Distress tolerance and early adolescent externalizing and internalizing symptoms: The moderating role of gender and ethnicity
Distress tolerance and early adolescent externalizing and internalizing symptoms: The moderating role of gender and ethnicity
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DOI：
10.1016/j.brat.2008.12.001
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发表时间：
2009-03-01
影响因子：
4.1
通讯作者：
Lejuez, C. W.
中科院分区：
文献类型：
--
作者：
Daughters, Stacey B.;Reynolds, Elizabeth K.;Lejuez, C. W.
大量研究已经考察了儿童期和青少年早期内化和外化症状的发展。值得注意的是，青少年早期的症状表现伴随着显著的损害，而且这些症状与精神病理学的未来发展、身体健康不佳、自我毁灭的思想和行为、犯罪行为以及艾滋病风险行为相关。基于负强化理论，本研究试图检验痛苦耐受性（定义为在经历情绪痛苦时坚持有目标导向活动的能力）作为一种潜在机制的可能作用，这种机制可能是231名白种人和非裔美国青少年（平均年龄 = 10.9岁；45.5%为女性；54.5%为白种人）内化和外化症状的基础。一系列回归分析得出了显著的调节关系，即痛苦耐受性低会增加白种人饮酒的风险、非裔美国人的违法行为风险以及女性的内化症状风险。文中讨论了临床意义，包括负强化模型在青少年早期干预中的潜在作用。（C）2008爱思唯尔有限公司。保留所有权利。
A large body of research has examined the development of internalizing and externalizing symptoms in childhood and early adolescence. Notably, there is significant concomitant impairment associated with early adolescent symptomatology, as well as association of these symptoms with future development of psychopathology, poor physical health, self-destructive thoughts and behaviors, criminal behavior, and HIV risk behaviors. Drawing on negative reinforcement theory, the Current study sought to examine the potential role of distress tolerance, defined as the ability to persist in goal-directed activity while experiencing emotional distress, as a potential mechanism that may underlie both internalizing and externalizing symptoms among 231 Caucasian and African American youth (M age = 10.9 years; 45.5% female; 54.5% Caucasian ethnicity). A series of regressions resulted in significant moderated relationships, such that low distress tolerance conferred increased risk for alcohol use among Caucasians, delinquent behavior among African Americans, and internalizing symptoms among females. Clinical implications, including the potential role of negative reinforcement models in early intervention with young adolescents, are discussed. (C) 2008 Elsevier Ltd. All rights reserved.