Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Division of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Youth Adolesc. 2017 Jan;46(1):136-150. doi: 10.1007/s10964-016-0542-y. Epub 2016 Jul 20.
Distress tolerance and emotion regulation deficits are associated with many emotional and behavioral concerns and may be important deficit areas for college students especially during the transition to college. However, little is known about how distress tolerance and emotion regulation relate to each other or what typical profiles of these deficit areas might be. We took a variable-centered (i.e., exploratory factor analysis) and a person-centered approach (i.e., latent profile analysis) to identify the overlap and distinctiveness of distress tolerance and emotion regulation deficits and then evaluated how the profiles related to several emotional and behavioral concerns. Participants were undergraduates (N = 627; age M = 20.23, SD = 1.40; 60 % female; 47 % European-American) who completed an online assessment. The exploratory factor analysis of distress tolerance and emotion regulation subscales demonstrated three factors with one factor corresponding to distress tolerance and two factors defined by emotion regulation. Subscales demonstrated significant multidimensionality across the factors. The latent profile analysis with distress tolerance and emotion regulation subscales produced three profiles corresponding to "Functional", "At Risk", and "Challenged" levels of distress tolerance and emotion regulation abilities. Internalizing symptoms (i.e., depressive symptoms, anxiety symptoms, and suicidal ideation) had significantly higher symptom severity in the "At Risk", and "Challenged" profiles than in the "Functional" profile. ADHD symptoms and hostility showed a similar pattern. Conduct problems and substance use were much less related to the deficit profiles. Implications for the etiology of mental health, for prevention and treatment of college students are discussed.
痛苦耐受力和情绪调节缺陷与许多情绪和行为问题有关,对于大学生来说,尤其是在过渡到大学期间,可能是重要的缺陷领域。然而,对于痛苦耐受力和情绪调节之间的相互关系,或者这些缺陷领域的典型特征是什么,我们知之甚少。我们采用变量中心(即探索性因素分析)和个体中心(即潜在剖面分析)的方法来确定痛苦耐受力和情绪调节缺陷的重叠和独特性,然后评估这些特征与几种情绪和行为问题的关系。参与者是本科生(N=627;年龄 M=20.23,SD=1.40;60%为女性;47%为欧洲裔美国人),他们完成了在线评估。痛苦耐受力和情绪调节分量表的探索性因素分析显示,有三个因素,其中一个因素对应于痛苦耐受力,另外两个因素由情绪调节定义。分量表在各个因素上表现出显著的多维性。痛苦耐受力和情绪调节分量表的潜在剖面分析产生了三个与痛苦耐受力和情绪调节能力的“功能”、“风险”和“挑战”水平相对应的特征。与“功能”特征相比,“风险”和“挑战”特征的内化症状(即抑郁症状、焦虑症状和自杀意念)的严重程度显著更高。ADHD 症状和敌意也表现出类似的模式。品行问题和物质使用与缺陷特征的相关性要低得多。讨论了这些发现对心理健康病因学、大学生预防和治疗的意义。