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重度抑郁障碍和双相情感障碍中早期创伤经历与情绪调节技能之间的关系

Relationship between early traumatic experiences and emotional regulation skills in major depressive and bipolar disorders.

作者信息

Park Yejin, Lee Chan Woo, Jang Yoonjeong, Kwon Sarah Soonji, Yu Hyeona, Yoon Joohyun, Park Yun Seong, Ryoo Hyun A, Jang Junwoo, Lee Hyuk Joon, Lee Yeong Chan, Won Hong-Hee, Ha Tae Hyon, Myung Woojae

机构信息

Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Department of Health Science and Technology, Graduate School of Convergence Science and Technology, Seoul National University, Seoul, Republic of Korea.

出版信息

Acta Neuropsychiatr. 2024 Oct 28:1-9. doi: 10.1017/neu.2024.41.

Abstract

Childhood trauma can cause deficits in emotional regulation. However, few studies have investigated childhood trauma and emotional regulation skills in patients with mood disorders. We aimed to investigate how childhood trauma and Emotion Regulation Skills Questionnaire (ERSQ) scores are associated with mood disorders.This study included 779 patients with mood disorders (major depressive disorder [MDD, = 240], bipolar I disorder [BDI, = 121], and bipolar II disorder [BDII, = 418]). We used their Childhood Trauma Questionnaire-Short Form (CTQ) and ERSQ scores for the evaluation.The between-group differences in CTQ and ERSQ scores were examined. The CTQ and ERSQ total scores were negatively correlated. Among the CTQ subscales, emotional neglect showed a significant correlation with the ERSQ total score, whereas acceptance and tolerance showed higher negative correlations with the CTQ than with the other ERSQ subscales. The negative relationship between emotional regulation and childhood trauma varied significantly depending on the group, with the BDI group showing a more prominent association than the other groups.Based on various mood disorders, we observed associations between childhood trauma and emotional regulation skills. Consequently, our study offers notable insights for future research on the impact of childhood trauma on ERSQ.

摘要

童年创伤会导致情绪调节能力不足。然而,很少有研究调查情绪障碍患者的童年创伤与情绪调节技能。我们旨在研究童年创伤和情绪调节技能问卷(ERSQ)得分如何与情绪障碍相关联。本研究纳入了779例情绪障碍患者(重度抑郁症[MDD,n = 240]、双相I型障碍[BDI,n = 121]和双相II型障碍[BDII,n = 418])。我们使用他们的儿童创伤问卷简表(CTQ)和ERSQ得分进行评估。检查了CTQ和ERSQ得分的组间差异。CTQ和ERSQ总分呈负相关。在CTQ分量表中,情感忽视与ERSQ总分显著相关,而接受和容忍与CTQ的负相关性高于与其他ERSQ分量表。情绪调节与童年创伤之间的负相关关系因组而异,BDI组的关联比其他组更为显著。基于各种情绪障碍,我们观察到童年创伤与情绪调节技能之间的关联。因此,我们的研究为未来关于童年创伤对ERSQ影响的研究提供了显著的见解。

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