Two-hundred and twenty-four participants who reported a history of child abuse
trauma were recruited from the internet, clinical (community outpatient) and
prison settings and completed a battery of assessment measures, including
Briere's Child Maltreatment Interview Schedule (CMIS) (slightly modified),
Detailed Assessment of Traumatic Stress (DAPS), Cognitive Distortion Scale
(CDS), and Inventory of Altered Self Capacities (IASC); van der Kolk's Self
Inventory of Disorders of Extreme Stress (SIDES-SR); Nijenhuis's Somatoform
Dissociation Questionnaire (SDQ-20); and a modification of the CMIS to assess
for adult victimization experiences (Adult Victimization Survey or AVS; Dietrich,
unpublished instrument). It was hypothesized that Posttraumatic Stress Disorder
(PTSD), Affect Dysregulation, and Problems with Interpersonal Relatedness
would be associated with later revictimization experiences during adulthood with
this sample, and that disturbances in ability to regulate self capacities and other
complex posttraumatic sequelae would be associated with perpetration of
physical or sexual violence during adulthood. Data were analyzed for 207
individuals who reported childhood maltreatment per the CMIS. Results provide
partial support for the hypotheses. Women were significantly more likely to
report revictimization, and male inmates were significantly more likely to
perpetrate against others. Whereas PTSD and Somatoform Dissociation are the
strongest dynamic predictors of any sexual or physical revictimization, Impaired
Self Capacities are more often associated with revictimization by intimate
partners in particular. Trauma-specific dissociation was associated with a decreased risk of revictimization, whereas peritraumatic and trait dissociation did
not enter predictive models. Posttraumatic sequelae were not associated with
increased risk of physical perpetration with these samples; however, IASC scores
were associated with an increased risk of sexual perpetration and victim-based
cognitive distortions were associated with decreased odds of sexual violence.
These findings provide partial support for the Complex PTSD (Herman, 1992a)
construct. Results are discussed in terms of implications for treatment, further
study, and classification. Limitations are noted.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:BVAU.2429/15159 |
| Date | 11 1900 |
| Creators | Dietrich, Anne Marie |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Relation | UBC Retrospective Theses Digitization Project [http://www.library.ubc.ca/archives/retro_theses/] |
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