Reported sexual abuse and subsequent psychopathology among women attending psychology clinics: The mediating role of dissociation
Abstract
Objective While there is now a good clinical research base that outlines the links between reported sexual abuse and psychological symptoms and disorders, there is less of an understanding of the psychological processes mediating that relationship. This study assessed the role of dissociation as a mediator between reported sexual abuse and a range of psychopathological characteristics. Design A patient-series design was used. Method Participants were an unselected sample of 45 women attending clinical psychology services. Each woman was interviewed regarding a reported history of sexual abuse, and completed standardized measures of general psychopathology, borderline personality disorder characteristics and dissociation. Results Sexual abuse per se was associated with the extent of depression, somatization, compulsive behaviour, phobic symptoms and borderline personality disorder characteristics. In each case, dissociation served as a complete mediator in that link. However, the same mediating relationship was not found when attempting to explain the greater psychopathological impact of more 'severe' forms of abuse (childhood experiences; intra-familial abuse). Conclusion These findings suggest that the effective of clinical work with these psychopathological features would be enhanced if dissociation symptoms were addressed in women with a reported history of sexual abuse. However, the importance of that therapeutic target may be unrelated to the severity of the psychologica…
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Research in BPD has found reasonably strong relationships between dissociation and childhood trauma, especially sexual abuse, physical abuse, attachment difficulties, and parental neglect.
“Research in BPD has found reasonably strong relationships between dissociation and childhood trauma, especially sexual abuse [118, 121–124], physical abuse, attachment difficulties, and parental neglect [118, 125, 126]”
From Dissociation and Alterations in Brain Function and Structure: Implications for Borderline Personality Disorder (2017) · cites this paper as [122]
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- Authors
- Ross‐Gower, J., Waller, G., Tyson, M., & Elliott, P.
- Affiliations
- University of Birmingham (GB)
- University of Southampton (GB)
- Corresponding author
- Waller, Glenn
- ORCID
- Waller, Glenn
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 1998-09
- Volume
- 37
- Issue
- 3
- Pages
- 313-326
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W1966616992
- Cited by
- 34
- References
- 0
- Citations by year
- 2023: 1 · 2021: 2 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- child sexual abuse, dissociation, psychopathology, borderline personality disorder, depression, somatization, compulsive behaviour, phobic symptoms, intrafamilial abuse, abuse severity, women, mediation
- MeSH terms
- Adult, Ambulatory Care, Child, Child Abuse, Sexual, Child, Preschool, Dissociative Disorders, Female, Humans, Surveys and Questionnaires, Substance-Related Disorders
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