Citation

Stevens NR, Gerhart J, Goldsmith RE, Heath NM, Chesney SA, Hobfoll SE. Behav. Ther. 2013; 44(1): 152-161.

Affiliation

Rush University Medical Center. Electronic address: Natalie_Stevens@rush.edu.

Copyright

(Copyright © 2013, Association for Behavioral and Cognitive Therapies, Publisher Elsevier Publishing)

DOI

10.1016/j.beth.2012.09.003

PMID

23312434

Abstract

We examined how difficulties with emotion regulation, social support, and interpersonal violence in adult relationships mediated the relationship between childhood abuse and post traumatic symptoms (PTS) in adults. We fit a multiple mediation model to data from 139 socio-economically disadvantaged women (85% African American) of whom 44% endorsed moderate to severe levels of childhood physical, sexual, or emotional abuse and 12% screened positive for probable posttraumatic stress disorder (PTSD). The model accounted for 63% of the variance in adult PTS symptoms. Child abuse exerted a direct effect on PTS symptoms and indirect effects through difficulties with emotion regulation, lower social support, and greater exposure to adult interpersonal violence. Implications of findings for the treatment of individuals at high risk of having experienced childhood abuse and PTS are discussed.

Language: en