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破坏养育环境、特定情绪调节缺陷与非自杀性自伤。

Invalidating Caregiving Environments, Specific Emotion Regulation Deficits, and Non-suicidal Self-injury.

机构信息

School of Psychology, University of Ottawa, 136 Jean Jacques Lussier, Vanier Hall, Ottawa, ON, K1N 6N5, Canada.

Department of Psychology, York University, Toronto, ON, Canada.

出版信息

Child Psychiatry Hum Dev. 2020 Feb;51(1):39-47. doi: 10.1007/s10578-019-00908-2.

DOI:10.1007/s10578-019-00908-2
PMID:31243625
Abstract

This study examined the indirect effects of distinct aspects of invalidating caregiving environments (i.e., paternal maltreatment, maternal maltreatment, and perceived alienation) on non-suicidal self-injury (NSSI) via six specific emotion regulation difficulties. We hypothesized that specific emotion regulation deficits would mediate associations between invalidating environments and NSSI. Participants included 114 young adults (57 self-injurers; 57 age- and sex-matched comparison participants) aged 17-25 years. Three parallel mediation models tested hypotheses. Results showed that maternal maltreatment, paternal maltreatment, and perceived alienation indirectly predicted NSSI through poor emotional clarity. Maternal maltreatment uniquely predicted NSSI through limited access to regulation strategies. Lastly, maternal maltreatment and perceived alienation were both linked to greater difficulties engaging in goal-directed behavior during emotional upsets; however, contrary to hypotheses, this particular deficit was associated with decreased odds of engaging in NSSI. Findings illustrate how different aspects of invalidating environments and specific emotion regulation deficits may be implicated in NSSI engagement.

摘要

本研究考察了否定性养育环境(即父虐待、母虐待和感知疏远)不同方面通过六种特定情绪调节困难对非自杀性自伤 (NSSI) 的间接影响。我们假设特定的情绪调节缺陷将在否定性环境和 NSSI 之间的关联中起中介作用。参与者包括 114 名年龄在 17-25 岁的年轻人(57 名自伤者;57 名年龄和性别匹配的对照组参与者)。三个平行的中介模型检验了假设。结果表明,母虐待、父虐待和感知疏远通过情绪清晰度差间接预测 NSSI。母虐待通过有限的调节策略获取来唯一预测 NSSI。最后,母虐待和感知疏远都与在情绪困扰时更难进行目标导向行为有关;然而,与假设相反,这种特殊的缺陷与 NSSI 的发生几率降低有关。研究结果表明,否定性养育环境的不同方面和特定的情绪调节缺陷如何可能与 NSSI 的参与有关。

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Child Maltreatment: Skills and Perceptions as Competencies in Higher Nursing Education.儿童虐待:高等护理教育中作为能力的技能与认知
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