Developmental timing of trauma exposure and emotion dysregulation in adulthood: Are there sensitive periods when trauma is most harmful?
Developmental timing of trauma exposure and emotion dysregulation in adulthood: Are there sensitive periods when trauma is most harmful?
复制标题
DOI：
10.1016/j.jad.2017.10.045
复制
发表时间：
2018-03
影响因子：
6.6
通讯作者：
Bradley B
中科院分区：
文献类型：
--
作者：
Dunn EC;Nishimi K;Gomez SH;Powers A;Bradley B
本研究旨在确定是否存在第一次暴露于创伤的敏感时期与成年期的情绪失调最相关。成人参与者来自佐治亚州亚特兰大市的一家公立城市医院（n= 1，944）。使用创伤事件量表（TEI）评估终身创伤暴露。使用多元线性回归模型评估首次创伤暴露的发育时间（分为幼儿期（0-5岁）、儿童中期（6-10岁）、青春期（11-18岁）和成年期（19岁以上））与成人情绪失调症状之间的相关性，使用简化的情绪失调量表进行测量。在任何年龄暴露于创伤的参与者都比未暴露的同龄人有更高的情绪失调评分。然而，在童年中期首次接触儿童虐待或人际暴力的参与者相对于在其他发育阶段首次接触的参与者有更高的情绪失调评分;即使在控制了社会人口因素、暴露于其他创伤和暴露于创伤的频率后，也能检测到这些发育时间差异。此外，在控制了目前的精神症状后，其他人际创伤暴露在童年中期的影响被削弱，第一次暴露于其他人际暴力在幼儿期与情绪失调症状显着降低。本研究的局限性包括使用回顾性报告以及缺乏有关创伤严重程度或持续时间的完整信息。这些研究结果应复制在其他人群为基础的样本与前瞻性的设计，以确认发展的重要性，创伤的时间对以后的情绪失调。
This study aimed to determine whether there were sensitive periods when a first exposure to trauma was most associated with emotion dysregulation in adulthood. Adult participants came from a public urban hospital in Atlanta, GA (n=1,944). Lifetime trauma exposure was assessed using the Traumatic Events Inventory (TEI). Multiple linear regression models were used to assess the association between the developmental timing of first trauma exposure, classified as early childhood (ages 0-5), middle childhood (ages 6-10), adolescence (ages 11-18), and adulthood (ages 19+), on adult emotion dysregulation symptoms, measured using the abbreviated Emotion Dysregulation Scale. Participants exposed to trauma at any age had higher emotion dysregulation scores than their unexposed peers. However, participants first exposed to child maltreatment or interpersonal violence during middle childhood had higher emotion dysregulation scores relative to those first exposed during other developmental stages; these developmental timing differences were detected even after controlling for sociodemographic factors, exposure to other trauma, and frequency of exposure to trauma. Further, after controlling for current psychiatric symptoms, the effect of other interpersonal trauma exposure in middle childhood was diminished and first exposure to other interpersonal violence in early childhood was associated with significantly lower emotion dysregulation symptoms. Limitations of this study include the use of retrospective reports and absence of complete information about trauma severity or duration. These findings should be replicated in other population-based samples with prospective designs to confirm the importance of developmental timing of trauma on later emotion dysregulation.
登录
查看更多内容
影响因子：
--
作者：
Copeland, William E.;Keeler, Gordon;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
120.7
作者：
Binder, Elisabeth B.;Bradley, Rebekah G.;Ressler, Kerry J.
通讯作者：
Ressler, Kerry J.
影响因子：
7.4
作者：
Dunn EC;McLaughlin KA;Slopen N;Rosand J;Smoller JW
通讯作者：
Smoller JW
影响因子：
4.2
作者：
Fox, H. C.;Axelrod, S. R.;Sinha, R.
通讯作者：
Sinha, R.
影响因子：
5.3
作者：
Bradley, Bekh;DeFife, Jared A.;Westen, Drew
通讯作者：
Westen, Drew