从童年创伤到异常显著性的途径:心理化模型的结构方程方法。

IF 2.6 3区 医学 Q2 PSYCHIATRY
Ercan Ozdemir, Angus MacBeth, Helen Griffiths
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引用次数: 0

摘要

目的:本研究的目的是在一项类似研究中探讨儿童创伤、依恋和心理化背景下情感障碍与异常显著性之间的关系。方法:采用横断面设计,一个在线社区样本完成了关键变量的自我报告测量。结构方程模型用于测试儿童创伤通过一组中间风险因素(抑郁、消极分裂型和不安全依恋)对异常显著性的影响。这些中间风险因素被认为会导致异常显著性的近端风险因素(即无组织分裂型和无组织依恋),这取决于心理化能力对压力升高的脆弱性。结果:样本(N = 1263)中78%为女性,年龄在18至35岁之间 年。测试的模型与观察到的数据非常吻合,通过假设的途径揭示了从儿童创伤到异常显著性的重要途径。儿童创伤对异常显著性的直接影响是显著的。结论:研究结果表明,异常显著性的途径可能以自我状态的紊乱和主体间性为特征,这是心理化能力下降的结果。这可能与依恋组织和社会认知能力的变化有关,这可能构成异常显著性发展的可能风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pathways from childhood trauma to aberrant salience: A structural equation approach to mentalization model

Pathways from childhood trauma to aberrant salience: A structural equation approach to mentalization model

Objective

The aim of this study was to explore the relationship between affective disturbances and aberrant salience in the context of childhood trauma, attachment, and mentalization in an analogue study.

Methods

Using a cross-sectional design, an online community sample completed self-report measures of key variables. Structural equation modelling was used to test childhood trauma's influence on aberrant salience via a set of intermediate risk factors (depression, negative schizotypy, and insecure attachment). These intermediate risk factors were assumed to lead to the proximal risk factors of aberrant salience (i.e., disorganized schizotypy and disorganized attachment) depending on the vulnerability of mentalizing capacity to elevated stress.

Results

The sample (N = 1263) was 78% female and aged between 18 and 35 years. The tested models closely fitted the observed data, revealing significant pathways from childhood trauma to aberrant salience via the hypothesized pathways. The direct effect of childhood trauma on aberrant salience was significant.

Conclusion

Findings suggest that the pathway to aberrant salience may be characterized by disorganization of self-state and intersubjectivity as a function of diminishment in mentalizing ability. This may relate to changes in attachment organization and socio-cognitive capacity, which could constitute possible risk factors signalling development of aberrant salience.

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来源期刊
CiteScore
6.10
自引率
5.90%
发文量
68
审稿时长
6 months
期刊介绍: Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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