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情感虐待作为青少年早期适应不良图式的预测因素:对抑郁和社交焦虑症状发展的影响。

Emotional abuse as a predictor of early maladaptive schemas in adolescents: contributions to the development of depressive and social anxiety symptoms.

作者信息

Calvete E

机构信息

University of Deusto, Spain.

出版信息

Child Abuse Negl. 2014 Apr;38(4):735-46. doi: 10.1016/j.chiabu.2013.10.014. Epub 2013 Nov 16.

Abstract

The schema therapy model posits that maltreatment generates early maladaptive schemas (EMSs) that lead to the development of emotional disorders throughout the life span. The model also stipulates that temperament moderates the influence of maltreatment on EMSs. This study examines (a) whether emotional abuse perpetrated by parents and peers, both alone and interactively with temperament, predicts the worsening of EMSs; and (b) whether EMSs in turn predict an increase in depressive and social anxiety symptoms in adolescents. A total of 1,052 adolescents (Mage=13.43; SD=1.29) were assessed at three time points, each of which was separated by 6 months. The subjects completed measures of emotional abuse by parents and peers, neuroticism, extraversion, EMSs, depressive symptoms, and social anxiety. The findings indicate that emotional bullying victimization and neuroticism predict a worsening of all schema domains over time. Contrary to expectations, there was no significant interaction between temperament dimensions and emotional abuse. The results confirmed the mediational hypothesis that changes in EMSs mediated the predictive association between bullying victimization and emotional symptoms. This study provides partial support for the schema therapy model by demonstrating the role of emotional abuse and temperament in the genesis of EMSs.

摘要

图式疗法模型假定,虐待会产生早期适应不良图式(EMSs),这些图式会导致个体在整个生命周期中出现情绪障碍。该模型还规定,气质会调节虐待对EMSs的影响。本研究考察了:(a)父母和同伴实施的情感虐待,单独以及与气质相互作用时,是否能预测EMSs的恶化;(b)EMSs是否反过来会预测青少年抑郁和社交焦虑症状的增加。共有1052名青少年(年龄中位数=13.43;标准差=1.29)在三个时间点接受评估,每个时间点间隔6个月。研究对象完成了关于父母和同伴情感虐待、神经质、外向性、EMSs、抑郁症状和社交焦虑的测量。研究结果表明,情感欺凌受害经历和神经质会预测所有图式领域随时间推移而恶化。与预期相反,气质维度与情感虐待之间没有显著的交互作用。研究结果证实了中介假设,即EMSs的变化介导了欺凌受害经历与情绪症状之间的预测关联。本研究通过证明情感虐待和气质在EMSs产生过程中的作用,为图式疗法模型提供了部分支持。

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