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自责介导低风险青少年童年期忽视经历与内化症状之间的联系。

Self-Blame Mediates the Link between Childhood Neglect Experiences and Internalizing Symptoms in Low-Risk Adolescents.

作者信息

Tanzer Michal, Salaminios George, Morosan Larisa, Campbell Chloe, Debbané Martin

机构信息

Psychoanalysis Unit, Research Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.

Developmental Clinical Psychology Unit, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.

出版信息

J Child Adolesc Trauma. 2020 Apr 29;14(1):73-83. doi: 10.1007/s40653-020-00307-z. eCollection 2021 Mar.

Abstract

Childhood neglect is the most common type of maltreatment, ranging from minor isolated incidents to consistent failures in emotional/physical caregiving. It has been associated with developmental impairments and considered a risk factor for the emergence of psychopathology, particularly internalizing disorders. This study aimed to explore individual differences in response to the continuum of severity of neglect in community adolescents, as well as the role of specific cognitive emotion regulation strategies (CERSs) as mediators between childhood neglect and current internalizing symptoms. Low-risk adolescents (12-19 years old; age 15.88 years;  = 123; 64 Females) completed questionnaires assessing these experiences. We employed a regression model and a simple mediation analyses. Findings indicate a positive association between childhood neglect, internalizing behaviors, and the adoption of self-blame as CERS. Moreover, the use of self-blame in response to everyday stress partially mediated the relationship between neglect and internalizing behaviors (effect size: .28). Findings support the hypothesis that even in a low risk sample, neglect is associated with internalizing symptoms, and highlight the importance of assessing individual differences in the experience of neglect. Moreover, the mediation effect of the CERSs of self-blame might serve as a potential target for psychotherapeutic interventions aimed at reducing internalizing symptoms.

摘要

童年期忽视是最常见的虐待类型,范围从轻微的个别事件到情感/身体照料方面持续的缺失。它与发育障碍有关,并被认为是精神病理学出现的一个风险因素,尤其是内化障碍。本研究旨在探讨社区青少年对忽视严重程度连续体的反应中的个体差异,以及特定认知情绪调节策略(CERSs)作为童年期忽视与当前内化症状之间中介的作用。低风险青少年(12 - 19岁;平均年龄15.88岁;n = 123;64名女性)完成了评估这些经历的问卷。我们采用了回归模型和简单中介分析。研究结果表明童年期忽视、内化行为以及将自责作为认知情绪调节策略的采用之间存在正相关。此外,在应对日常压力时使用自责部分中介了忽视与内化行为之间的关系(效应量:0.28)。研究结果支持了这样的假设,即即使在低风险样本中,忽视也与内化症状有关,并强调了评估忽视经历中个体差异的重要性。此外,自责的认知情绪调节策略的中介作用可能成为旨在减轻内化症状的心理治疗干预的潜在目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba23/7900265/20e2433692ce/40653_2020_307_Fig1_HTML.jpg

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