儿童期虐待和忽视、依恋心理状态与非自杀性自伤。
Childhood abuse and neglect, attachment states of mind, and non-suicidal self-injury.
机构信息
a Department of Psychology , York University , Toronto , Canada.
b Department of Psychology , University of Utah , Salt Lake City , UT , USA.
出版信息
Attach Hum Dev. 2017 Oct;19(5):425-446. doi: 10.1080/14616734.2017.1330832. Epub 2017 May 26.
Abstract
This investigation examined preoccupied attachment states of mind as both a risk factor for non-suicidal self-injury (NSSI) and as a mechanism by which prospectively assessed childhood experiences of abuse and neglect predicted the frequency/severity of NSSI behavior up to age 26 years in 164 individuals (83 females) who were followed from birth in the Minnesota Longitudinal Study of Risk and Adaptation. Preoccupied (but not dismissing) states of mind regarding both childhood caregivers and adult romantic partners were correlated with more frequent/severe NSSI. Furthermore, preoccupied states of mind regarding caregivers partially accounted for the association between childhood abuse/neglect and NSSI. This work represents a rare prospective test of a developmental psychopathology framework for understanding NSSI behavior, in which atypical caregiving experiences are carried forward through attachment representations of caregivers that reflect behavioral risk.
摘要
这项研究调查了占据主导地位的依恋状态思维，它既是非自杀性自我伤害 (NSSI) 的风险因素，也是预测儿童时期经历的虐待和忽视与 164 名个体（83 名女性）的 NSSI 行为频率/严重程度之间关系的机制，这些个体从明尼苏达州风险和适应纵向研究开始就一直被跟踪到 26 岁。对童年照顾者和成年浪漫伴侣的主导（而非否定）状态思维与更频繁/严重的 NSSI 相关。此外，对照顾者的主导状态思维部分解释了儿童期虐待/忽视与 NSSI 之间的关联。这项工作代表了一个罕见的前瞻性测试，用于理解 NSSI 行为的发展心理病理学框架，其中非典型的照顾经历通过反映行为风险的照顾者的依恋表现形式传递下去。
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