Jennissen Simone, Holl Julia, Mai Hannah, Wolff Sebastian, Barnow Sven
Clinic for General Internal Medicine and Psychosomatics, Ruprecht-Karls-University Heidelberg, Germany.
Department of Clinical Psychology and Psychotherapy, Ruprecht-Karls-University Heidelberg, Germany.
Child Abuse Negl. 2016 Dec;62:51-62. doi: 10.1016/j.chiabu.2016.10.015. Epub 2016 Oct 26.
The present study investigated the mediating effects of emotion dysregulation on the relationship between child maltreatment and psychopathology. An adult sample (N=701) from diverse backgrounds of psychopathology completed the Childhood Trauma Questionnaire (CTQ), the Difficulties in Emotion Regulation Scale (DERS), the Brief Symptom Inventory (BSI), and the negative affect subscale of the Positive and Negative Affect Schedule (PANAS) in a cross-sectional online survey. Correlational analyses showed that all types of child maltreatment were uniformly associated with emotion dysregulation, and dimensions of emotion dysregulation were strongly related to psychopathology. Limited access to strategies for emotion regulation emerged as the most powerful predictor. Structural equation modeling analyses revealed that emotion dysregulation partially mediated the relationship between child maltreatment and psychopathology, even after controlling for shared variance with negative affect. These findings emphasize the importance of emotion dysregulation as a possible mediating mechanism in the association between child maltreatment and later psychopathology. Additionally, interventions targeting specific emotion regulation strategies may be effective to reduce psychopathology in victims of child maltreatment.
本研究调查了情绪调节障碍在儿童期受虐与精神病理学关系中的中介作用。一个来自不同精神病理学背景的成人样本(N = 701)在一项横断面在线调查中完成了儿童期创伤问卷(CTQ)、情绪调节困难量表(DERS)、简明症状量表(BSI)以及正负情绪量表(PANAS)的消极情绪分量表。相关分析表明,所有类型的儿童期受虐均与情绪调节障碍一致相关,且情绪调节障碍的维度与精神病理学密切相关。情绪调节策略的获取受限是最有力的预测因素。结构方程模型分析显示,即使在控制了与消极情绪的共同方差后,情绪调节障碍仍部分中介了儿童期受虐与精神病理学之间的关系。这些发现强调了情绪调节障碍作为儿童期受虐与后期精神病理学关联中一种可能的中介机制的重要性。此外,针对特定情绪调节策略的干预可能对减少儿童期受虐受害者的精神病理学症状有效。