Center for Developmental Science, University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.
Department of Psychology,North Carolina State University,Raleigh, NC,USA.
Dev Psychopathol. 2019 Aug;31(3):847-857. doi: 10.1017/S0954579419000294. Epub 2019 Apr 24.
Maltreatment increases risk for psychopathology in childhood and adulthood, thus identifying mechanisms that influence these associations is necessary for future prevention and intervention. Emotion dysregulation resulting from maltreatment is one potentially powerful mechanism explaining risk for psychopathology. This study tests a conceptual model that distinguishes deprivation and threat as distinct forms of exposure with different pathways to psychopathology. Here we operationalize threat as exposure to physical and/or sexual abuse and deprivation as exposure to neglect. We test the hypothesis that threat and deprivation differentially predict use of avoidant strategies and total regulation. Data were drawn from the Longitudinal Studies on Child Abuse and Neglect (LONGSCAN study; N = 866), which followed high-risk children from age 4 to 18. At age 6, children and their parents reported on adversity exposure. Case records documented exposure to abuse and neglect. At 18, adolescents reported on regulation strategies and psychopathology. Regression analyses indicated that greater exposure to threat, but not deprivation, predicted greater use of avoidant strategies in adolescence. Moreover, avoidance partially mediated the longitudinal association between exposure to threat in early childhood and symptoms of internalizing psychopathology in adolescence. Results suggest that abuse and neglect differentially predict regulation strategy use and that regulation strategy use predicts psychopathology.
虐待会增加儿童期和成年期精神病理学的风险,因此,确定影响这些关联的机制对于未来的预防和干预是必要的。虐待导致的情绪调节障碍是一种解释精神病理学风险的潜在强大机制。本研究检验了一个概念模型,该模型区分了剥夺和威胁作为具有不同通向精神病理学途径的两种不同形式的暴露。在这里,我们将威胁定义为身体和/或性虐待的暴露,而将剥夺定义为忽视的暴露。我们假设威胁和剥夺会以不同的方式预测回避策略和总调节的使用。数据来自儿童虐待和忽视的纵向研究(LONGSCAN 研究;N=866),该研究从 4 岁到 18 岁跟踪高危儿童。在 6 岁时,儿童及其父母报告了逆境暴露情况。病例记录记录了虐待和忽视的暴露情况。在 18 岁时,青少年报告了调节策略和精神病理学情况。回归分析表明,与剥夺相比,更大程度的威胁暴露预测了青少年时期更多地使用回避策略。此外,回避策略部分中介了儿童早期暴露于威胁与青少年期内化性精神病理学症状之间的纵向关联。研究结果表明,虐待和忽视以不同的方式预测调节策略的使用,而调节策略的使用又预测精神病理学。