Department of Dynamic and Clinical Psychology, University of Rome "Sapienza", Rome 00100, Italy.
Department of Developmental and Social Psychology, University of Padua, Padua 35100, Italy.
Int J Environ Res Public Health. 2018 Feb 17;15(2):355. doi: 10.3390/ijerph15020355.
This study aimed at identifying specific clusters of maladaptive emotional-behavioral symptoms in adolescent victims of motorbike collisions considering their scores on alexithymia and impulsivity in addition to examining the prevalence of clinical binge eating behaviors (respectively through the Youth Self-Report (YSR), Toronto Alexithymia Scale-20 (TAS-20), Barratt Impulsiveness Scale-11 (BIS-11), and Binge Eating Scale (BES)). Emotional-behavioral profiles, difficulties in identifying and describing feelings, impulsivity, and binge eating behaviors have been assessed in 159 adolescents addressing emergency departments following motorbike collisions. Our results showed a cluster of adolescents with clinical binge eating behaviors, high rates of motorbike accidents, and high levels of internalizing and externalizing problems, alexithymia, and impulsivity (23.3% of the sample); a second cluster of adolescents with clinical binge eating behaviors, a moderate number of collisions, and moderate levels of emotional and behavioral problems on the above four dimensions (25.8% of the sample); and a third cluster of youth without clinical binge eating behaviors, with a moderate number of accidents, and with low scores on the four dimensions (50.9% of the sample). Adolescents of Cluster 1 showed a higher likelihood to be involved in motorbike collisions than the youth in Clusters 2 and 3 ( < 0.0001). We suggest that adolescents' motor collisions could be associated with their difficulties in emotion regulation and with their impaired psychological profiles, which could also underpin their disordered eating. The identification of specific clusters of psychopathological symptoms among this population could be useful for the construction of prevention and intervention programs aimed at reducing motor collision recidivism and alleviating co-occurring psychopathologies.
本研究旨在确定青少年摩托车事故受害者的特定适应不良情绪行为症状群，除了检查临床暴食行为的流行情况（分别通过青少年自我报告量表（YSR）、多伦多述情障碍量表-20 版（TAS-20）、巴瑞特冲动量表-11 版（BIS-11）和暴食量表（BES））外，还考虑了他们的述情障碍和冲动程度。对 159 名因摩托车事故到急诊室就诊的青少年进行了情绪行为特征、识别和描述感受困难、冲动和暴食行为评估。我们的研究结果显示，有一个有临床暴食行为、高摩托车事故发生率和高内化和外化问题、述情障碍和冲动水平的青少年群体（样本的 23.3%）；第二个有临床暴食行为、中等数量的碰撞和中等水平的情绪和行为问题的青少年群体上述四个维度（样本的 25.8%）；以及第三个没有临床暴食行为、中等数量事故和四个维度低得分的青年群体（样本的 50.9%）。集群 1 的青少年比集群 2 和 3 的青少年更有可能卷入摩托车事故（<0.0001）。我们认为，青少年的摩托车碰撞可能与他们的情绪调节困难以及他们受损的心理特征有关，这也可能是他们饮食失调的原因。在该人群中识别特定的精神病理症状群可能有助于构建旨在减少摩托车事故复发和缓解共病精神病理学的预防和干预计划。
