Helland Siri Saugestad, Vira Emily Gabriela, Kjøbli John, Røysamb Espen, Nes Ragnhild Bang, Kaasbøll Jannike, Baardstu Silje
Regional Center for Child and Adolescent Mental Health, Oslo, Norway.
Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Res Child Adolesc Psychopathol. 2024 Dec;52(12):1831-1846. doi: 10.1007/s10802-024-01239-0. Epub 2024 Aug 28.
Mental health problems in adolescence are increasing and there is an urgent call for transdiagnostic interventions, as most adolescents experience problems across multiple domains. Research has identified a general psychopathology factor (p) capturing the shared variance across mental health problems. In parallel, there is empirical support for the transdiagnostic nature of emotion regulation. In the current study, we explore the associations between p and emotion regulation strategies to identify which strategies may be promising targets for intervention. Data from the population-based Youth and Mental Health Study (YAMHS) (N = 2,464, mean age 13.7 years, SD 0.6) was used. The fit of different structural models of emotion regulation and psychopathology were compared, and latent factors from the final models were included in multiple regression analyses to explore the associations between p and emotion regulation strategies. A bifactor exploratory structural equation model (B-ESEM) showed best fit for modelling p. For emotion regulation strategies, an ESEM model showed best fit, including Rumination, Reactive Impulsivity, Distraction, Non-Acceptance, Problem Solving, Social Support, and Proactive Behavior. Results showed that a higher score on p was predicted by higher scores on the emotion regulation strategies Rumination (β = .38, p < .001) and Reactive Impulsivity (β = .35, p < .001), and lower scores on Problem Solving (β = -.15, p < .001). The results indicate that Rumination and Reactive Impulsivity have the strongest associations with p and may be promising targets for mental health interventions for adolescents.
青少年心理健康问题日益增多，由于大多数青少年在多个领域都存在问题，因此迫切需要跨诊断干预措施。研究已经确定了一个一般精神病理学因素（p），它反映了心理健康问题之间的共同差异。与此同时，有实证支持情绪调节的跨诊断性质。在本研究中，我们探讨了p与情绪调节策略之间的关联，以确定哪些策略可能是有前景的干预目标。我们使用了基于人群的青少年与心理健康研究（YAMHS）的数据（N = 2464，平均年龄13.7岁，标准差0.6）。比较了情绪调节和精神病理学不同结构模型的拟合度，并将最终模型中的潜在因素纳入多元回归分析，以探讨p与情绪调节策略之间的关联。双因素探索性结构方程模型（B-ESEM）对p的建模显示出最佳拟合度。对于情绪调节策略，一个ESEM模型显示出最佳拟合度，包括沉思、反应性冲动、分心、不接受、解决问题、社会支持和积极行为。结果表明，情绪调节策略中的沉思（β = 0.38，p < 0.001）和反应性冲动（β = 0.35，p < 0.001）得分越高，p得分越高，而解决问题得分越低（β = -0.15，p < 0.001）。结果表明，沉思和反应性冲动与p的关联最强，可能是青少年心理健康干预的有前景目标。
