Yang Jiangshun, Wang Lijun, Jin Chengqian, Wu Yu-Wei, Zhao Ke
Wenzhou Seventh People's Hospital, Wenzhou, China.
Wenzhou Medical University, Wenzhou, China.
Child Psychiatry Hum Dev. 2024 Jul 16. doi: 10.1007/s10578-024-01737-8.
Childhood trauma and alexithymia are significant risk factors for adolescent mental health issues. Prior research has linked these factors to psychopathology, but the complexities of their interrelation remain underexplored. This study aims to elucidate the relationship between various forms of childhood trauma and alexithymia in adolescents with depressive and bipolar disorders. Structural Equation Modeling (SEM) and network analysis were utilized on data from 2343 Chinese adolescents (aged 12-18 years, 77.93% female) diagnosed with depression or bipolar disorder. Measures included the Childhood Trauma Questionnaire (CTQ) and the Toronto Alexithymia Scale (TAS-20). SEM demonstrated a significant correlation between childhood trauma and alexithymia. Network analysis identified emotional abuse and difficulty identifying feelings as central nodes. Emotional abuse emerged as a key factor for difficulty in emotional identification among adolescents. This study highlights the need for early intervention and the importance of emotional nurturing in childhood to prevent long-term socioemotional difficulties.
童年创伤和述情障碍是青少年心理健康问题的重要风险因素。先前的研究已将这些因素与精神病理学联系起来，但其相互关系的复杂性仍未得到充分探索。本研究旨在阐明患有抑郁和双相情感障碍的青少年中各种形式的童年创伤与述情障碍之间的关系。对来自2343名被诊断患有抑郁症或双相情感障碍的中国青少年（年龄在12 - 18岁之间，77.93%为女性）的数据进行了结构方程模型（SEM）和网络分析。测量工具包括儿童创伤问卷（CTQ）和多伦多述情障碍量表（TAS - 20）。结构方程模型显示童年创伤与述情障碍之间存在显著相关性。网络分析确定情感虐待和难以识别情感为核心节点。情感虐待成为青少年情感识别困难的关键因素。本研究强调了早期干预的必要性以及童年期情感培育对预防长期社会情感困难的重要性。
