Recieved: 08/13/2019
Accepted: 09/10/2019
Published: 10/20/2019
p.: 88-100
DOI: 10.11621/npj.2019.0310
Keywords: auto-aggressive behaviour; sexual abuse; eating disorders; body image
Available online: 20.10.2019
Kuznetsova, Svetlana O., Enikolopov, S.N. . The study of the auto-aggressive behaviour in individuals who survived sexual abuse in childhood. // National Psychological Journal 2019. 3. p.88-100. doi: 10.11621/npj.2019.0310
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CopyBackground. In modern psychological research, auto-aggression and self-harming behavior occupies the leading position. Many researchers point out direct correlations of childhood-related violence with later auto-aggressive behaviour and other forms of abuse.
The Objective of this research is an empirical study of the relationship between sexual abuse in childhood and subsequent eating disorders, suicidal thoughts and dissatisfaction with the body image in adulthood.
Design. The following methods have been used: the method of recording eating disorders (short form) (Morgan JF et al., 1999), The Body Satisfaction Scale, The Childhood Trauma Questionnaire: Short form (2003), The Positive and Negative Suicide Ideation Inventory (1998). The sample consisted of 113 people. Average age = 19.9 years (standard deviation = 5.2): 104 females (average age = 19.8 years, standard deviation = 5.1) and 9 males (average age = 18.6; standard deviation = 4.1).
Results. The auto-aggressors who rienced sexual abuse in childhood tend to report on other negative aspects of their experience statistically much more often (p<0.05) than auto-aggressors without sexual abuse: emotional abuse of a child by adults, emotional neglect of a child by significant adults, physical (non-sexual) violence by adults, physical neglect (abandonment of a child). The results showed that autoagressors with childhood sexual abuse more often report about eating disorders than autoagressors without sexual abuse.
Conclusions. The study focuses on the influence of childhood sexual abuse on the occurrence of self-harming behavior in adulthood, and also considers the sexual abuse as a risk factor for other negative behavioural manifestations associated with auto-aggression.The results can be used for prevention, correction and psychotherapeutic work both with children and adolescents, and also with adults.
Table 1. Type of Self-Harm
Self-harm |
N |
Cuts |
100% (n=113) |
Scorch |
50,4% (n=57) |
Kicks |
64, 6% (n=73) |
Scratching |
77% (n=87) |
Scalding |
13,3% (n=15) |
Other |
36,3% (n=41) |
Table 2. Frequency of Self-Harm
Frequency of Self-Harm |
N |
Daily |
22,1% (n=25) |
Weekly |
46,9% (n=53) |
Monthly |
16,8% (n=19) |
Less than once per month |
14,4% (n=16) |
N of types of self-harm used by 1 subject |
|
One |
17,7% (n=20) |
Two |
19,5% (n=22) |
Three |
24,8% (n=28) |
Four |
12,4% (n=14) |
Five |
19,5% (n=22) |
Six |
6,2% (n=7) |
Table 3. Mean value on the studied scales in autoagressors who survived sexual abuse in childhood and autoaggressors without sexual abuse in childhood
Indicator |
Autoagressors who survived sexual abuse in childhood |
Autoaggressors without sexual abuse in childhood |
Value |
||
Mean |
St.Dev. |
Mean |
St.Dev. |
||
Dissatisfaction with the image of the body |
79,64 |
20,87 |
67,40 |
16,18 |
0,022 |
Eating Disorders |
2,95 |
1,73 |
2,01 |
1,48 |
0,017 |
Emotional Neglect |
16,55 |
4,43 |
14,25 |
4,49 |
0,022 |
Emotional Abuse |
19 |
4,26 |
13,08 |
5,29 |
0,001 |
Physical neglect |
12,59 |
3,55 |
9,03 |
3,31 |
0,001 |
Physical Violence |
13,14 |
6,78 |
7,57 |
4,01 |
<0,001 |
Beautrais, A.L., Joyce P.R., & Mulder, R.T. (1999). Personality traits and cognitive styles as risk factors for serious suicide attempts among young people. Suicide Life Threat Behav. Spring, 29(1), 37–47.
Beck A. (2003). Methods of working with a suicidal patient. [Zhurnal prakticheskoy psikhologii i psikhoanaliza]. Retrieved from: https://psyjournal.ru/articles/metody-raboty-s-suicidalnym-pacientom (accessed 13.9.2019).
