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报告的儿童期创伤和与应激相关的脆弱性史:与情绪调节、执行功能、日常困扰和睡前觉醒有关。

Reported history of childhood trauma and stress-related vulnerability: Associations with emotion regulation, executive functioning, daily hassles and pre-sleep arousal.

机构信息

Department of Psychology, University of Utah, Salt Lake City, Utah, USA.

Department of Psychology, University of Alabama, Tuscaloosa, Alabama, USA.

出版信息

Stress Health. 2020 Oct;36(4):405-418. doi: 10.1002/smi.2938. Epub 2020 Mar 2.

Abstract

Childhood trauma is associated with poor health outcomes in adulthood. Mechanisms for these associations are not well understood because past studies have focused predominantly on populations that have already developed physical and mental health problems. The present study examined the association between childhood trauma and stress-related vulnerability factors in a healthy adult sample (n = 79; 68% female, mean age = 27.5, SD = 6.5). Emotion regulation difficulties were examined as a potential mediator. Participants completed baseline laboratory assessments of reported childhood trauma, emotion regulation difficulties, prior month sleep quality, baseline impedance cardiography and behavioural tests of executive functioning (EF) and a three-day experience sampling assessment protocol that included sleep diary, reported and objective pre-sleep arousal, daily hassles and reported EF difficulties. Reported history of childhood abuse was significantly associated with difficulties in emotion regulation, self-report and objective pre-sleep arousal, diary-assessed sleep quality, daily hassles and reported EF difficulties. Reported history of childhood neglect was associated with greater pre-sleep arousal and poorer EF-behavioural control. Emotion regulation difficulties mediated the relationship between childhood abuse and reported pre-sleep arousal, daily hassles and reported EF difficulties. In conclusion, history of childhood trauma is associated with a variety of stress-related vulnerability factors in healthy adults that may be viable early intervention targets.

摘要

儿童时期创伤与成年后健康状况不佳有关。这些关联的机制尚不清楚,因为过去的研究主要集中在已经出现身体和心理健康问题的人群上。本研究在一个健康的成年样本(n=79;68%为女性,平均年龄=27.5,标准差=6.5)中检验了儿童期创伤与应激相关脆弱性因素之间的关联。情绪调节困难被视为潜在的中介因素。参与者完成了基线实验室评估,包括报告的儿童期创伤、情绪调节困难、前一个月的睡眠质量、基线阻抗心动描记术和执行功能(EF)的行为测试,以及为期三天的体验抽样评估方案,其中包括睡眠日记、报告和客观的睡前唤醒、日常困扰和报告的 EF 困难。报告的儿童期虐待史与情绪调节困难、自我报告和客观的睡前唤醒、日记评估的睡眠质量、日常困扰和报告的 EF 困难显著相关。报告的儿童期忽视史与更高的睡前唤醒和较差的 EF-行为控制有关。情绪调节困难中介了儿童期虐待与报告的睡前唤醒、日常困扰和报告的 EF 困难之间的关系。总之,儿童时期创伤史与健康成年人的各种应激相关脆弱性因素有关,这些因素可能是可行的早期干预目标。

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