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Posttraumatic Stress Disorder and Suicidal Ideation Among Sexually Abused Adolescent Girls: The Mediating Role of Shame
Authors:Stéphanie Alix  Louise Cossette  Mireille Cyr  Jean-Yves Frappier
Institution:1. Department of Psychology, Université du Québec à Montréal, Montréal, Canada;2. Department of Psychology, Université de Montréal, Montréal, Canada;3. Pediatric Department, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montréal, Canada
Abstract:ABSTRACT

Sexual abuse is associated with a host of negative repercussions in adolescence. Yet the possible mechanisms linking sexual abuse and negative outcomes are understudied. The purpose of this study was to investigate the relationships among self-blame, shame, coping strategies, posttraumatic stress disorder, depressive symptoms, and suicidal ideation. The sample included 147 sexually abused adolescent girls between 14 and 18 years of age. A total of 66% of girls reached clinical score for posttraumatic stress disorder, and 53% reached clinical score for depressive symptoms. Close to half (46%) reported suicidal thoughts in the past 3 months. Shame was found to partially mediate the relationship between self-blame and posttraumatic stress disorder. Shame and depressive symptoms were also found to partially mediate the relationship between self-blame and suicidal ideation. Results suggest that shame is a crucial target in interventions designed for sexually abused adolescent girls.
Keywords:attributions  child sexual abuse  coping strategies  depression  self-blame  stigma
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