The Mediator Role of Early Maladaptive Schemas Between Childhood Sexual Abuse and Impulsive Symptoms in Female Survivors of CSA

2016 ◽  
Vol 34 (4) ◽  
pp. 763-784 ◽  
Author(s):  
Ana Estévez ◽  
Nagore Ozerinjauregi ◽  
David Herrero-Fernández ◽  
Paula Jauregui
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Alcohol Abuse ◽  
Childhood Abuse ◽  
Traumatic Experience ◽  
Early Maladaptive Schemas ◽  
Adult Women ◽  
Maladaptive Schemas

Child abuse is a traumatic experience that may have psychological consequences such as dysfunctional beliefs. The aim of this study was to analyze the impulsive behaviors (alcohol abuse, gambling, drug abuse, eating disorders, Internet abuse, videogame abuse, shopping and sex addiction) in sexual abuse survivors and to study the mediating role of early maladaptive schemas in the appearance of impulsive behaviors in adult female victims. The sample consisted of 182 adult women who had suffered childhood sexual abuse (CSA), mostly referred by associations for the treatment of childhood abuse and maltreatment. Sexual abuse was found to be positively related to the domains of Disconnection/Rejection and Impaired Autonomy. Moreover, these domains were significantly related to impulsivity and impulsive behaviors. Finally, the Disconnection/Rejection domain was found to mediate between CSA and eating disorders and alcohol abuse. These results may provide important guidance for clinical intervention.

Post-Traumatic Growth, Dissociation, and Sexual Revictimization in Female Childhood Sexual Abuse Survivors

2019 ◽  
Vol 25 (1) ◽  
pp. 96-105 ◽  
Author(s):  
Yael Lahav ◽  
Karni Ginzburg ◽  
David Spiegel
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Traumatic Experience ◽  
Abuse Survivors ◽  
Efficacy Trial ◽  
Sexual Revictimization ◽  
Post Traumatic Growth ◽  
Post Traumatic ◽  
Moderating Role

Background:Childhood sexual abuse (CSA) survivors are at high risk of sexual revictimization. At the same time, some survivors report positive transformations resulting from the traumatic experience, a phenomenon known as post-traumatic growth (PTG). Although one might expect PTG to be related to reduced risk of revictimization, the link between PTG and revictimization has not been investigated. Furthermore, mixed findings regarding the associations between PTG and distress imply that the effects of PTG are multifaceted. One potential explanation may be that dissociation shapes the implications of PTG, making it more like denial than adaptive processing of traumatic experience. This longitudinal study explores (a) the associations between PTG and sexual revictimization and (b) the moderating role of dissociation within the associations between PTG and revictimization.Method:Participants were 111 female CSA survivors who participated in a 6-month efficacy trial evaluating the effectiveness of group psychotherapy for CSA survivors with HIV risk factors.Results:Dissociation moderated the associations between PTG and revictimization: Whereas PTG had nonsignificant effects on revictimization in participants with low dissociation, it predicted elevated levels of revictimization in participants with high dissociation.Conclusions:Reports of PTG among some CSA survivors might mirror dissociative beliefs that increase their risk of revictimization.

Losses Associated With Childhood Sexual Abuse in Women Survivors: A Scoping Review

2021 ◽  
pp. 152483802110131
Author(s):  
Baaqira Kays Ebrahim ◽  
Ansie Fouche ◽  
Hayley Walker-Williams
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Women Survivors ◽  
Scoping Review ◽  
Adult Women ◽  
Negative Effects ◽  
Female Survivors ◽  
Review Question ◽  
Abuse Treatment ◽  
Sexual Abuse Treatment

Childhood sexual abuse is a complex trauma with unique trauma-causing factors that could have devastating long-term, negative effects on survivors. To date, little attention has been given to loss and specifically stigmatized or hidden loss as a unique trauma-causing factor. Method: This article reports the findings of a scoping review designed to identify research exploring the losses associated with childhood sexual abuse in women survivors. A systematic search of databases for articles published between 1983 and 2019 were conducted using keywords related to loss and women survivors of childhood sexual abuse. Findings: Twenty studies were selected for review using predefined inclusion criteria: studies that include adult women survivors of childhood sexual abuse, studies that include child/childhood sexual abuse, studies that include stigmatized loss, studies that indicate stigmatized loss in adult women survivors of childhood sexual abuse. Sources were subject to quality appraisal and data were extracted in line with the review question. Discussion and Contribution: Findings acknowledged and extended on Bloom’s model of stigmatized loss and suggested that female survivors of childhood sexual abuse may experience an overall loss of self-efficacy, presenting as a loss of personal agency, interpersonal agency, and sexual agency. The results of this research suggest that loss be considered in support interventions with women self-reporting childhood sexual abuse. It is recommended that further research be conducted to confirm these findings so that they may advocate for inclusion in childhood sexual abuse treatment interventions.

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