儿童情绪虐待与抑郁:情绪调节和心理弹性的中介作用

Megan Houghton, Leah Greenwood
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摘要

童年不良经历与低精神病理学的易感性增加有关。童年情感虐待(CEA)是一种普遍存在的逆境,已知与抑郁症有关。然而,促成这种关系的潜在机制仍不清楚。本研究旨在探讨CEA与抑郁之间的关系,并确定潜在的中介因素,重点关注情绪调节和心理弹性。参与者(N = 110)完成了一项在线调查,评估CEA的经历、抑郁水平、情绪调节策略和恢复能力水平。中介分析发现CEA对抑郁症的发病有直接影响。有趣的是,只有表达抑制、情绪调节策略和心理弹性在CEA与抑郁的关系中起中介作用。认知重评不是中介。越来越多的文献强调CEA和抑郁症之间的联系,这些研究结果进一步证实了这一点。对临床医生的启示是探索已知CEA患者的情绪调节策略和恢复力。未来,在评估CEA的结果时,考虑CEA影响的各个方面是至关重要的。临床医生不应主要关注抑郁症的存在,而应考虑到CEA通常会阻碍一个人的社交、认知和情感发展。
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Childhood emotional abuse and depression: The mediating roles of emotion regulation and resilience
Childhood adverse experiences are associated with an increased susceptibility to low psychopathology. Childhood emotional abuse (CEA) is a widespread adversity, known to be associated with depression. Yet, the underlying mechanisms contributing to the relationship remain unclear. The present study aimed to explore the association between CEA and depression and identify potential mediating factors, focusing specifically on emotion regulation and resilience. Participants (N = 110) completed an online survey assessing experiences of CEA, depression levels, emotional regulation strategies, and resilience levels. A mediation analysis found that CEA has a direct influence on the onset of depression. Interestingly, only the expressive suppression emotional regulation strategy and resilience were found to mediate the relationship between CEA and depression. Cognitive reappraisal was not a mediator. The results add to the growing literature emphasising the association between CEA and depression. The implications for clinicians would be to explore the emotional regulation strategies and resilience in clients with known CEA. In the future, when assessing the outcome of CEA, it is critical to consider all aspects of the effects of CEA. Rather than primarily focusing on the presence of depression, clinicians should consider the fact that CEA often hinders one’s social, cognitive, and emotional development.
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