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The effects of cumulative childhood trauma on emotion regulation and posttraumatic stress disorder symptoms in sexually abused children

Abstract

The purpose of this study was to examine relations among cumulative childhood trauma, emotion regulation, and posttraumatic stress disorder(PTSD) symptoms, using structural equation modeling(SEM). Based on previous studies and literatures, the completed mediation model was proposed, in which emotion regulation fully mediates the relationship between cumulative childhood trauma and PTSD symptoms. Data were collected on 171 children (ages 6-13 years) referred to a public counseling center for sexual abuse. Cumulative childhood trauma was defined on the basis of number of traumas(physical abuse, witnessing domestic violence, neglect, traumatic separation from parent, and sexual abuse by a perpetrator different from the one involved in the current allegation of sexual abuse), severity and duration of traumas. Emotion regulation and PTSD symptoms were evaluated by their parents using Emotion Regulation Checklist(ERC) and Traumatic Symptom Checklist for Young Children(TSCYC). SEM analyses confirmed the complete mediation model. These findings indicate the important role of emotion regulation as a risk or a protective mechanism in the link between cumulative childhood trauma and PTSD symptoms in sexually abused children. Implications and limitations of this study were discussed along with future research.

keywords
cumulative childhood trauma, emotion regulation, PTSD symptoms, sexually abused children, 누적 아동기 외상, 정서조절, 외상후스트레스장애 증상, 성폭력 피해 아동

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