Stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.

Victims of childhood trauma report shame and anticipation of stigma, leading to non-disclosure and avoidance of help. Stigma is potentially aggravating the mental health consequences of childhood trauma. So far there is no comprehensive study examining stigma toward adult survivors of various forms...

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Autores principales:	Georg Schomerus, Stephanie Schindler, Theresia Rechenberg, Tobias Gfesser, Hans J Grabe, Mario Liebergesell, Christian Sander, Christine Ulke, Sven Speerforck
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/04d405e653054d94b69ccf121c7d5b4a
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spelling	oai:doaj.org-article:04d405e653054d94b69ccf121c7d5b4a2021-12-02T20:16:50ZStigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.1932-620310.1371/journal.pone.0258782https://doaj.org/article/04d405e653054d94b69ccf121c7d5b4a2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258782https://doaj.org/toc/1932-6203Victims of childhood trauma report shame and anticipation of stigma, leading to non-disclosure and avoidance of help. Stigma is potentially aggravating the mental health consequences of childhood trauma. So far there is no comprehensive study examining stigma toward adult survivors of various forms of childhood trauma, and it is unclear whether stigma interferes with reaching out to affected individuals. In a vignette study based on a representative sample of the German general population (N = 1320; 47.7% male) we randomly allocated participants to brief case vignettes pertaining to past childhood sexual/physical abuse or accidents, and adult physical abuse. Stigma was elicited by applying the Social Distance Scale, assessing respondents' attitudes/stereotypes toward the persons in the vignette and their reluctance to address the specific trauma in conversation. While one aim was to establish the prevalence of stigma toward persons with CT, we hypothesized that attitudes differ according to type of trauma. Of the respondents, 45% indicated they were unlikely to reach out to a victim of childhood sexual abuse, 38% to a victim of childhood physical abuse, 31% to someone reporting a childhood accident and 25% to someone reporting adult physical abuse. Contrary to our expectations, childhood sexual abuse did not consistently elicit more stigma than childhood physical abuse in Krukall-Wallis tests. Equally, childhood interpersonal trauma did not consistently elicit more stigma than childhood accidental trauma. Structural equation modeling revealed social distance as mediator of the relationship between negative stereotypes and reluctance to address childhood trauma in conversation. Our analyses further revealed an ambiguous role of negative stereotypes in addressing childhood trauma in conversation with trauma victims, which has yet to be examined. There is evidence for stigma associated with having survived childhood trauma, which is interfering with offering help.Georg SchomerusStephanie SchindlerTheresia RechenbergTobias GfesserHans J GrabeMario LiebergesellChristian SanderChristine UlkeSven SpeerforckPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258782 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Georg Schomerus Stephanie Schindler Theresia Rechenberg Tobias Gfesser Hans J Grabe Mario Liebergesell Christian Sander Christine Ulke Sven Speerforck Stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.
description	Victims of childhood trauma report shame and anticipation of stigma, leading to non-disclosure and avoidance of help. Stigma is potentially aggravating the mental health consequences of childhood trauma. So far there is no comprehensive study examining stigma toward adult survivors of various forms of childhood trauma, and it is unclear whether stigma interferes with reaching out to affected individuals. In a vignette study based on a representative sample of the German general population (N = 1320; 47.7% male) we randomly allocated participants to brief case vignettes pertaining to past childhood sexual/physical abuse or accidents, and adult physical abuse. Stigma was elicited by applying the Social Distance Scale, assessing respondents' attitudes/stereotypes toward the persons in the vignette and their reluctance to address the specific trauma in conversation. While one aim was to establish the prevalence of stigma toward persons with CT, we hypothesized that attitudes differ according to type of trauma. Of the respondents, 45% indicated they were unlikely to reach out to a victim of childhood sexual abuse, 38% to a victim of childhood physical abuse, 31% to someone reporting a childhood accident and 25% to someone reporting adult physical abuse. Contrary to our expectations, childhood sexual abuse did not consistently elicit more stigma than childhood physical abuse in Krukall-Wallis tests. Equally, childhood interpersonal trauma did not consistently elicit more stigma than childhood accidental trauma. Structural equation modeling revealed social distance as mediator of the relationship between negative stereotypes and reluctance to address childhood trauma in conversation. Our analyses further revealed an ambiguous role of negative stereotypes in addressing childhood trauma in conversation with trauma victims, which has yet to be examined. There is evidence for stigma associated with having survived childhood trauma, which is interfering with offering help.
format	article
author	Georg Schomerus Stephanie Schindler Theresia Rechenberg Tobias Gfesser Hans J Grabe Mario Liebergesell Christian Sander Christine Ulke Sven Speerforck
author_facet	Georg Schomerus Stephanie Schindler Theresia Rechenberg Tobias Gfesser Hans J Grabe Mario Liebergesell Christian Sander Christine Ulke Sven Speerforck
author_sort	Georg Schomerus
title	Stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.
title_short	Stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.
title_full	Stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.
title_fullStr	Stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.
title_full_unstemmed	Stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.
title_sort	stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: a study in the general population.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/04d405e653054d94b69ccf121c7d5b4a
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Stigma as a barrier to addressing childhood trauma in conversation with trauma survivors: A study in the general population.

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