Childhood Maltreatment Exposure and Disruptions in Emotion Regulation: A Transdiagnostic Pathway to Adolescent Internalizing and Externalizing Psychopathology.
Childhood Maltreatment Exposure and Disruptions in Emotion Regulation: A Transdiagnostic Pathway to Adolescent Internalizing and Externalizing Psychopathology.
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DOI：
10.1007/s10608-015-9735-z
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发表时间：
2016-06
影响因子：
2.8
通讯作者：
McLaughlin KA
中科院分区：
文献类型：
--
作者：
Heleniak C;Jenness JL;Stoep AV;McCauley E;McLaughlin KA
虐待儿童是儿童和青少年内化和外化精神病理学的一个重要危险因素。我们研究了情绪调节过程中断作为一种发展机制，将虐待儿童与青少年多种形式的精神病理学发病联系起来。具体来说，我们在两个单独的样本中检查了儿童虐待是否与情绪反应以及对痛苦的适应不良认知和行为反应（包括沉思和冲动行为）有关。我们还调查了情绪调节的每个组成部分是否与内化和外化精神病理学相关，并介导了儿童虐待和精神病理学之间的关联。研究 1 纳入了 167 名青少年的样本，这些青少年是根据身体、性或情感虐待经历招募的。研究 2 在一项基于社区的队列研究中纳入了 439 名青少年的样本，前瞻性跟踪了 5 年。在这两个样本中，虐待儿童都与更高水平的内化精神病理学、更高的情绪反应性以及更多的习惯性沉思和对痛苦的冲动反应有关。在研究 2 中，情绪反应和对痛苦的适应不良反应介导了儿童虐待与内化和外化精神病理学之间的关联。这些发现为情绪调节缺陷作为将儿童虐待与多种形式的精神病理学联系起来的跨诊断发展途径的作用提供了一致的证据。
Child maltreatment is a robust risk factor for internalizing and externalizing psychopathology in children and adolescents. We examined the role of disruptions in emotion regulation processes as a developmental mechanism linking child maltreatment to the onset of multiple forms of psychopathology in adolescents. Specifically, we examined whether child maltreatment was associated with emotional reactivity and maladaptive cognitive and behavioral responses to distress, including rumination and impulsive behaviors, in two separate samples. We additionally investigated whether each of these components of emotion regulation were associated with internalizing and externalizing psychopathology and mediated the association between child maltreatment and psychopathology. Study 1 included a sample of 167 adolescents recruited based on exposure to physical, sexual, or emotional abuse. Study 2 included a sample of 439 adolescents in a community-based cohort study followed prospectively for 5 years. In both samples, child maltreatment was associated with higher levels of internalizing psychopathology, elevated emotional reactivity, and greater habitual engagement in rumination and impulsive responses to distress. In Study 2, emotional reactivity and maladaptive responses to distress mediated the association between child maltreatment and both internalizing and externalizing psychopathology. These findings provide converging evidence for the role of emotion regulation deficits as a transdiagnostic developmental pathway linking child maltreatment with multiple forms of psychopathology.
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影响因子：
1.7
作者：
Beesdo, Katja;Knappe, Susanne;Pine, Daniel S.
通讯作者：
Pine, Daniel S.
DOI：
10.1097/00004583-199912000-00009
发表时间：
1999-12-01
影响因子：
13.3
作者：
Brown, J;Cohen, P;Smailes, EM
通讯作者：
Smailes, EM
影响因子：
2.5
作者：
Brewin, CR;Vallance, H
通讯作者：
Vallance, H
DOI：
10.1097/00004583-199703000-00012
发表时间：
1997-03-01
影响因子：
13.3
作者：
Bernstein, DP;Ahluvalia, T;Handelsman, L
通讯作者：
Handelsman, L
影响因子：
56.9
作者：
Bingenheimer, JB;Brennan, RT;Earls, FJ
通讯作者：
Earls, FJ