高职学生成人依恋在童年期创伤经历与心理资本关系中的中介作用

为了探讨高职学生童年创伤经历、成人依恋与心理资本的关系,采用童年期创伤问卷(CTQ-SF)、成人依恋量表(AAS)和积极心理资本问卷(PPQ)对515名高职大学生进行调查。结果显示:高职学生的心理资本在性别、家庭居住地、留守经历上存在显著性差异;高创伤经历的高职学生在心理资本和成人依恋中均显著低于低创伤者;高职学生童年创伤经历、依恋关系各维度和心理资本显著相关;高职学生童年期的情感忽视、依恋中的亲近、焦虑因子共同解释析心理资本的29.4%的变异,依恋的亲近和焦虑在高职学生的创伤经历和心理资本中具有部分中介作用,安全、稳定的依恋关系可以缓解创伤经历对高职学生心理资本的消极影响。     

The relationship between childhood emotional abuse and chronic pain among people who inject drugs in Vancouver,Canada

BackgroundPeople who inject drugs (PWID) often contend with chronic pain as a result of illness and trauma, and such pain is known to have significant impacts on mental health, quality of life, and substance use behaviours. Although PWID are also known to have high rates of childhood trauma, little is known about how childhood emotional abuse may be associated with chronic pain in this population.ObjectiveWe undertook this study to explore emotional abuse and chronic pain among PWID.Participants and settingThis study comprised a total of 1459 participants in Vancouver, Canada between June 2014 and November 2016.MethodsWe employed multivariable generalized estimating equations with data derived from two prospective cohort studies of community-recruited PWID to examine the relationship between childhood emotional abuse and chronic pain in the past six months.ResultsAmong eligible participants, 591 (40.5%) reported childhood emotional abuse, and 760 (52.1%) reported chronic pain in the previous six months. In a multivariable analysis, experiencing childhood emotional abuse remained independently associated with chronic pain (adjusted odds ratio: 1.25; 95% confidence interval: 1.01–1.53) after adjustment for a range of socio-demographic and drug use confounders.ConclusionsOur findings suggest that childhood emotional abuse may have lasting relationships with chronic pain among PWID, potentially through established physiological and psychological mechanisms. Current chronic pain treatment may benefit from the evaluation of life course vulnerabilities that may be amenable to earlier interventions. Further, increased availability of effective trauma-informed chronic pain treatment is needed among this vulnerable population.     

Epidemiology of abusive head trauma in West Virginia children <24 months: 2000–2010

BackgroundFew states have published statewide epidemiology of abusive head trauma (AHT).ObjectiveTo examine the statewide epidemiology of AHT in West Virginia (WV), with the primary objective of establishing AHT incidence for comparison to national data, and to use as a baseline for comparison to incidence post-implementation of a statewide AHT prevention program.Participants and settingAHT cases in children less than 2 years old were identified from the 3 tertiary pediatric centers in WV.MethodsCases were identified by using ICD-9 codes for initially identifying those with injuries which might be consistent with AHT, followed by medical record review to determine which of these met the criteria for inclusion as a case. Medical examiner data was used to find additional cases of AHT. Using the number of cases identified along with relevant census data, incidence of AHT was calculated.ResultsThere were 120 cases of AHT treated in WV hospitals from 2000 to 2010, 100 of which were WV residents. The incidence was 36.1/100,000 children <1 year of age and was 21.9 cases per 100,000 children <2 years of age. Incidence in infants increased during the latter years (2006–2010) of the study to 51.8/100,000 compared to the incidence during 2000–2005, which was 24.0/100,000 (p < .01).ConclusionsCompared to US national, state and regional figures, the WV incidence of AHT was among the highest. In addition, the incidence of AHT increased significantly over the study period. Possible factors contributing to the rise in incidence are discussed.     

Psychometric validation of the Childhood Trauma Questionnaire-Short Form (CTQ-SF) in a Danish clinical sample

BackgroundThe Childhood Trauma Questionnaire – Short Form (CTQ-SF) is a widely utilized self-report instrument in the assessment and characterization of childhood trauma. Yet, research on the instrument’s psychometric properties in clinical samples is sparse, and the Danish version of the CTQ-SF has not been previously evaluated in clinical samples.ObjectivesTo examine the structural validity, internal consistency reliability, and multi-method convergent validity of the CTQ-SF in a heterogenous clinical sample from Denmark.Participants and settingThe study was based on data from four Danish clinical samples (N = 393): 1) Outpatients diagnosed with personality disorders, 2) Patients commencing psychiatric treatment for non-affective first-episode psychosis, 3) Patients diagnosed with first-episode or prolonged depression recruited from general practitioners and an outpatient mood disorder clinic, and 4) detained delinquent boys.MethodsConfirmatory factor analysis was used to explore structural validity. Also, we calculated internal consistency and multi-method convergent validity with interview-based ratings of adverse parenting.ResultsConfirmatory factor analyses indicated that the five-factor structure described in CTQ-SF manual with three error correlated items best fitted the data, as compared to various other models. Coefficients of congruence also supported factorial similarity across countries (i.e. US substance abuser and a mixed Brazilian sample). Internal consistency reliability was acceptable and comparable to estimates previously published. Multi-method convergent validity associations further corroborated the validity of the CTQ-SF.ConclusionThese findings provide support for the reliability and validity of the Danish version of the CTQ-SF in clinical samples.     

