Elena Gaudiešiūtė, Gabrielė Skabeikytė-Norkienė, Rasa Barkauskienė
{"title":"青少年人格功能：探讨儿童虐待类型与内化和外化困难之间的联系。","authors":"Elena Gaudiešiūtė, Gabrielė Skabeikytė-Norkienė, Rasa Barkauskienė","doi":"10.1111/camh.12781","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The reconceptualization of the personality disorder model brought by the DSM-5 and ICD-11 introduced the level of personality functioning as the main criterion of PD, which encompasses a set of intrapsychic functions necessary for self-other understanding in interpersonal contexts. Research interest has been growing in examining the relationship between childhood traumatic experiences and personality functioning, predominantly with adult populations; however, there is a notable scarcity of studies exploring these associations in adolescents.</p><p><strong>Aims: </strong>The aim of the present study was to analyze the association between different types of childhood maltreatment and personality functioning and to test internalizing and externalizing difficulties as potential mediators in this link.</p><p><strong>Methods: </strong>A total of 1048 adolescents, aged 11-17, 65.7% of whom were females (855 from public schools, 193 clinically referred), completed a set of questionnaires measuring childhood maltreatment, level of personality functioning, and internalizing and externalizing difficulties. Mediation analysis was used to explore the potential mediating effects.</p><p><strong>Results: </strong>Significant mediating effects of internalizing and externalizing problems were found in the relationship between different types of childhood maltreatment and personality functioning: emotional abuse (β<sub>1</sub> = .269, CI<sub>1</sub> 0.226-0.312; β<sub>2</sub> = .033, CI<sub>2</sub> 0.011-0.055), physical abuse (β<sub>1</sub> = .165, CI<sub>1</sub> 0.123-0.206; β<sub>2</sub> = .031, CI<sub>2</sub> 0.010-0.052), sexual abuse (β<sub>1</sub> = .100, CI<sub>1</sub> 0.060-0.140; β<sub>2</sub> = .018, CI<sub>2</sub> 0.006-0.030); emotional neglect (β<sub>1</sub> = .324, CI<sub>1</sub> 0.280-0.368; β<sub>2</sub> = .028, CI<sub>2</sub> 0.007-0.049), and physical neglect (β<sub>1</sub> = .119, CI<sub>1</sub> 0.079-0.159; β<sub>2</sub> = .020, CI<sub>2</sub> 0.007-0.032).</p><p><strong>Conclusions: </strong>These findings have the potential to enrich the understanding of personality functioning impairments in adolescents in the context of childhood maltreatment and highlight the importance of focusing attention on the impact of emotional maltreatment.</p>","PeriodicalId":49291,"journal":{"name":"Child and Adolescent Mental Health","volume":" ","pages":""},"PeriodicalIF":6.8000,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Personality functioning in adolescents: exploring the links with childhood maltreatment types and internalizing and externalizing difficulties.\",\"authors\":\"Elena Gaudiešiūtė, Gabrielė Skabeikytė-Norkienė, Rasa Barkauskienė\",\"doi\":\"10.1111/camh.12781\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The reconceptualization of the personality disorder model brought by the DSM-5 and ICD-11 introduced the level of personality functioning as the main criterion of PD, which encompasses a set of intrapsychic functions necessary for self-other understanding in interpersonal contexts. Research interest has been growing in examining the relationship between childhood traumatic experiences and personality functioning, predominantly with adult populations; however, there is a notable scarcity of studies exploring these associations in adolescents.</p><p><strong>Aims: </strong>The aim of the present study was to analyze the association between different types of childhood maltreatment and personality functioning and to test internalizing and externalizing difficulties as potential mediators in this link.</p><p><strong>Methods: </strong>A total of 1048 adolescents, aged 11-17, 65.7% of whom were females (855 from public schools, 193 clinically referred), completed a set of questionnaires measuring childhood maltreatment, level of personality functioning, and internalizing and externalizing difficulties. Mediation analysis was used to explore the potential mediating effects.</p><p><strong>Results: </strong>Significant mediating effects of internalizing and externalizing problems were found in the relationship between different types of childhood maltreatment and personality functioning: emotional abuse (β<sub>1</sub> = .269, CI<sub>1</sub> 0.226-0.312; β<sub>2</sub> = .033, CI<sub>2</sub> 0.011-0.055), physical abuse (β<sub>1</sub> = .165, CI<sub>1</sub> 0.123-0.206; β<sub>2</sub> = .031, CI<sub>2</sub> 0.010-0.052), sexual abuse (β<sub>1</sub> = .100, CI<sub>1</sub> 0.060-0.140; β<sub>2</sub> = .018, CI<sub>2</sub> 0.006-0.030); emotional neglect (β<sub>1</sub> = .324, CI<sub>1</sub> 0.280-0.368; β<sub>2</sub> = .028, CI<sub>2</sub> 0.007-0.049), and physical neglect (β<sub>1</sub> = .119, CI<sub>1</sub> 0.079-0.159; β<sub>2</sub> = .020, CI<sub>2</sub> 0.007-0.032).</p><p><strong>Conclusions: </strong>These findings have the potential to enrich the understanding of personality functioning impairments in adolescents in the context of childhood maltreatment and highlight the importance of focusing attention on the impact of emotional maltreatment.</p>\",\"PeriodicalId\":49291,\"journal\":{\"name\":\"Child and Adolescent Mental Health\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":6.8000,\"publicationDate\":\"2025-05-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Child and Adolescent Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/camh.12781\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child and Adolescent Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/camh.12781","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Personality functioning in adolescents: exploring the links with childhood maltreatment types and internalizing and externalizing difficulties.
Background: The reconceptualization of the personality disorder model brought by the DSM-5 and ICD-11 introduced the level of personality functioning as the main criterion of PD, which encompasses a set of intrapsychic functions necessary for self-other understanding in interpersonal contexts. Research interest has been growing in examining the relationship between childhood traumatic experiences and personality functioning, predominantly with adult populations; however, there is a notable scarcity of studies exploring these associations in adolescents.
Aims: The aim of the present study was to analyze the association between different types of childhood maltreatment and personality functioning and to test internalizing and externalizing difficulties as potential mediators in this link.
Methods: A total of 1048 adolescents, aged 11-17, 65.7% of whom were females (855 from public schools, 193 clinically referred), completed a set of questionnaires measuring childhood maltreatment, level of personality functioning, and internalizing and externalizing difficulties. Mediation analysis was used to explore the potential mediating effects.
Results: Significant mediating effects of internalizing and externalizing problems were found in the relationship between different types of childhood maltreatment and personality functioning: emotional abuse (β1 = .269, CI1 0.226-0.312; β2 = .033, CI2 0.011-0.055), physical abuse (β1 = .165, CI1 0.123-0.206; β2 = .031, CI2 0.010-0.052), sexual abuse (β1 = .100, CI1 0.060-0.140; β2 = .018, CI2 0.006-0.030); emotional neglect (β1 = .324, CI1 0.280-0.368; β2 = .028, CI2 0.007-0.049), and physical neglect (β1 = .119, CI1 0.079-0.159; β2 = .020, CI2 0.007-0.032).
Conclusions: These findings have the potential to enrich the understanding of personality functioning impairments in adolescents in the context of childhood maltreatment and highlight the importance of focusing attention on the impact of emotional maltreatment.
期刊介绍：
Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.
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