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成年期童年创伤史、心理化缺陷和嗜睡症的报告:非临床样本中的中介分析。

Reported history of childhood trauma, mentalizing deficits, and hypersomnia in adulthood: A mediational analysis in a nonclinical sample.

作者信息

Kalantar-Hormozi Bessat, Mohammadkhani Shahram

机构信息

Department of Clinical Psychology, Kharazmi University, Faculty of Psychology and Education, Tehran, Iran.

出版信息

Brain Behav. 2024 Jan;14(1):e3363. doi: 10.1002/brb3.3363.

Abstract

BACKGROUND AND OBJECTIVE

Existing research has confirmed the link between childhood trauma and poor sleep quality in adulthood. This study focused on the relationship between childhood trauma and hypersomnia specifically, which is understudied. Additionally, childhood maltreatment has been related to mentalizing deficits. The current study examined the role of mentalizing deficits as mediators between childhood trauma and hypersomnia.

METHOD

The study sample of this cross-sectional study consisted of 496 individuals, who participated in the online survey, which contained the following measures: Persian version of the Mini Sleep Questionnaire, Reflective Functioning Questionnaire (RFQ-8), and Childhood Trauma Questionnaire (CTQ).

RESULTS

The results from structural equation modeling indicated that emotional abuse positively predicts hypersomnia. Mediation analysis confirmed that hypo-mentalizing partially mediates the association between emotional abuse and hypersomnia.

CONCLUSION

The present study provides primary evidence that experiencing emotional abuse during childhood is associated with hypersomnia in adulthood. This association underlines the importance of prevention. The result from mediation analysis suggests addressing mentalizing impairments in patients with hypersomnia and a history of emotional abuse may be helpful.

摘要

背景与目的

现有研究已证实童年创伤与成年后睡眠质量差之间的联系。本研究特别关注童年创伤与嗜睡之间的关系,而这方面的研究较少。此外,童年期虐待与心理化缺陷有关。本研究考察了心理化缺陷在童年创伤与嗜睡之间的中介作用。

方法

本横断面研究的样本包括496名参与在线调查的个体,该调查包含以下测量工具:波斯语版迷你睡眠问卷、反思功能问卷(RFQ - 8)和童年创伤问卷(CTQ)。

结果

结构方程模型结果表明,情感虐待正向预测嗜睡。中介分析证实,心理化不足部分中介了情感虐待与嗜睡之间的关联。

结论

本研究提供了初步证据,表明童年期经历情感虐待与成年后嗜睡有关。这种关联凸显了预防的重要性。中介分析结果表明,解决有情感虐待史的嗜睡患者的心理化障碍可能会有所帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48f5/10761325/e9ed6085eaa5/BRB3-14-e3363-g001.jpg

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