Ukuhlukumeza kabi kwentsha enenkinga yokuziphatha ngokocansi kanye nesifo se-traumatic symptomology (2018)

Isifundo esigcwele: Ukuhlukumeza ukudalulwa yobusha obunenkinga yokuziphatha ocansini kanye ne-trauma dalili

Rebecca DillardUKathry nUMaguire-JackaKathryn UmbukisoaUKathryn G.WolfbUMegan M.I-Letsoncd

Imibhalo ehlobene ne-porn, kusuka engxoxweni engaphezulu:

Izingane zona evezwe ukuvezwa kwe izithombe zobulili ezingcolile ube nezikhathi eziphakeme ze-3.3 eziphakeme zokudalula ukuzibandakanya ku-PSB ngokuqhathaniswa nentsha engazange idalule ukuboniswa kwezithombe zobulili ezingcolile.

Izingane zona evezwe ukuvezwa kwe izithombe zobulili ezingcolile bekunokuphikisana okuphakeme kakhulu kokudalula i-PSB. Lokhu kutholwa kunengqondo kumongo womqondo wokufunda kwezenhlalo njengoba kuchaziwe ngaphambili nentsha ezibandakanya ekuziphatheni okuhlukumeza ngokocansi (UBurton noMeezan, 2004). Ukuba nokuvezwa kwezithombe zobulili ezingcolile zisencane kungenzeka kungagcini ngokufaka izingane ekuziphatheni ezingagcina zikuthole, kodwa izingane zingaba nalezo zimo zokuziphatha eziqiniswa ukubona amamodeli (isib. Abantu abakhonjiswe kulayini wezithombe zobulili ezingcolile, umuntu odalule ingane kwezocansi) , njll.) ukuvuzwa ngokuziphatha. Uma izinzuzo zokuziphatha okunjalo kocansi ziqiniswa enganeni, zingaba nethuba eliphakeme lokwamukela leyo ndlela yokuziphatha.

Ucwaningo lwangaphambilini lukhombisile ukuthi ukutholakala ezingcolile ngaphambi kwesikhathi kuyingozi isici sokuqagela zobugebengu obalandela kamuva kwezocansi ukukhula (Umkhumbi, i-2009; USeto noLalumière, 2010). Esikhathini esiyiminyaka emihlanu, ukudalulwa okungafuneki kwezithombe zocansi ebuntwaneni kukhule kakhulu phakathi kweminyaka yobudala ye-10-12 (UMitchell, Wolak, noFinkelhor, 2007). ISeto, iMaric, neBarbaree (2001) ubuye waveza ukuthi, ngokomqondo, abesilisa asebevele bezimisele ukwenza udlame lwezocansi bakhombisa umphumela onamandla wokuvezwa kwezithombe zobulili ezingcolile ngokuziphatha okunobudlova. Amandla obuhlobo obutholakala phakathi kwezithombe zobulili ezingcolile nezinkinga zokuziphatha kobulili ezinganeni ocwaningweni olukhona manje zibonisa ukuthi kungenzeka okufanayo ezinganeni ezincane. Ucwaningo olwengeziwe luyadingeka ukuthola ukuthi yiziphi ezinye izindlela izingane ezingase zimiselwe ukuthuthukisa i-PSB, futhi uma ukuboniswa izithombe zocansi kunomthelela onamandla kulezo zingane ikakhulukazi. Uma kunjalo, kungenzeka kwenziwe icala elicindezelayo lokuxhuma kwe-PSB kanye nokuziphatha okuhlukumeza ngokocansi ebusheni ngokusebenzisa ubungozi obujwayelekile bokuthi kuvezwe izithombe ezingcolile ngokoqobo.

abstract

Iningi lentsha enenkinga izimilo zocansi (PSB) babe nokuhlangenwe nakho okuqinisekisiwe kokuhlukunyezwa noma ukuvezwa kodlame (USilovsky noNiec, 2002). Kuncane okwaziwayo ngokuhlangenwe nakho okuthile kokuhlukunyezwa okungahlukanisa intsha ne-PSB kulabo abangenayo. Zimbalwa izifundo ezihlole izinhlobo zokuhlukumezeka ezihambisana nazo ukucindezeleka kwangemva kokuhlukumezeka uphawu.

Inhloso
Ucwaningo olukhona manje luhlole imibuzo emibili yocwaningo: (1) Ngabe izingane ezine-PSB ziyehluka ezinganeni ngaphandle kwe-PSB ngokwemibiko yazo yokudalulwa ?; futhi (2) Ingabe izinhlobo zokuhlukumezeka zidalulwa zihlobene nezikolo zengane ngesilinganiso sokuxineka kwangemva kokuba kokwehlelwa usizi?

Abahlanganyeli
Imininingwane yahlaziywa yintsha (N = 950) abaneminyaka engu-3-18 abaqede a ukuhlolwa komtholampilo esikhungweni sokumela izingane eMidwest ngonyaka wekhalenda le-2015.

izindlela
Intsha iphothule ukuhlolwa okubandakanya ukuxoxisana ngezidumbu kanye neTrauma Syndrome Uhlu lokuhlola Yezingane Ezincane (i-TSCYC) yeminyaka yezingane engu-3-10 iminyaka, noma Uhlu Lokuhlola Izimpawu Zezingane (TSCC) zezingane ezineminyaka engu-11-16. Bivariate regression regression ibisetshenziselwa ukuphendula imibuzo yocwaningo.

Imiphumela
Okutholakele kukhombisa ukuthi nentsha evezile umuntu ocashile othandweni bekulindelekile ukudalula i-PSB (OR = 0.460, p = .026), Nezingane ezivezwe ku- izithombe zobulili ezingcolile bebenethuba lokudalula i-PSB (OR = 3.252, p = .001). Ngokwengeziwe, intsha edalule ukuhlukunyezwa ngokomzimba (OR = 1.678, p = .001) noma isisulu se- okonile ocansini thintana (OR = 2.242, p = .003) yayinezingqinamba eziphakeme zezikolo zokuhlukumezeka ezibalulekile emtholampilo.

iziphetho
Okuthintwayo ngabasebenzi kanye nezinkomba zocwaningo zesikhathi esizayo kuyaxoxwa ngakho.