexual maltreatment, respectively, to greater dependent, but not independent, life events. Physical maltreatment was not associated with cognitive schemas or recent life events after accounting for its overlap with emotional and sexual maltreatment. Results suggest targets for cognitive intervention that may improve outcomes for youth with specific histories of emotional and sexual maltreatment.

中文翻译:

特定的早期适应不良图式不同地调节情绪和性虐待与抑郁症青年近期生活事件的关系

目前的研究对特定类型的儿童虐待(情感虐待、身体虐待和性虐待)、特定认知图式主题以及依赖与独立生活事件的产生之间的关系进行了新的调查。参与者包括 227 名青少年和新兴成年人(74% 为女性;年龄在 12-29 岁),他们参与了来自三项档案横断面研究的当前单相抑郁症发作。过去 6 个月的儿童虐待和生活事件使用具有独立、标准化评级的详细情境访谈进行评估。情感虐待与情感剥夺和征服的图式主题独特相关,性虐待与遗弃、脆弱和依赖/无能的图式主题独特相关。更远,征服和遗弃在横断面上分别介导了情感虐待和性虐待与更大依赖但不是独立的生活事件的关系。在考虑到与情感和性虐待的重叠后,身体虐待与认知模式或最近的生活事件无关。结果表明,认知干预的目标可能会改善有特定情绪和性虐待历史的青年的结局。
更新日期:2021-11-01
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