认知不信任在大学生的童年虐待和心智障碍之间起中介作用

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-03-31 DOI:10.1016/j.chiabu.2025.107436

Nicola-Hans Schwarzer , Nöelle Behringer , Paula Dees , Stephan Gingelmaier , Melanie Henter , Holger Kirsch , Tillmann Kreuzer , Robert Langnickel , Pierre-Carl Link , Sascha Müller , Agnes Turner , Peter Fonagy , Tobias Nolte

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引用次数: 0

摘要

心理化与心理健康发展和社会心理功能有关。识别和理解可能与无效心理化相关的因素对于制定有针对性的社会心理或心理治疗干预措施至关重要。目的本探索性研究评估童年虐待经历，以及依恋不安全感和认知不信任是否与心智化能力限制有关。采用横断面研究设计，来自不同大学的382名主要是年轻人完成了关于他们童年虐待经历（回顾性评估）、依恋不安全感、认知不信任和无效心智化的问卷调查。所有参与者都在攻读教育领域的学位。方法采用结构方程模型对假设框架进行检验。结果儿童虐待经历、认知不信任（β = 0.32 [0.17-0.46], p = .001）和依恋不安全感(β = 0.29 [0.18-0.40], p <；措施)。认知不信任完全介导儿童虐待与无效心智化之间的关系（β = 0.17 [0.08-0.28], p = .001）。然而，依恋不安全感并没有调解这种联系。这项探索性研究揭示了心智障碍的发展，尽管它受到其横断面性质的限制，依赖于自我报告，以及样本的一致性，主要是女性，主要是来自不同大学的年轻人。初步研究结果表明，依恋不安全感的作用可能在之前被过分强调了。此外，儿童虐待和心智缺陷之间的联系似乎更加复杂，因为在本研究中，它完全由认知不信任介导。研究结果支持了在社会心理干预中解决认知不信任的概念，这些干预旨在提高已经受损的心理能力。

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Epistemic mistrust mediates the association between childhood maltreatment and impairments in mentalizing in a sample of university students

Background

Mentalizing is linked to mental health development and psychosocial functioning. Identifying and understanding the factors that may be associated with ineffective mentalizing is crucial for creating targeted psychosocial or psychotherapeutic interventions.

Objective

This exploratory study assesses whether experiences of childhood maltreatment, along with attachment insecurity and epistemic mistrust, are associated with limitations in mentalizing abilities.

Participants and setting

A total of 382 primarily young adults from different universities completed questionnaires about their childhood maltreatment experiences (retrospectively assessed), attachment insecurity, epistemic mistrust, and ineffective mentalizing, using a cross-sectional study design. All participants were pursuing a degree in educational fields.

Methods

Structural equation modeling was applied to test the hypothesized framework.

Results

There were significant positive associations between experiences of childhood maltreatment, epistemic mistrust (β = 0.32 [0.17–0.46], p = .001), and attachment insecurity (β = 0.29 [0.18–0.40], p < .001). Epistemic mistrust fully mediated the relationship between childhood maltreatment and ineffective mentalizing (β = 0.17 [0.08–0.28], p = .001). However, attachment insecurity did not mediate this link.

Conclusion

This exploratory study sheds light on the development of mentalizing impairments, though it is limited by its cross-sectional nature, reliance on self-reporting, and the uniformity of the sample with mainly female, primarily young adults from different universities. The preliminary findings suggest the role of attachment insecurity might have been overemphasized previously. Moreover, the link between childhood maltreatment and mentalizing deficits appears more intricate, as it was fully mediated by epistemic mistrust in this study. The findings support the notion of addressing epistemic mistrust in psychosocial interventions designed to improve mentalizing abilities that have been compromised.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.