Children’s trauma-related symptoms following complex trauma exposure: Evidence of gender differences

Complex trauma exposure has been operationalized as multiple or chronic interpersonal traumas that begin early in life and is thought to result in widespread self-regulation difficulties across several domains of functioning. Prior research has demonstrated that there are gender differences in trauma exposure as well as trauma-related symptoms; however, gender discrepancies have not previously been examined in the context of child survivors of complex trauma. The aim of the present study was to determine whether there are gender differences in both caregiver and child-reported trauma exposure and symptoms among 167 children who have experienced complex trauma (3–18 years, M = 9.90, SD = 3.92; 61.67% female). Male children were somewhat more likely to have been exposed to domestic violence, while female children were more likely to have experienced sexual abuse as well as more likely to have been abused by a caregiver. Gender differences were observed for several of the caregiver-reported symptom domains, with female children exhibiting higher levels of depression, dissociation, posttraumatic stress disorder (PTSD) hyperarousal symptoms, and total PTSD symptoms. Female children also self-reported higher levels of sexual concerns, and marginally more re-experiencing and total PTSD symptoms. Secondary analyses utilizing only children who experienced sexual abuse revealed that gender differences largely remained, again with females manifesting higher levels of symptoms. Thus, following complex trauma, female children may be at higher risk for trauma-related difficulties, which has implications for research and clinical interventions.     

Men’s experiences of early life trauma and pathways into long-term homelessness

Previous studies that have explored the association between childhood trauma and homelessness indicate that traumatic events can lead to survivor distrust of interpersonal relationships and institutions, prolonged homelessness and poor health and social outcomes. The majority of this literature relies on quantitative data and fails to investigate the personal experiences of childhood trauma that are found to impact housing status later in life. Semi-structured, qualitative interviews were conducted with 25 men living in an urban area in Ontario who had spent more than 30 consecutive nights in an emergency shelter over the course of their housing histories. During data analysis, it was observed that all of the men had experienced some form of trauma or neglect in childhood which contributed to their entries into homelessness. Using a case study approach, three entry pathways into long term homelessness are described: 1) youth; 2) emerging or early adulthood; and 3) middle adulthood. Participants are classified into the pathways by the developmental period at which they first entered homelessness. These findings have implications for policy makers and service providers, as key intervention points are identified. Establishing effective interventions that address crises experienced at these points could assist with homelessness prevention across the life course.     

Initial teacher education and trauma and violence informed care in the classroom: Preliminary results from an online teacher education course

A trauma-and-violence-informed-care (TVIC) system within an educational setting provides a framework of practice that enables schools to become safe and inclusive places for some of the most vulnerable students. Initial teacher education may provide the opportunity to prepare teachers to create classrooms and learning experiences that are safe, equitable, and meet students' needs. A mandatory mental health literacy course for second year teacher candidates in a Bachelor of Education program (n = 287) at a large Canadian university introduced TVIC concepts. A case study approach was used to illustrate both the challenges that students exposed to trauma and/or violence can experience, as well as strategies and knowledge that teachers can use to support these students. This program evaluation used a repeated measures design to survey both attitudes toward trauma informed care for teachers and self-efficacy for teaching using inclusive practices before and after the course. A significant effect of time on both measures revealed an increase in both participants' attitudes toward TVIC and their self-efficacy in using inclusive teaching practices. These findings provide support for the inclusion of these important topics for all teacher candidates. Implications for practice and policy are discussed.     

心理咨询师的替代性心理创伤与应对

替代性心理创伤是心理咨询师经常体验到的间接性的心理创伤,移情能力、缺少经验和社会支持以及人类的场景偏好等因素是导致这种创伤的原因。此创伤会给心理咨询师带来消极情绪和认知、低效能感甚至职业退出等影响。所以自我调节、提高专业技能并与同行联系是应对替代性心理创伤的良好策略。     

心理咨询从业人员的替代性创伤现象调查

笔者在翻译和修订“治疗者信念量表”（TBS）的基础上,对220名心理咨询从业人员进行问卷调查。结果表明：修订后的TBS由单一因素构成,具有较好的信、效度指标,可用于测量治疗者的价值体系。不同从业经历被试的TBS总分比较显示,随着从业年份的增加,心理咨询从业人员的替代性创伤有逐渐上升的趋势。心理咨询从业人员的自身心理健康问题值得关注。     

研究灾害与心理创伤 促进心理康复与和谐

减轻灾害带给人们的心理创伤,实现灾后心理康复是灾害心理学的使命。研究者们通过大规模流行病调查,确证了灾后心理创伤发生的广泛性。近10年来,在灾后心理创伤的诊断模型、脑与认知功能缺陷、神经生物学变化以及干预方法和效果等方面已取得重要进展。我国是灾害多发国家,灾害与心理创伤的研究将会有力提升全民预防和应对灾害的能力,因此,应在国家重大科技计划中部署灾害与心理创伤研究,通过凝练创伤应激反应的基础科学问题,推进灾害心理学学科建设,培养心理援助专业人才,以应对我国灾难发生后巨大的心理援助需求,也为制定灾害心理援助和灾后心理重建政策提供科学支撑,并带动我国社会生活中系列心理疾患问题的解决。