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儿童虐待与儿童人格类型对青少年精神病理学发展的中介影响。

Child maltreatment and mediating influences of childhood personality types on the development of adolescent psychopathology.

机构信息

Department of Clinical and Social Sciences in Psychology, Mt. Hope Family Center, University of Rochester, NY 14627, USA.

出版信息

J Clin Child Adolesc Psychol. 2013;42(3):287-301. doi: 10.1080/15374416.2012.715366. Epub 2012 Sep 10.

Abstract

The purpose of this study is to investigate longitudinal risk processes linking early child maltreatment, childhood personality organizations, and adolescent maladaptation. In a sample of maltreated and nonmaltreated children (N = 400; 62.3% African American, 11.8% Hispanic; 40.8% girls), a tripartite personality typology based on California Child Q-Set items representative of ego resiliency and ego control personality dimensions (Block & Block, 1969/1980 ) was derived at Wave 1 (age range = 10-12). The typology, composed of Resilient, Overcontrolled, and Undercontrolled profiles, was evaluated for associations with previous child maltreatment, and for its utility in predicting adolescent psychopathology (age range = 15-18). Maltreated children were significantly more likely than nonmaltreated children to be classified into the overcontrolled (Odds Ratio = 1.847) and undercontrolled profiles (Odds Ratio = 2.101), compared to the Resilient profile. The undercontrolled profile reported higher cannabis symptoms and externalizing problems in adolescence than the other two profiles. The overcontrolled group showed the highest levels of internalizing and lowest levels of alcohol problems compared to the other profiles. Person-centered mediation analyses showed that the overcontrolled and the undercontrolled profiles significantly and differentially mediated the link between number of child maltreatment subtypes and the development of adolescent psychopathology. Child maltreatment is a potent environmental stressor that potentiates compromised personality development, eventuating in heightened psychopathology in adolescence. These findings have important implications for prevention and intervention of psychopathology and substance abuse among low income and maltreated youth.

摘要

本研究旨在探究早期儿童虐待、儿童期人格组织与青少年适应不良之间的纵向风险过程。在一个受虐待和未受虐待儿童的样本中(N=400;62.3%为非裔美国人,11.8%为西班牙裔;40.8%为女孩),基于加利福尼亚儿童 Q-系统项目,代表自我弹性和自我控制人格维度(Block & Block,1969/1980),推导出三分型人格类型。在第 1 波(年龄范围=10-12 岁),评估了该类型与先前儿童虐待的关联,以及其在预测青少年精神病理学中的效用(年龄范围=15-18 岁)。与未受虐待的儿童相比,受虐待的儿童更有可能被归类为过度控制(优势比=1.847)和控制不足(优势比=2.101)的人格类型,而不是弹性人格类型。与其他两种类型相比,控制不足的类型在青少年时期报告了更高的大麻症状和外化问题。与其他类型相比,过度控制组表现出更高的内化问题和最低的酒精问题。个体中心的中介分析表明,过度控制和控制不足的人格类型显著且不同地介导了儿童虐待亚型数量与青少年精神病理学发展之间的联系。儿童虐待是一种强大的环境应激源,会削弱人格发展,导致青少年时期出现更高的精神病理学。这些发现对预防和干预低收入和受虐待青年的精神病理学和药物滥用具有重要意义。

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