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2015 ; 24
(8
): 959-74
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Peritraumatic Tonic Immobility and Trauma-Related Symptoms in Adult Survivors of
Childhood Sexual Abuse: The Role of Posttrauma Cognitions
#MMPMID26701284
Van Buren BR
; Weierich MR
J Child Sex Abus
2015[]; 24
(8
): 959-74
PMID26701284
show ga
Tonic immobility is a set of involuntary motor responses elicited under
conditions of extreme fear and perceived inescapability, and it is one type of
peritraumatic distress reported by survivors of child sexual abuse. Experiencing
tonic immobility during child sexual abuse is associated with increased risk for
developing symptoms of post-traumatic stress disorder, although less is known
about relations between tonic immobility and other established risk factors for
post-traumatic stress disorder. We investigated posttraumatic cognitions as a
potential mediator of the relations between peritraumatic fear, perceptions of
inescapability, tonic immobility, and post-traumatic stress disorder symptoms.
Specifically, we tested posttraumatic negative beliefs about the self, the world,
and self-blame as pathways that might increase risk for post-traumatic stress
disorder symptoms in child sexual abuse survivors who had experienced tonic
immobility. Forty-six women with a history of unwanted childhood sexual contact
completed questionnaires measuring peritraumatic tonic immobility, posttraumatic
cognitions, and current posttraumatic stress symptoms. Negative beliefs about the
self independently mediated the relation between peritraumatic perceptions of
inescapability and post-traumatic stress disorder symptoms, but the data did not
support similar path model for the physical symptoms of tonic immobility and
post-traumatic stress disorder. We discuss ways in which treatment of survivors
and future research on CSA can benefit from attention to the impact of
peritraumatic distress on posttraumatic beliefs.
|*Immobility Response, Tonic
[MESH]
|Adult
[MESH]
|Adult Survivors of Child Abuse/*psychology
[MESH]