Bernstein, D.P., Stein, J.A., Newcomb, M.D., Walker, E., Pogge, D., & Ahluvalia, T., et al. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse and Neglect, 27, 169–190. doi: 10.1016/S0145-2134(02)00541-0
Boudewyn, A.C., & Liem, J.H. (1995). Childhood sexual abuse as a precursor to depression and self-destructive behaviour in adulthood. Journal of Traumatic Stress, 8, 445–459. doi: 10.1002/jts.2490080307
Calam, R.M., Griffiths, R., & Slade, P.D. (1997). Eating disorders, body satisfaction and unwanted sexual experience: U.K., Australian and U.S. data. European Eating Disorders Review, 5(3), 158–170. doi: 10.1002/(SICI)1099-0968(199709)5:3<158::AID-ERV197>3.0.CO;2-L
Crowe, M., & Bunclarke, J. (2000). Repeated self-injury and its management. International Review of Psychiatry, 12, 48–53. doi: 10.1080/09540260074120
Dieserud, G., Roysamb, E., Ekeberg, O., & Kraft, P. (2000). Toward an integrative model of suicide attempt: a cognitive psychological approach. Suicide Life Threat Behav. Summer, 31(2), 153–68. doi: 10.1521/suli.31.2.153.21511
Enikolopov S.N. (2002). Some problems of the psychology of aggressive behavior of children and adolescents. [Sotsial'naya i klinicheskaya psikhiatriya], 2, 40–45.
Favazza, A. R. (1989). Self-mutilation and eating disorders. Suicide and Life-threatening Behaviours, 19(4), 352–362.
Feldman M.D. (1988). The challenge of self-mutilation, a review. Comprehensive Psychiatry, 29, 252–269. doi: 10.1016/0010-440X(88)90048-X
Fichman L., Koestner R., Zuroff D.C., & Gordon L. (1999). Depressive styles and the regulation of negative affect: A daily experience study. Cognitive Therapy & Research, 23(5), 483–495. doi: 10.1023/A:1018768320680
Fombonne E. (1998). Suicidal behaviours in vulnerable adolescents: Time trends and their correlates. British Journal of Psychiatry, 173, 154–159. doi: 10.1192/bjp.173.2.154
Fowler J.С., Hilsenroth M.J., & Piers C. (2001). An empirical study of seriously disturbed suicidal patients. JAPA, 49(1), 161–186. doi: 10.1177/00030651010490010901
Furman E. (2003). Some difficulties in diagnosing depression and suicidal tendencies in children (Electronic resource). [Zhurnal prakticheskoy psikhologii i psikhoanaliza]. 1. Retrieved from: https://psyjournal.ru/articles/nekotorye-trudnosti-diagnostiki-depressii-i-suicidalnyh-tendenciy-u-detey (accessed 13.09.2019).
Garanyan N.G., Kholmogorova A.B., & Yudeeva T.Yu. (2001). Perfectionism, depression and anxiety. Moskovskiy psikhoterapevticheskiy zhurnal, 4, 18–49.
Gleaves, D.H., & Eberenz, K.P. (1994). Sexual abuse histories among treatment resistant bulimia nervosa patients. International Journal of Eating Disorders, 15, 227–231. doi: 10.1002/1098-108X(199404)15:3<227::AID-EAT2260150305>3.0.CO;2-B
Golub M. (1993). The interaction of pathological craving for alcohol and suicidal behaviour: Ph.D. in psychology, thesis. St. Petersburg.
Gorobets T.N. (1995). Socio-psychological and biological factors of self-destructive behaviour: Ph.D. in psychology, thesis. Moscow.
Gunderson, J.G. (2001). Borderline Personality Disorder: A clinical Guide. Washington DC: American Psychiatric.
Hastings, T., & Kern, J.M. (1994). Relationships between bulimia, childhood sexual abuse and family environment. International Journal of Eating Disorders, 15, 103–111. doi: 10.1002/1098-108X(199403)15:2<103::AID-EAT2260150202>3.0.CO;2-1
Hawton K., & Fagg J. (1992). Trends in deliberate self-poisoning and self-injury in Oxford, 1976 1992. British Medical Journal, 304, 1409–1411. doi: 10.1136/bmj.304.6839.1409
Henseler H. (2001). The contribution of psychoanalysis to the problem of suicide. [Entsiklopediya glubinnoy psikhologii]. Vol. 2. Moscow, Kogito-Tsentr, 88–103.
Hyman J.W. (1999). Women living with self-injury. Philadelphia: Temple University.
Kahan J., & Pattison E. (1984). Proposal for a distinctive diagnosis: The deliberate self-harm syndrome. Suicide and Life-Threatening Behavior, 14, 17–35. doi: 10.1111/j.1943-278X.1984.tb00334.x
Kaplan B.I., & Sadok B.J. (1998). Clinical Psychiatry. Vol. 1. Moscow, 672.
Kernberg O. J. The suicidal risk in severe personality disorders: differential diagnosis and treatment. Personal. Disord, Jun. 15(3), 195–208.
