Bradley Hasbro Children's Research Center, Rhode Island Hospital, Warren Alpert Medical School of Brown University, One Hoppin Street, Suite 204, Providence, RI, 02903, USA.
AIDS Behav. 2012 Nov;16(8):2272-8. doi: 10.1007/s10461-012-0220-3.
The acquisition of affect regulation skills is often impaired or delayed in youth with mental health problems but the relationship between affect dysregulation and risk behaviors has not been well studied. Baseline data from adolescents (N = 417; ages 13-19) recruited from therapeutic school settings examined the relationship between affect dysregulation, substance use, self-cutting, and sexual risk behavior. Analyses of covariance demonstrated that adolescents who did not use condoms at last sex, ever self-cut, attempted suicide, used alcohol and other drugs and reported less condom use self-efficacy when emotionally aroused were significantly more likely (p < .01) to report greater difficulty with affect regulation than peers who did not exhibit these behaviors. General patterns of difficulty with affect regulation may be linked to HIV risk behavior, including condom use at last sex. HIV prevention strategies for youth in mental health treatment should target affect regulation in relation to multiple risk behaviors.
情绪调节技能的获得在有心理健康问题的年轻人中常常受到损害或延迟，但情绪失调与风险行为之间的关系尚未得到很好的研究。从治疗性学校环境中招募的青少年（N=417；年龄 13-19 岁）的基线数据研究了情绪失调、物质使用、自伤和性风险行为之间的关系。协方差分析表明，在最近一次性行为中不使用避孕套、曾经自伤、企图自杀、使用酒精和其他药物以及在情绪激动时报告较少避孕套使用自我效能的青少年，与没有表现出这些行为的同龄人相比，他们在情绪调节方面遇到更大困难的可能性显著更高（p<.01）。情绪调节困难的一般模式可能与 HIV 风险行为有关，包括最近一次性行为中使用避孕套。针对心理健康治疗中的青年的 HIV 预防策略应针对与多种风险行为有关的情绪调节。
