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青少年大脑认知发展研究中童年创伤与情绪驱动冲动之间双向关系的纵向研究。

Longitudinal Investigation of Bidirectional Relations Between Childhood Trauma and Emotion-Driven Impulsivity in the Adolescent Brain Cognitive Development Study.

机构信息

Department of Psychology, University of Rhode Island, Kingston, Rhode Island.

Department of Psychology, University of Rhode Island, Kingston, Rhode Island.

出版信息

J Adolesc Health. 2023 Oct;73(4):731-738. doi: 10.1016/j.jadohealth.2023.05.027. Epub 2023 Jul 6.

Abstract

OBJECTIVE

Exposure to childhood trauma is associated with numerous adverse mental health consequences. Addressing important gaps in the existing research, the proposed study clarifies the longitudinal and bidirectional associations between childhood trauma and both negative and positive emotion-driven impulsivity.

METHOD

This study utilized a sample of 11,872 9- to 10-years-olds recruited from 21 research sites across the United States from the Adolescent Brain Cognitive Ddevelopment (ABCD) Study. Childhood trauma was assessed at one- and two-year follow-ups. Negative and positive urgency were assessed at baseline and two-year follow-up. Cross-lagged panel models evaluated the longitudinal and bidirectional associations between childhood trauma and both negative and positive emotion-driven impulsivity.

RESULTS

Findings showed that earlier childhood trauma was associated with higher levels of later negative (β = 0.133, p < .001) and positive (β = 0.125, p < .001) emotion-driven impulsivity. Further, higher levels of earlier positive (β = 0.033, p < .006), but not negative (β = 0.010, p = .405), emotion-driven impulsivity were associated with later childhood trauma. Finally, the strength of the relations between childhood trauma and emotion-driven impulsivity did not differ by sex (ΔX = 10.228, p > .05).

DISCUSSION

Identification of both negative and positive emotion-driven impulsivity among children exposed to trauma may serve as a point of intervention to reduce subsequent risk for deleterious health outcomes.

摘要

目的

儿童期创伤暴露与许多不良心理健康后果有关。为了弥补现有研究中的重要空白,拟议的研究阐明了儿童期创伤与负面和积极情绪驱动冲动之间的纵向和双向关联。

方法

本研究利用了来自美国 21 个研究地点的 11872 名 9-10 岁儿童的样本,这些儿童来自青少年大脑认知发育(ABCD)研究。在 1 年和 2 年的随访中评估儿童期创伤。在基线和 2 年随访时评估负面和积极冲动。交叉滞后面板模型评估了儿童期创伤与负面和积极情绪驱动冲动之间的纵向和双向关联。

结果

研究结果表明,早期儿童期创伤与后期更高水平的负面(β=0.133,p<.001)和积极(β=0.125,p<.001)情绪驱动冲动有关。此外,更高水平的早期积极(β=0.033,p<.006),而不是负面(β=0.010,p=0.405)情绪驱动冲动与后期儿童期创伤有关。最后,儿童期创伤与情绪驱动冲动之间的关系强度不因性别而异(ΔX=10.228,p>.05)。

讨论

在暴露于创伤的儿童中识别出负面和积极情绪驱动冲动,可能成为干预的切入点,以降低随后出现有害健康结果的风险。

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