Kopper, B.A., Barrios, F.X., & Chiros, C.E. (1998). The positive and negative suicide ideation inventory: Development and validation. Psychological Reports, 82, 783–793. doi: 10.2466/pr0.1998.82.3.783
Levenkron S. (1998). Cutting: Understanding and overcoming self-mutilation. New York: W.W. Norton.
Linehan M. (1993). Cognitive- behavioral treatment of borderline personality disorder. N.Y.: Guilford Press.
Lipschitz, D.S., Bernstein, D.P., Winegar, R.K., & Southwick, S.M. (1999). Hospitalized adolescents’ reports of sexual and physical abuse: A comparison of two self-report measures. Journal of Traumatic Stress, 12, 510–537. doi: 10.1023/A:1024717117960
Low, G., Jones, D., MacLeod, A., Power, M., & Duggan, C. (2000). Childhood trauma, dissociation and self-harming behaviour: A pilot study. British Journal of Medical Psychology, 73, 269–278. doi: 10.1348/000711200160363
Menninger K. (2000). War with oneself. Moscow, EKSMO-Press, 480.
Morgan, J.F., Reid, F., & Lacey, J.H. (1999). The SCOFF questionnaire: Assessment of a new screening tool for eating disorders. British Medical Journal, 319, 1467–1468. doi: 10.1136/bmj.319.7223.1467
Portnov V.A., & Smirnov P.V. (2000). Anticipation of the age of repeated suicidal attempts: materials of the 13th Congress of Psychiatrists of Russia. Moscow.
Purich-Peyakovich Y., & Dushan Y.D. (2000). Suicide in adolescents. Moscow, Meditsina, 168.
Rickelman B.L., & Houfek J.F. (1995). Toward an interactional model of suicidal behaviors: cognitive rigidity, attributional style, stress, hopelessness, and depression. Psychiatr. Nurs., Jun. 9(3), 158–168. doi: 10.1016/S0883-9417(95)80039-5
Schwartz, R., Cohen, P., Hoffman, N.G., & Meeks, J.E. (1989). Self-harm behaviours (carving) in female adolescent drug abusers. Clinical Paediatrics, 28, 340–346. doi: 10.1177/000992288902800801
Slade, P. D., Dewey, M. E., Newton, T., Brodie, D., & Kiemle, G. (1990). Development of the body satisfaction scale (BSS). Psychology and Health, 4, 213– 226. doi: 10.1080/08870449008400391
Slutsky A.S., & Zanadvorov M.S. (1992). Some psychological and clinical aspects of suicidal behavior. [Psikhologicheskiy zhurnal],1, 77–85.
Smulevich A.B., Dubnitskaya E.B., & Kozyrev V.N. (2003). Depression and suicidal behaviour. In [A.B. Smulevich Depressii pri somaticheskikh i psikhicheskikh zabolevaniyakh]. Moscow, MIA, 191–211.
Starshenbaum G.V. (1987). Forms and methods of crisis psychotherapy: method. recommendations. Moscow, 20.
Stepanchenko O.Yu. (1999), Mental rigidity and anxiety as individual factors of suicidal risk: Ph.D. in psychology, thesis. Tomsk,160.
Van der Kolk, B. A., Perry, J. C., & Herman, J. L. (1991). Childhood origins of self-destructive behaviour. American Journal of Psychiatry, 148, 1665–1676. doi: 10.1176/ajp.148.12.1665
Wasserman D. (2005). Vain death: causes and prevention of suicide. Moscow, Smysl, 310.
Wiederman, M.W., Sansone, R.A., & Sansone, L.A. (1999). Bodily self-harm and its relationship to childhood abuse among women in a primary care setting. Violence Against Women, 5(2), 155–163. doi: 10.1177/107780129952004
Yaryura-Tobias J.A., Neziroglu F.A., & Kaplan S. (1995). Self-mutilation, anorexia, and dysmenorrhea in obsessive-compulsive disorder. International Journal of Eating Disorders, 17, 33–38. doi: 10.1002/1098-108X(199501)17:1<33::AID-EAT2260170104>3.0.CO;2-2
Yeo, H. M., & Yeo, W. W. (1993). Repeat deliberate self-harm: A link with childhood sexual abuse? Archives of Emergency Medicine, 10, 161–166. doi: 10.1136/emj.10.3.161
Zila L.M., & Kiselica M.S. (2001). Understanding and Counseling Self-Mutilation in Female Adolescents and Young Adults. Journal of Counseling and Development; Winter, 79(1), 46–52. doi: 10.1002/j.1556-6676.2001.tb01942.xKuznetsova, Svetlana O., Enikolopov, S.N. . The study of the auto-aggressive behaviour in individuals who survived sexual abuse in childhood. // National Psychological Journal 2019. 3. p.88-100. doi: 10.11621/npj.2019.0310
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