KU Leuven, Department of Neurosciences, Research Group Psychiatry, Center for Clinical Psychiatry, Leuven, Belgium.
KU Leuven, Department of Neurosciences, Research Group Psychiatry, Center for Contextual Psychiatry, Leuven, Belgium.
J Adolesc. 2023 Jun;95(4):686-699. doi: 10.1002/jad.12145. Epub 2023 Feb 3.
Childhood adversity is a major risk factor for psychiatric disorders and has especially been associated with an admixture of depressive, anxiety, and psychosis symptoms. Identity formation, a main developmental task during adolescence, may be impacted by these adverse experiences and act as an important process in the association between childhood adversity and psychopathology.
We investigated the association between childhood adversity, identity formation, and depressive, anxiety, and psychosis symptoms cross-sectionally in 1913 Flemish adolescents between 11 and 20 years old (mean = 13.76, SD = 1.86). Adolescents completed questionnaires during the first wave of the SIGMA study between January 2018 and May 2019.
Childhood interpersonal adversity was associated with increased identity confusion and decreased identity synthesis. Additionally, identity confusion was associated with increased self-reported levels of psychopathology and potentially mediated the association between childhood adversity and psychopathology.
This study highlights the importance of promoting healthy identity formation in adolescents with and without exposure to adverse childhood experiences.
童年逆境是精神障碍的一个主要危险因素，尤其与抑郁、焦虑和精神病症状的混合有关。身份形成是青少年时期的主要发展任务之一，可能会受到这些不良经历的影响，并作为童年逆境与精神病理学之间关联的一个重要过程。
我们在 2018 年 1 月至 2019 年 5 月期间，对 1913 名 11 至 20 岁的佛兰芒青少年（平均年龄=13.76，标准差=1.86）进行了横断面研究，调查了童年逆境、身份形成与抑郁、焦虑和精神病症状之间的关系。青少年在 SIGMA 研究的第一波期间完成了问卷调查。
童年人际逆境与身份认同混淆增加和身份认同综合减少有关。此外，身份认同混淆与自我报告的精神病理学水平增加有关，并且可能在童年逆境与精神病理学之间的关联中起中介作用。
这项研究强调了在经历或未经历不良童年经历的青少年中促进健康身份形成的重要性。
