易激惹和养育方式在气质与情感、焦虑和对立违抗问题之间的中介作用。
Irritability and parenting practices as mediational variables between temperament and affective, anxiety, and oppositional defiant problems.
机构信息
Departament de Psicologia Clínica i de la Salut, Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament, Universitat Autònoma de Barcelona, Spain.
Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament, Universitat Autònoma de Barcelona, Spain.
出版信息
Aggress Behav. 2019 Sep;45(5):550-560. doi: 10.1002/ab.21850. Epub 2019 Jun 11.
Irritability and parenting are potential targets for transdiagnostic studies to identify the common and core dysfunctional characteristics underlying several diagnostic pictures with the goal of addressing these issues in treatment. Our objective was to investigate the different paths from temperament to child psychopathology (affective, anxiety, and oppositional problems) through irritability and parenting using a prospective design from ages 3 to 7. A sample of 614 3-year-old preschoolers was followed at ages 4, 6, and 7. Parents answered questionnaires about temperament (age 3), irritability (age 4), parenting practices (age 6), and psychopathology (age 7). Statistical analyses were carried out through structural equation modeling (SEM) to test the mediation effect of irritability and parenting practices from temperament (negative affectivity and effortful control) through to affective, anxious, and oppositional problems. The proposed model fit the data well. SEM showed (a) an indirect effect from temperament to affective problems, via irritability and positive parenting; (b) a direct effect from negative affectivity to anxiety, plus an indirect effect from both temperament dimensions, via irritability and autonomy parenting practices; and (c) an indirect effect from temperament to oppositional problems, via irritability and punitive parenting. Irritability and parenting are transdiagnostic mediational variables that should be focused on in intervention programs for affective, anxiety, and oppositional problems.
易激惹和育儿方式是跨诊断研究的潜在目标,可用于识别几种诊断图背后的共同和核心功能障碍特征,从而在治疗中解决这些问题。我们的目的是通过易激惹和育儿方式,从 3 岁到 7 岁的前瞻性设计,调查从气质到儿童精神病理学(情感、焦虑和对立问题)的不同途径。一项 614 名 3 岁学龄前儿童的样本在 4 岁、6 岁和 7 岁时进行了随访。父母在 3 岁时回答了关于气质的问卷,在 4 岁时回答了关于易激惹的问卷,在 6 岁时回答了关于育儿实践的问卷,在 7 岁时回答了关于精神病理学的问卷。通过结构方程模型(SEM)进行了统计分析,以测试从气质(负性情绪和努力控制)到情感、焦虑和对立问题的易激惹和育儿实践的中介效应。所提出的模型很好地拟合了数据。SEM 显示:(a)气质通过易激惹和积极育儿方式对情感问题产生间接影响;(b)负性情绪对焦虑有直接影响,加上两个气质维度通过易激惹和自主育儿实践产生间接影响;(c)气质通过易激惹和惩罚性育儿方式对对立问题产生间接影响。易激惹和育儿方式是跨诊断的中介变量,应该成为情感、焦虑和对立问题干预计划的重点。