Longitudinal Relations Between Childhood Maltreatment, Emotion Regulation Difficulties, and Suicidal Ideation and Non-Suicidal Self-Injury: An 18-Month Investigation of Psychiatrically Hospitalized Adolescents.
Longitudinal Relations Between Childhood Maltreatment, Emotion Regulation Difficulties, and Suicidal Ideation and Non-Suicidal Self-Injury: An 18-Month Investigation of Psychiatrically Hospitalized Adolescents.
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童年虐待、情绪调节困难、自杀意念和非自杀性自残之间的纵向关系：对精神病院住院青少年进行的为期 18 个月的调查。
DOI：
10.1007/s10802-023-01067-8
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发表时间：
2023
影响因子：
2.5
通讯作者：
Liu,RichardT
中科院分区：
文献类型：
--
作者：
Poon,JenniferA;LópezJr,Roberto;Marie-Shea,Lynne;Liu,RichardT
在逆境和精神病理学的维度模型中，现有的研究表明，暴露于威胁-包括情感，身体和性虐待-与青少年的精神病理学有关;情绪调节问题可能，至少部分地，解释了这种关联。理论和实证研究也表明，情绪调节困难，特别是获得情绪调节策略，可能介导的威胁和自我伤害的想法和行为之间的关系，虽然没有研究到目前为止已经明确测试这个模型。目前的研究在18个月的随访中测试了高危青少年中威胁，情绪调节策略的有限使用以及自我伤害的想法和行为之间的关系。样本包括从住院精神科招募的180名青少年（法师= 14.89;SD= 1.35;年龄12-17岁; 71.7%为女性; 78.9%为白色; 55.0%为异性恋）。使用童年创伤问卷中的虐待分量表在基线时评估威胁。在基线、6个月和12个月时，使用情绪调节困难量表评估情绪调节策略的使用情况。在基线、12个月和18个月时，分别使用自伤思想和行为访谈和自杀意念量表-JR评估是否存在非自杀性自伤和自杀意念的严重程度。在解释了中介、结果和抑郁症状的基线水平后，结构方程模型支持12个月获得情绪调节策略作为基线威胁与18个月自杀意念和非自杀性自伤之间的中介的作用。旨在加强获得情绪调节策略的治疗可能有助于降低经历过童年虐待的青少年的自杀风险。
Within the Dimensional Model of Adversity and Psychopathology, extant research shows that exposure to threat—including emotional, physical, and sexual abuse—is linked to psychopathology among adolescents; problems with emotion regulation may, at least in part, explain this association. Both theoretical and empirical work also suggests that emotion regulation difficulties—particularly access to emotion regulation strategies—may mediate the relation between threat and self-injurious thoughts and behavior, though no studies to date have explicitly tested this model. The current study tested relations between threat, limited access to emotion regulation strategies, and self-injurious thoughts and behaviors among high-risk youth across an 18-month follow-up. The sample consisted of 180 adolescents (Mage= 14.89;SD= 1.35; ages 12–17; 71.7% female; 78.9% White; 55.0% heterosexual) recruited from an inpatient psychiatric unit. Threat was assessed at baseline using the abuse subscales from Childhood Trauma Questionnaire. Access to emotion regulation strategies was assessed using the Difficulties in Emotion Regulation Scale at baseline, 6-, and 12-months. Presence (versus absence) of non-suicidal self-injury and suicidal ideation severity were assessed at baseline, 12-, and 18-months using the Self-Injurious Thoughts and Behaviors Interview and the Suicidal Ideation Questionnaire-JR, respectively. After accounting for baseline levels of the mediator, outcome, and depressive symptoms, structural equation models supported the role of 12-month access to emotion regulation strategies as a mediator between baseline threat and 18-month suicidal ideation and non-suicidal self-injury. Treatment aimed at bolstering access to emotion regulation strategies may help reduce suicide risk among youth who have experienced childhood abuse.