Childhood adversity and adult health-risk behaviors: Examining the roles of emotion dysregulation and urgency
Childhood adversity and adult health-risk behaviors: Examining the roles of emotion dysregulation and urgency
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DOI：
10.1016/j.chiabu.2018.05.027
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发表时间：
2018-08-01
影响因子：
4.8
通讯作者：
Mullins, Larry L.
中科院分区：
文献类型：
--
作者：
Espeleta, Hannah C.;Brett, Emma I.;Mullins, Larry L.
童年不良经历(ACE)是重要的公共卫生问题，与成年后危害健康的行为和身体健康困难的较高患病率有关。研究表明，早期的逆境与长期的健康风险行为发展之间存在关联。目前的研究评估了情绪失调和冲动方面作为ACEs和一般健康危险行为之间关系的潜在中介因素的作用，包括与酒精相关的后果和危险的性行为。大学生(N=668)完成了在线问卷调查，评估了ACEs的病史、情绪调节困难、极端情绪下的冲动以及目前参与的健康危险行为。情绪调节障碍和极端积极情绪下的冲动，而不是消极情绪，显示了ACEs和酒精相关后果之间显著的一系列中介作用。结果还表明，情绪调节失调在早期逆境和所有三种结果(即全面参与不适应行为、与酒精相关的后果和危险的性行为)之间的关系中起中介作用。积极情感和消极情感下的冲动对三种结果均没有中介作用。这项研究的结果强调了在与有逆境历史的年轻人合作时评估情绪调节技能的重要性。
Adverse childhood experiences (ACEs) are important public health concerns, with links to higher prevalence rates of both health-risk behaviors and physical health difficulties in adulthood. Research has demonstrated an association between early adversity and long-term health-risk behavior development. The current study assessed the role of emotion dysregulation and facets of impulsivity as potential mediators in the relation between ACEs and general health-risk behaviors, including alcohol-related consequences and risky sexual behavior. College students (N = 668) completed online questionnaires that assessed history of ACES, emotion regulation difficulties, impulsivity under extreme affect, and current engagement in health-risk behaviors. Emotion dysregulation and impulsivity under extreme positive emotion, but not negative emotion, demonstrated a significant serial mediation between ACEs and alcohol-related consequences. Results also suggest that emotion dysregulation mediates the relation between early adversity and all three outcomes (i.e., overall engagement in maladaptive behavior, alcohol related consequences, and risky sexual behavior). Impulsivity under positive or negative affect did not demonstrate a mediation effect on the three outcomes. Results of this study highlight the importance of assessing for emotion regulation skills when working with young adults with histories of adversity.