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童年期虐待模式预测成年早期的情绪加工和调节。

Patterns of childhood maltreatment predict emotion processing and regulation in emerging adulthood.

机构信息

Mt. Hope Family Center, University of Rochester, Rochester, NY, USA.

Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.

出版信息

Dev Psychopathol. 2023 May;35(2):766-781. doi: 10.1017/S0954579422000025. Epub 2022 Mar 15.

DOI:10.1017/S0954579422000025
PMID:35287777
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9474738/
Abstract

Childhood maltreatment is a potent interpersonal trauma associated with dysregulation of emotional processes relevant to the development of psychopathology. The current study identified prospective links between patterns of maltreatment exposures and dimensions of emotion regulation in emerging adulthood. Participants included 427 individuals (48% Male; 75.9% Black, 10.8% White, 7.5% Hispanic, 6% Other) assessed at two waves. At Wave 1, children (10-12 years) from families eligible for public assistance with and without involvement with Child Protective Services took part in a research summer camp. Patterns of child maltreatment subtype and chronicity (based on coded CPS record data) were used to predict Wave 2 (age 18-24 years) profiles of emotion regulation based on self-report, and affective processing assessed via the Affective Go/No-Go task. Results identified associations between task-based affective processing and self-reported emotion regulation profiles. Further, chronic, multi-subtype childhood maltreatment exposure predicted difficulties with aggregated emotion dysregulation. Exposure to neglect with and without other maltreatment subtypes predicted lower sensitivity to affective words. Nuanced results distinguish multiple patterns of emotion regulation in a sample of emerging adults with high exposure to trauma and socioeconomic stress and suggest that maltreatment disrupts emotional development, resulting in difficulties identifying emotions and coping with emotional distress.

摘要

儿童虐待是一种强烈的人际创伤,与情绪过程的失调有关,而情绪过程与精神病理学的发展有关。本研究在成年早期确定了虐待暴露模式与情绪调节维度之间的前瞻性联系。参与者包括 427 人(48%为男性;75.9%为黑人,10.8%为白人,7.5%为西班牙裔,6%为其他),在两个时间点进行评估。在第 1 波,来自有资格获得公共援助的家庭的儿童(10-12 岁),无论是否涉及儿童保护服务,都参加了一个研究夏令营。根据编码的 CPS 记录数据,儿童虐待亚类和慢性(基于编码的 CPS 记录数据)的模式被用于预测基于自我报告的第 2 波(18-24 岁)的情绪调节模式,以及通过情感 Go/No-Go 任务评估的情感加工。结果确定了基于任务的情感加工和自我报告的情绪调节模式之间的关联。此外,慢性、多亚类儿童虐待暴露预测了综合情绪失调的困难。经历忽视以及经历其他虐待亚类预测了对情感词汇的敏感性降低。在一个高度暴露于创伤和社会经济压力的成年早期样本中,细致的结果区分了多种情绪调节模式,并表明虐待会破坏情绪发展,导致识别情绪和应对情绪困扰的困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f981/9474738/faea1efaa7e5/nihms-1768208-f0007.jpg
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