Gray Emily, Sweller Naomi, Boag Simon
School of Psychological Sciences, Macquarie University, Australian Hearing Hub, 16 University Avenue, Sydney, NSW 2109 Australia.
J Child Adolesc Trauma. 2024 Jul 9;17(4):1189-1209. doi: 10.1007/s40653-024-00644-3. eCollection 2024 Dec.
Child Abuse and Neglect (CAN) is extensively implicated as a risk factor preceding the development of Obsessive-Compulsive Personality Traits (OCPT). Nevertheless, the majority of individuals with a history of CAN do not go on to develop OCPT. To date, little research has investigated potential model networks that may help contribute to explaining why CAN sometimes leads to OCPT and not at other times. Thus, this study aimed to investigate whether attachment-anxiety, intolerance of uncertainty, and metacognition have indirect effects in the association between CAN and OCPT in various network models. Undergraduate psychology students ( = 291) participated in an anonymous 30-min online survey consisting of a series of self-report questionnaires regarding child abuse and neglect, attachment, intolerance of uncertainty, metacognition, OCPT, and depression. Bootstrapped serial mediation revealed attachment-anxiety and intolerance of uncertainty had a serial-mediation effect in the association between CAN and OCPT. Serial mediation was not found for metacognition and attachment-anxiety. However, metacognition alone mediated between child emotional abuse and OCPT. These findings expand our currently limited knowledge regarding the etiology of OCPT and suggest that attachment-anxiety, intolerance of uncertainty, and metacognition may be important contributors for understanding the development of OCPT following CAN exposure. The potential clinical utility for both assessment and treatment are discussed.
虐待和忽视儿童（CAN）被广泛认为是强迫症人格特质（OCPT）发展之前的一个风险因素。然而，大多数有CAN病史的人并不会发展为OCPT。迄今为止，很少有研究调查可能有助于解释为什么CAN有时会导致OCPT而有时不会的潜在模型网络。因此，本研究旨在调查在各种网络模型中，依恋焦虑、不确定性不耐受和元认知在CAN与OCPT之间的关联中是否具有间接影响。本科心理学专业学生（n = 291）参与了一项30分钟的匿名在线调查，该调查包括一系列关于虐待和忽视儿童、依恋、不确定性不耐受、元认知、OCPT和抑郁的自我报告问卷。自举序列中介分析表明，依恋焦虑和不确定性不耐受在CAN与OCPT之间的关联中具有序列中介效应。未发现元认知和依恋焦虑之间存在序列中介效应。然而，仅元认知在儿童情感虐待与OCPT之间起中介作用。这些发现扩展了我们目前对OCPT病因的有限认识，并表明依恋焦虑、不确定性不耐受和元认知可能是理解CAN暴露后OCPT发展的重要因素。同时还讨论了评估和治疗的潜在临床效用。
