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L’effetto di mediazione delle emozioni traumatiche nella relazione tra PTSD e coerenza narrativa in testimonianze di Child Sexual Abuse
Titolo Rivista: MALTRATTAMENTO E ABUSO ALL’INFANZIA 
Autori/Curatori: Sarah Miragoli, Luca Milani 
Anno di pubblicazione:  2019 Fascicolo: 2 Focus monotematico. Impacts of childhood maltreatment in adulthood Lingua: Italiano 
Numero pagine:  17 P. 61-77 Dimensione file:  211 KB
DOI:  10.3280/MAL2019-002005
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Il presente studio si propone di valutare gli effetti di mediazione di alcune emozioni traumati-che (paura/ansia, rabbia, senso di isolamento, impotenza, umiliazione, disgusto, senso di tra-dimento, vergogna e colpa) nella relazione tra PTSD e coerenza narrativa in un gruppo di 84 deposizioni testimoniali di bambini (M = 9 anni; SD = 3.2; range: 4-17), vittime di abuso sessuale. La coerenza narrativa è stata analizzata in termini di livello di orientamento, sequen-za degli eventi e livello di valutazione (Miragoli et al., 2017; O’Kearney et al., 2007; Peterson & McCabe, 1983). Il Linguistic Inquiry Word Count (LIWC; Pennebaker, Francis, & Booth, 2001) è stato utilizzato invece per il conteggio dei marcatori linguistici emotivi. I risultati con-fermano che il PTSD gioca un ruolo importante nel determinare la coerenza narrativa e illu-strano come alcune specifiche emozioni traumatiche (vergogna e disgusto) esercitino un effet-to di mediazione (parziale o totale) nella relazione tra PTSD e coerenza narrativa.


Keywords: Coerenza narrativa, abuso sessuale infantile, PTSD, emozioni traumatiche, te-timonianza infantile

