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将研究领域标准(RDoC)结构与发展心理病理学联系起来:自我调节和情绪知识在 3 至 10 岁期间内化和外化增长轨迹发展中的作用。

Linking Research Domain Criteria (RDoC) constructs to developmental psychopathology: The role of self-regulation and emotion knowledge in the development of internalizing and externalizing growth trajectories from ages 3 to 10.

机构信息

Department of Psychology.

Department of Psychiatry,University of Michigan,Ann Arbor,MI,USA.

出版信息

Dev Psychopathol. 2019 Oct;31(4):1557-1574. doi: 10.1017/S0954579418001323.

DOI:10.1017/S0954579418001323
PMID:30719962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6682471/
Abstract

Identifying Research Domain Criteria (RDoC) constructs in early childhood is essential for understanding etiological pathways of psychopathology. Our central goal was to identify early emotion knowledge and self-regulation difficulties across different RDoC domains and examine how they relate to typical versus atypical symptom trajectories between ages 3 and 10. Particularly, we assessed potential contributions of children's gender, executive control, delay of gratification, and regulation of frustration, emotion recognition, and emotion understanding at age 3 to co-occurring patterns of internalizing and externalizing across development. A total of 238 3-year-old boys and girls were assessed using behavioral tasks and parent reports and reassessed at ages 5 and 10 years. Results indicated that very few children developed "pure" internalizing or externalizing symptoms relative to various levels of co-occurring symptoms across development. Four classes of co-occurring internalizing and externalizing problems were identified: low, low-moderate, rising, and severe-decreasing trajectories. Three-year-old children with poor executive control but high emotion understanding were far more likely to show severe-decreasing than low/low-moderate class co-occurring internalizing and externalizing symptom patterns. Child gender and poor executive control differentiated children in rising versus low trajectories. Implications for early intervention targeting self-regulation of executive control are discussed.

摘要

识别儿童早期的研究领域标准(RDoC)结构对于理解精神病理学的病因途径至关重要。我们的主要目标是识别不同 RDoC 领域的早期情绪知识和自我调节困难,并研究它们如何与 3 至 10 岁之间的典型和非典型症状轨迹相关。特别是,我们评估了儿童的性别、执行控制、延迟满足、挫折调节、情绪识别和情绪理解在 3 岁时对发展过程中内外向共病模式的潜在贡献。共有 238 名 3 岁男孩和女孩接受了行为任务和家长报告的评估,并在 5 岁和 10 岁时重新评估。结果表明,与发展过程中各种共病症状相比,只有极少数儿童出现“纯粹”的内向或外向症状。确定了四种共病的内部问题和外部问题轨迹:低、低中度、上升和严重下降轨迹。三岁时执行控制能力差但情绪理解能力高的儿童更有可能表现出严重下降而不是低/低中度共病的内外向症状模式。儿童性别和执行控制能力差将儿童分为上升和低轨迹。讨论了针对执行控制自我调节的早期干预的意义。

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