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探索青少年情绪调节障碍及其与社会不成熟、自我表征和思维过程问题的关联。

Exploring emotion dysregulation in adolescence and its association with social immaturity, self-representation, and thought process problems.

作者信息

Cristofanelli Stefania, Testa Silvia, Centonze Eleonora, Baccini Giorgia, Toniolo Federico, Vavalle Vincenza, Ferro Laura

机构信息

Department of Human and Social Sciences, University of Aosta Valley, Aosta, Italy.

Studio Associato RiPsi, Milan, Italy.

出版信息

Front Psychol. 2024 Jul 23;15:1320520. doi: 10.3389/fpsyg.2024.1320520. eCollection 2024.

Abstract

BACKGROUND AND AIMS

This study aimed to explore the complex phenomenon of emotional dysregulation, particularly in adolescence, which is associated with many mental health disorders and problems. Increasing the knowledge of clinicians and researchers in this area can be helpful in guiding future treatment plans. The aim of the study was to investigate, from an exploratory perspective, which structural aspects of adolescent functioning (assessed using the Rorschach test and administered and scored according to the Comprehensive System, CS, by Exner) were associated with different dimensions of emotional dysregulation (evaluated using the Difficulties in Emotion Dysregulation Scale, DERS).

METHOD

Secondary data were used for the study, which included 100 adolescents, with 50 in the clinical group (patients with complex trauma histories residing in therapeutic and socio-rehabilitative communities) and 50 in the nonclinical group (recruited from a scout group and middle and high schools). The two groups were compared on terms of the mean scores obtained in the DERS scales (one-tailed t-test) and the proportions of cases that obtained pathological values for selected Rorschach CS indicators (z-test). Partial correlations were calculated between the DERS scales and the Rorschach CS variables to explore which structural dimensions of functioning were associated with different characteristics of emotional dysregulation.

RESULTS

The results indicated that the two groups differed in their outcomes on all DERS scales, except for Awareness and Goals, and on four Rorschach CS variables (EgoIndex, a:p, Wsum6, and MOR). Some significant positive and negative correlations between the Rorschach CS variables and the DERS scales also emerged.

CONCLUSION

These results suggest that the dimensions of functioning associated with emotional dysregulation are related to self-representation, relational immaturity, and thought processes character and characterize membership in a therapeutic community. The correlations described in the article warrants further consideration. Finally, the study's limitations and future research prospects are presented.

摘要

背景与目的

本研究旨在探讨情绪失调这一复杂现象,尤其是在青少年时期,该现象与许多心理健康障碍和问题相关。增加临床医生和研究人员在这一领域的知识,有助于指导未来的治疗方案。本研究的目的是从探索性角度调查青少年功能的哪些结构方面(使用罗夏测验进行评估,并根据埃克纳的综合系统,即CS,进行施测和评分)与情绪失调的不同维度(使用情绪失调困难量表,即DERS,进行评估)相关。

方法

本研究使用了二手数据,包括100名青少年,其中50名在临床组(居住在治疗性和社会康复社区、有复杂创伤史的患者),50名在非临床组(从一个童子军团体以及初中和高中招募)。比较两组在DERS量表中获得的平均分数(单尾t检验)以及在选定的罗夏CS指标中获得病理值的病例比例(z检验)。计算DERS量表与罗夏CS变量之间的偏相关性,以探索功能的哪些结构维度与情绪失调的不同特征相关。

结果

结果表明,除了“意识”和“目标”量表以及四个罗夏CS变量(自我指数、a:p、Wsum6和MOR)外,两组在所有DERS量表上的结果都存在差异。罗夏CS变量与DERS量表之间还出现了一些显著的正相关和负相关。

结论

这些结果表明,与情绪失调相关的功能维度与自我表征、关系不成熟以及思维过程特征有关,并表征了治疗性社区中的成员身份。文章中描述的相关性值得进一步考虑。最后,介绍了该研究的局限性和未来的研究前景。

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