Emotional dysregulation in childhood and disordered eating and self-harm in adolescence: prospective associations and mediating pathways.
Emotional dysregulation in childhood and disordered eating and self-harm in adolescence: prospective associations and mediating pathways.
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DOI：
10.1111/jcpp.13738
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发表时间：
2023-05
影响因子：
7.6
通讯作者：
Bould, Helen
中科院分区：
文献类型：
--
作者：
Warne, Naomi;Heron, Jon;Mars, Becky;Solmi, Francesca;Biddle, Lucy;Gunnell, David;Hammerton, Gemma;Moran, Paul;Munafo, Marcus;Penton-Voak, Ian;Skinner, Andy;Stewart, Anne;Bould, Helen
情绪失调可能是年轻人饮食失调和自我伤害的风险因素，但很少有前瞻性研究长期评估这些关联，或考虑潜在的介质。我们研究了儿童期情绪失调与青少年期饮食失调和自我伤害之间的前瞻性关系;以及社会认知，情绪识别和被欺负作为中介。我们分析了雅芳父母和孩子纵向研究的3,453名男性和3,481名女性数据。我们用概率单位回归模型研究了7岁时情绪失调与16岁时任何饮食失调和任何自我伤害之间的关联。我们还评估了社会认知（7年），情感识别（8年）和欺凌行为（11年）是否介导了这些关系。7岁时的情绪失调与16岁时的饮食失调[完全校正的概率单位B（95% CI）= 0.082（0.029，0.134）]和自我伤害[完全校正的概率单位B（95% CI）= 0.093（0.036，0.150）]相关。没有证据表明性别之间的相互作用或自残和饮食失调之间的影响差异。中介模型发现，社会认知是饮食失调（女性占51.2%;男性占总效应的27.0%）和自我伤害（女性占15.7%;男性占总效应的10.8%）的关键途径。欺凌是导致饮食失调的重要途径（女性占总效应的17.1%;男性占总效应的10.0%），但仅导致女性自我伤害（占总效应的15.7%）。饮食失调的间接影响比自我伤害更强。在男性和女性中，幼儿期的情绪失调与青春期的饮食失调和自我伤害有关，可能是预防和治疗的有用目标。中介途径似乎因性别和结果而异，但社会认知是饮食失调和自我伤害的关键中介途径。
Emotional dysregulation may be a risk factor for disordered eating and self‐harm in young people, but few prospective studies have assessed these associations long‐term, or considered potential mediators. We examined prospective relationships between childhood emotional dysregulation and disordered eating and self‐harm in adolescence; and social cognition, emotional recognition, and being bullied as mediators. We analysed Avon Longitudinal Study of Parents and Children data on 3,453 males and 3,481 females. We examined associations between emotional dysregulation at 7 years and any disordered eating and any self‐harm at 16 years with probit regression models. We also assessed whether social cognition (7 years), emotional recognition (8 years) and bullying victimisation (11 years) mediated these relationships. Emotional dysregulation at age 7 years was associated with disordered eating [fully adjusted probit B (95% CI) = 0.082 (0.029, 0.134)] and self‐harm [fully adjusted probit B (95% CI) = 0.093 (0.036, 0.150)] at age 16 years. There was no evidence of sex interactions or difference in effects between self‐harm and disordered eating. Mediation models found social cognition was a key pathway to disordered eating (females 51.2%; males 27.0% of total effect) and self‐harm (females 15.7%; males 10.8% of total effect). Bullying victimisation was an important pathway to disordered eating (females 17.1%; males 10.0% of total effect), but only to self‐harm in females (15.7% of total effect). Indirect effects were stronger for disordered eating than self‐harm. In males and females, emotional dysregulation in early childhood is associated with disordered eating and self‐harm in adolescence and may be a useful target for prevention and treatment. Mediating pathways appeared to differ by sex and outcome, but social cognition was a key mediating pathway for both disordered eating and self‐harm.
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影响因子：
3.7
作者：
DeCou, Christopher R.;Comtois, Katherine Anne;Landes, Sara J.
通讯作者：
Landes, Sara J.
DOI：
10.1002/eat.22459
发表时间：
2015-12
期刊：
The International journal of eating disorders
影响因子：
--
作者：
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通讯作者：
Costello EJ
DOI：
10.1016/j.jaac.2018.01.023
发表时间：
2018-05-01
影响因子：
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通讯作者：
Rai, Dheeraj
影响因子：
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作者：
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通讯作者：
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Tull, Matthew T.