Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill.
Department of Psychology, University of Pittsburgh.
J Abnorm Psychol. 2018 Feb;127(2):160-170. doi: 10.1037/abn0000331.
Prior research demonstrates a link between exposure to childhood adversity and psychopathology later in development. However, work on mechanisms linking adversity to psychopathology fails to account for specificity in these pathways across different types of adversity. Here, we test a conceptual model that distinguishes deprivation and threat as distinct forms of childhood adversity with different pathways to psychopathology. Deprivation involves an absence of inputs from the environment, such as cognitive and social stimulation, that influence psychopathology by altering cognitive development, such as verbal abilities. Threat includes experiences involving harm or threat of harm that increase risk for psychopathology through disruptions in social-emotional processing. We test the prediction that deprivation, but not threat, increases risk for psychopathology through altered verbal abilities. Data were drawn from the Child Development Project (N = 585), which followed children for over a decade. We analyze data from assessment points at age 5, 6, 14, and 17 years. Mothers completed interviews at age 5 and 6 on exposure to threat and deprivation experiences. Youth verbal abilities were assessed at age 14. At age 17, mothers reported on child psychopathology. A path analysis model tested longitudinal paths to internalizing and externalizing problems from experiences of deprivation and threat. Consistent with predictions, deprivation was associated with risk for externalizing problems via effects on verbal abilities at age 14. Threat was associated longitudinally with both internalizing and externalizing problems, but these effects were not mediated by verbal abilities. Results suggest that unique developmental mechanisms link different forms of adversity with psychopathology. (PsycINFO Database Record
先前的研究表明,儿童期逆境经历与后期发展中的精神病理学之间存在关联。然而,将逆境与精神病理学联系起来的研究工作未能解释不同类型逆境之间这些途径的特异性。在这里,我们测试了一个概念模型,该模型将剥夺和威胁区分开来,认为它们是具有不同通向精神病理学途径的两种不同形式的儿童期逆境。剥夺涉及环境输入的缺失,例如认知和社会刺激,这些输入通过改变认知发展(如语言能力)来影响精神病理学。威胁包括涉及伤害或伤害威胁的经历,这些经历通过破坏社会情感处理过程增加了精神病理学的风险。我们预测剥夺而不是威胁会通过改变语言能力增加精神病理学的风险。数据来自儿童发展项目(N=585),该项目对儿童进行了超过十年的跟踪研究。我们分析了 5 岁、6 岁、14 岁和 17 岁评估点的数据。母亲在 5 岁和 6 岁时完成了关于威胁和剥夺经历的访谈。青少年的语言能力在 14 岁时进行评估。在 17 岁时,母亲报告了儿童的精神病理学情况。路径分析模型测试了从剥夺和威胁经历到内化和外化问题的纵向路径。与预测一致,剥夺通过 14 岁时的语言能力与外化问题的风险相关。威胁与内化和外化问题都有纵向关联,但这些影响不受语言能力的中介。结果表明,独特的发展机制将不同形式的逆境与精神病理学联系起来。