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儿童和青少年的虐待经历和精神病理学:特定领域自我表象的中介作用受年龄调节。

Maltreatment experiences and psychopathology in children and adolescents: The intervening role of domain-specific self-representations moderated by age.

机构信息

Centro de Investigação em Ciência Psicológica, Faculdade de Psicologia, Universidade de Lisboa, Lisboa, Portugal; Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Lisboa, Portugal.

Centro de Investigação em Ciência Psicológica, Faculdade de Psicologia, Universidade de Lisboa, Lisboa, Portugal; Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Lisboa, Portugal.

出版信息

Child Abuse Negl. 2020 Jan;99:104255. doi: 10.1016/j.chiabu.2019.104255. Epub 2019 Nov 29.

Abstract

BACKGROUND

Associations between maltreatment experiences and psychopathology symptoms in children and adolescents are well established. However, the role of domain-specific self-representations (SR) in those associations remains unexplored.

OBJECTIVE

This multi-informant study aimed to explore the indirect associations between maltreatment experiences and children's and adolescents' psychopathology symptoms (i.e., internalizing and externalizing problems), through domain-specific self-representations, and the moderating role of age in those indirect associations.

PARTICIPANTS AND SETTING

Participants were 203 children/adolescents (52.7 % boys), aged 8-16 years old (M = 12.64; SD = 2.47), referred to child/youth protection commissions, their parents, and case workers.

METHOD

Case workers reported on child/adolescent maltreatment, children/adolescents reported on SR, and parents reported on psychopathology symptoms.

RESULTS

Controlling for chronicity of maltreatment and child/adolescent sex effects, multiple mediation path analysis revealed that: 1) higher levels of physical and psychological abuse were associated with less externalizing problems through more negative social SR; 2) higher levels of physical neglect were associated with more externalizing problems through more positive opposition SR; 3) higher levels of psychological neglect were associated with less externalizing problems through more negative physical appearance SR, and 4) associated with more externalizing problems through more negative opposition SR. Moreover, the indirect effects of physical and psychological abuse on internalizing and externalizing problems through instrumental SR were conditional on child/adolescent age.

CONCLUSION

Findings signal the relevance of preventing child/adolescent maltreatment and promoting the construction of positive and, foremost, realistic and adaptive self-representations as protection against maladjustment.

摘要

背景

虐待经历与儿童和青少年的精神病理学症状之间的关联已得到充分证实。然而,特定领域的自我表现(SR)在这些关联中的作用仍未得到探索。

目的

本多信息源研究旨在通过特定领域的自我表现,探索虐待经历与儿童和青少年精神病理学症状(即内化和外化问题)之间的间接关联,并探讨年龄在这些间接关联中的调节作用。

参与者和设置

参与者为 203 名儿童/青少年(52.7%为男孩),年龄在 8-16 岁之间(M=12.64,SD=2.47),他们被转介至儿童/青少年保护委员会、其父母和案件工作者。

方法

案件工作者报告儿童/青少年的虐待情况,儿童/青少年报告自我表现,父母报告精神病理学症状。

结果

控制虐待的慢性和儿童/青少年性别效应后,多路径中介分析显示:1)身体和心理虐待程度越高,通过更多的消极社会自我表现,与较少的外化问题相关;2)身体忽视程度越高,通过更多的积极反抗自我表现,与更多的外化问题相关;3)心理忽视程度越高,通过更多的消极身体外貌自我表现,与较少的外化问题相关,以及 4)与更多的外化问题通过更多的消极反抗自我表现相关。此外,身体和心理虐待通过工具性自我表现对内化和外化问题的间接影响取决于儿童/青少年的年龄。

结论

研究结果表明,预防儿童/青少年虐待和促进积极的、尤其是现实和适应性的自我表现的构建对于防止适应不良具有重要意义。

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