  1. Andrews, B., Berwin, C., Rose, S., & Kirk, M. (2000). Predicting PTSD symptoms in victims of violent crime: The role of shame, anger, and childhood abuse. Journal of Abnormal Psychology, 109, 69-73., DOI: 10.1037/0021-843X.109.1.69
  2. Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
  3. Bless, H. (2000). The interplay of affect and cognition: The mediating role of general knowledge structures. In J. P. Forgas (Ed.), Feeling and thinking: The role of affect in social cognition (pp. 153-177). Cambridge, England: Cambridge University Press.
  4. Brewin, C. R. (2001). A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Therapy, 39, 373-393., DOI: 10.1016/S0005-7967(00)00087-5
  5. Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of Posttraumatic Stress Disorder. Psychological Review, 103, 670-686., DOI: 10.1016/S0005-7967(00)00087-5
  6. Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of Posttraumatic Stress Disorder. Clinical Psychology Review, 23(3), 339-376., DOI: 10.1016/S0272-7358(03)00033-3
  7. Buck, N., Kindt, M., van den Hout, M., Steens, L., & Linders, C. (2006). Perceptual memory representations and memory fragmentation as predictors of post-trauma symptoms. Behavioural and Cognitive Psychotherapy, 35, 259-272., DOI: 10.1017/S1352465806003468
  8. Cain, K. (2003). Text comprehension and its relation to coherence and cohesion in children’s fictional narratives. British Journal of Developmental Psychology, 21(3), 335-351., DOI: 10.1348/026151003322277739
  9. Camisasca, E., & Miragoli, S. (2014). Stress post-traumatico in esperienze di violenza cronica. Maltrattamento e abuso all’infanzia, 16(2), 7-11., DOI: 10.3280/MAL2014-002001
  10. Cohen, J., Mannarino, A., Berliner, L., & Deblinger, E. (2000). Trauma-focused behavioral therapy for children and adoles- cents: An empirical update. Journal of Interpersonal Violence, 15, 1202-1223., DOI: 10.1177/088626000015011007
  11. David, A.-C., Akerib, V., Gaston, L., & Brunet, A. (2010). Consistency of retrospective reports of peritraumatic responses and their relation to PTSD diagnostic status. Journal of Traumatic Stress, 23(5), 599-605.
  12. Dalgleish, T., Moradi, A. R., Taghavi, M. R., Neshat-Doost, H. T., & Yule, W. (2001). An experimental investigation of hypervigiance for threat children and adolescents with post-traumatic stress disorder. Psychological Medicine, 31, 541-547., DOI: 10.1017/S0033291701003567
  13. Dalgleish, T., & Power, M. J. (2004). Emotion-specific and emotion-non-specific components of posttraumatic stress disorder (PTSD): Implications for a taxonomy of related psychopathology. Behaviour Research and Therapy, 42(9), 1069-1088.
  14. Danovitch, J., & Bloom, P. (2009). Children’s extension of disgust to physical and moral events. Emotion, 9(1), 107-112.
  15. Di Blasio, P., Miragoli, S., & De Rui L. (2006). I tempi del bambino e i tempi della giustizia: analisi dei procedimenti penali per abuso sessuale a danno di minori. Maltrattamento e abuso all’infanzia, 8(3), 37-56.
  16. Di Blasio, P., Miragoli, S., & Procaccia, R. (2012). The role of PTSD in under-standing child allegation of sexual abuse. In V. Ardino (Ed.), Post-traumatic syndromes in childhood and adolescence: A handbook of research and practice (pp. 177-198). London: Wiley and Sons Publications.
  17. Ehlers, A., & Clark, D. (2000). A cognitive model of post-traumatic stress disorder. Behavior Research and Therapy, 38, 319-345., DOI: 10.1016/S0005-7967(99)00123-0
  18. Esterling, B. A., Abate, L., Murray, E. J., & Pennebaker, J. W. (1999). Empirical foundations for writing in prevention and psychotherapy: mental and physical health outcomes. Clinical Psychology Review, 19, 79-96., DOI: 10.1016/S0272-7358(98)00015-4
  19. Faller, K. C. (2007). Interviewing children about sexual abuse. Controversies and best practice. New York: Oxford University Press.
  20. Feiring, C., & Taska, L. S. (2005). The persistence of shame following sexual abuse: A longitudinal look at risk and recovery. Child Maltreatment, 10(4), 337-349., DOI: 10.1177/1077559505276686
  21. Feiring, C., Taska, L., & Lewis, M. (2002). Adjustment following sexual abuse discovery: The role of shame and attributional style. Developmental Psychology, 38(1), 79-92., DOI: 10.1037/0012-1649.38.1.79
  22. Finucane, A. M., Dima, A., Ferreira, N., & Halvorsen, M. (2012). Basic emotion profiles in healthy, chronic pain, depressed and PTSD individuals. Clinical Psychology & Psychotherapy, 19(1), 14-24.
  23. Ghetti, S., Goodman, G. S., Eisen, M. L., Qin, J., & Davis, S. L. (2002). Consistency in children’s reports of sexual and physical abuse. Child Abuse & Neglect, 26, 977-995., DOI: 10.1016/S0145-2134(02)00367-8
  24. Holmbeck, G. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65(4), 599-610.
  25. Hudson, J. A., & Shapiro, L. R. (1991). From knowing to telling: Children’s scripts, stories, and personal narratives. In A. McCabe & C. Peterson (Eds.), Developing narrative structure. Hillsdale, NJ: Erlbaum.
  26. Huppert, J. D., Roth Ledley, D., & Foa, E. B. (2006). The use of homework in behavior therapy for anxiety disorders. Journal of Psychotherapy Integration, 16, 128-139., DOI: 10.1037/1053-0479.16.2.128
  27. Jaycox, L. H., Zoellner, L., & Foa, E. B. (2002). Cognitive-behavior therapy for PTSD in rape survivors. Psychotherapy in Practice, 58, 891-906.
  28. Kenardy, J., Smith, A., Spence, S. H., Lilley, P., Newcombe, P., Dob, R., & Robinson, S. (2007). Dissociation in children’s trauma narratives: An exploratory investigation. Journal of Anxiety Disorders, 21, 456-466.
  29. Lewis, M. (1991). Self-conscious emotions and the development of self. Journal of the American Psychoanalytic Association, 39, 45-73.
