Emotion dysregulation and adolescent psychopathology: a prospective study.

Emotion dysregulation and adolescent psychopathology: a prospective study.
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DOI:
10.1016/j.brat.2011.06.003
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发表时间:
2011-09
影响因子:
4.1
通讯作者:
Nolen-Hoeksema S
Nolen-Hoeksema S
中科院分区:
心理学2区
文献类型:
--
作者:
McLaughlin KA;Hatzenbuehler ML;Mennin DS;Nolen-Hoeksema S

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在横断面研究中,情绪调节缺陷一直与精神病理学有关。然而,情绪调节和精神病理学之间的关系的方向尚不清楚。本研究旨在探讨青少年情绪调节缺陷与精神病理之间的纵向和相互关系。在间隔7个月的两个时间点,在一个大的,不同的青少年样本(N = 1,065)中评估情绪失调和行为学(抑郁,焦虑,攻击行为和饮食病理学)。结构方程模型被用来研究情绪失调和精神病理症状之间的纵向和相互关系。这里研究的三个不同的情绪过程(情绪理解,悲伤和愤怒的失调表达,以及对痛苦的沉思反应)形成了一个单一的潜在情绪失调因素。在控制基线症状后,情绪失调可预测焦虑症状、攻击性行为和进食病理的增加,但不能预测抑郁症状。相比之下,在控制基线情绪失调后,四种类型的精神病理学都没有预测情绪失调的增加。情绪失调似乎是一个重要的transdiagnosis因素,增加了风险的范围广泛的精神病理学结果在青春期。这些结果表明,在这一发展时期的风险预防干预措施的目标。
Emotion regulation deficits have been consistently linked to psychopathology in cross-sectional studies. However, the direction of the relationship between emotion regulation and psychopathology is unclear. This study examined the longitudinal and reciprocal relationships between emotion regulation deficits and psychopathology in adolescents. Emotion dysregulation and symptomatology (depression, anxiety, aggressive behavior, and eating pathology) were assessed in a large, diverse sample of adolescents (N = 1,065) at two time points separated by seven months. Structural equation modeling was used to examine the longitudinal and reciprocal relationships between emotion dysregulation and symptoms of psychopathology. The three distinct emotion processes examined here (emotional understanding, dysregulated expression of sadness and anger, and ruminative responses to distress) formed a unitary latent emotion dysregulation factor. Emotion dysregulation predicted increases in anxiety symptoms, aggressive behavior, and eating pathology after controlling for baseline symptoms but did not predict depressive symptoms. In contrast, none of the four types of psychopathology predicted increases in emotion dysregulation after controlling for baseline emotion dysregulation. Emotion dysregulation appears to be an important transdiagnostic factor that increases risk for a wide range of psychopathology outcomes in adolescence. These results suggest targets for preventive interventions during this developmental period of risk.
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