  30. Marx, B. P., & Sloan, D. M. (2005). Peritraumatic dissociation and experiential avoidance as predictors of post-traumatic stress symptomatology. Behavior Research and Therapy, 43, 569-583.
  31. Mason, E. C., & Richardson, R. (2012). Treating disgust in anxiety disorders. Clinical Psychology: Science and Practice, 19(2), 180-194.
  32. Meesters, C., Merckelbach, H., Muris, P., & Wessel, I. (2000). Autobiographical memory and trauma in adolescents. Journal of Behavior Therapy and Experimental Psychiatry, 31(1), 29-39., DOI: 10.1016/S0005-7916(00)00006-9
  33. Melinder, A., Alexander, K., Cho, Y., Goodman, G. S., Thoresen, C., Lonnum, K., & Magnussen, S. (2010). Children’s eyewitness memory: A comparison of two interviewing strategies as realized by forensic professionals. Journal of Experimental Psychology, 105, 157-177.
  34. Miragoli, S. (2006). Il coinvolgimento del minore vittima di abuso sessuale all’interno del sistema giudiziario: Conseguenze psicologiche. Maltrattamento e abuso all’infanzia, 8(3), 57-73.
  35. Miragoli, S., Camisasca, E., & Di Blasio, P. (2019). Investigating linguistic coherence relations in child sexual abuse: A comparison of PTSD and non-PTSD children. Helyion, 5(2), e01163.
  36. Miragoli, S., Camisasca, E., & Di Blasio, P. (2017). Narrative fragmentation in child sexual abuse: The role of age and Post-Traumatic Stress Disorder. Child Abuse & Neglect, 73, 106-114.
  37. Miragoli, S., Procaccia, R., Camisasca, E., & Di Blasio, P. (2019). How are sexually abused children interviewed during criminal proceedings in Italy? European Journal of Developmental Psychology., DOI: 10.1080/17405629.2019.1573665
  38. Miragoli, S., Procaccia, R., & Di Blasio, P. (2014). Language use and PTSD symptoms: Content analyses of allegations of child sexual abuse. Journal of Forensic Psychology Practice, 14(5), 355-382., DOI: 10.1080/15228932.2014.970423
  39. Miragoli, S., Procaccia, R., & Di Blasio, P. (2016). Analisi comunicativa dell’audizione del minore vittima di abuso sessuale: il ruolo dell’età. Maltrattamento e abuso all’infanzia, 18(2), 51-69., DOI: 10.3280/MAL2016-002004
  40. Moradi, A. R., Doost, H. T. N., Taghavi, M. R., Yule, W., & Dalgleish, T. (1999). Everyday memory deficits in children and adolescents with PTSD: Performance on the Rivermead Behavioural Memory Test. Journal of Child Psychology and Psychiatry, 40(3), 357-361.
  41. Murray, J., Ehlers, A., & Mayou, R. A. (2002). Dissociation and post-traumatic stress disorder: Two prospective studies of road traffic accident survivors. British Journal of Psychiatry, 180, 363-368.
  42. Myers, J. E. B., Redlich, A. D., Goodman, G. S., Prizmich, L. P., & Imwinkelried, E. (1999). Jurors’ perceptions of hearsay in child sexual abuse cases. Psychology, Public Policy, and Law, 5, 388-419., DOI: 10.1037/1076-8971.5.2.388
  43. O’Kearney, R. O., Hunt, A., & Wallace, N. (2011). Integration and organization of trauma memories and posttraumatic symptoms. Journal of Traumatic Stress, 24(6), 716-725.
  44. O’Kearney, R. O., Speyer, J., & Kenardy, J. (2007). Children’s narrative memory for accidents and their post-traumatic distress. Applied Cognitive Psychology, 838, 821-838.
  45. Olatunji, B. O., & McKay, D. (2009). Disgust and its disorders: Theory, assessment, and treatment implications. Washington, DC: American Psychological Association.
  46. Pennebaker, J. W., Francis, M. E., & Booth, R. J. (2001). Linguistic inquiry and word count (LIWC): LIWC 2001. Mahwah, NJ: Lawrence Erlbaum Associates.
  47. Peterson, C., & McCabe, A. (1983). Developmental psycholinguistics: Three ways of looking at a child’s narrative. New York: Plenum Press.
  48. Rozin, P., & Fallon, A. E. (1987). A perspective on disgust. Psychological Review, 94(1), 23-41., DOI: 10.1037/0033-295X.94.1.23
  49. Rozin, P., Haidt, J., & McCauley, C. R. (2000). Disgust. In M. Lewis & J. Haviland (Eds.), Handbook of emotions (pp. 637-653). New York: Guilford Press.
  50. Shapiro, L. R., & Hudson, J. A. (1991). Tell me a make-believe story: Coherence and cohesion in young children’s picture-elicited narratives. Developmental Psychology, 27, 960-974., DOI: 10.1037/0012-1649.27.6.960
  51. Shapiro, L. R., & Hudson, J. A. (1997). Coherence and cohesion in children’s stories. In J. Costermans & M. Fayol (Eds.), Processing interclausal relationships: Studies in the production and comprehension of text (pp. 23-48). Mahwah, NJ: Erlbaum.
  52. Simon, V. A., Feiring, C., & Kobielski McElroy, S. (2010). Making meaning of traumatic events: Youths’ strategies for processing childhood sexual abuse are associated with psychosocial adjustment. Child Maltreatment, 15, 229-241., DOI: 10.1177/1077559510370365
  53. Wells, A., & Matthews, G. (1996). Modelling cognition in emotional disorder: The S-REF model. Behaviour Research and Therapy, 34(11-12), 881-888., DOI: 10.1016/S0005-7967(96)00050-2
  54. Whitcomb, D., Shapiro, E., & Stellwager, L. (1985). When the victim is a child: Issues for judges and prosecutors. Washington, DC: National Institute of Justice.



  1. Sarah Miragoli, Elena Camisasca, Paola Di Blasio, Le emozioni dei bambini sessualmente abusati nelle audizioni protette: fattori individuali e situazionali in RICERCHE DI PSICOLOGIA 3/2019 pp. 483, DOI: 10.3280/RIP2019-003003
  2. Vittoria Badino, Coerenza narrativa e frequenza dell'evento traumatico: un'analisi su deposizioni di abuso sessuale infantile in MALTRATTAMENTO E ABUSO ALL'INFANZIA 3/2021 pp. 73, DOI: 10.3280/MAL2020-003007

Sarah Miragoli, Luca Milani, in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 2/2019, pp. 61-77, DOI:10.3280/MAL2019-002005

   

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