童年逆境对自闭症特征的影响因性别而异。一项前瞻性人口研究的结果。

IF 4.2 2区 医学 Q1 PSYCHIATRY European Journal of Psychotraumatology Pub Date : 2024-01-01 Epub Date: 2024-10-11 DOI:10.1080/20008066.2024.2407256
Raimo K R Salokangas, Tiina From, Henri R W Salokangas, Lara Lehtoranta, Jaana Suvisaari, Seppo Koskinen, Jarmo Hietala, Matti Joukamaa, Max Karukivi
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引用次数: 0

摘要

导言童年不良经历(ACE)与包括人格特征在内的各种精神障碍有关。我们对童年逆境经历如何影响普通人群的情感障碍特征的了解还很有限。在一项前瞻性人群调查中,我们研究了ACE是否与亚历山大症有关,以及性别和情绪症状在这种关联中的作用:在一项基于芬兰人口的前瞻性研究中,3142 名年龄在 30 至 64 岁之间的人分别在 2000 年和 2011 年填写了 11 个 ACE 问题和多伦多亚历山大症量表,并在 2011 年填写了霍普金斯症状核对表。采用重复测量方差分析法分析了2000年和2011年ACE对情感障碍及其子域--识别感受困难(DIF)、描述感受困难(DDF)和外向思维(EOT)--的影响:结果表明:ACE的数量及其主要组成部分--童年社会不利条件与情感缺失总分及其子域DIF和DDF呈正相关,而与EOT呈负相关。在控制了抑郁和焦虑的影响后,这些关联的强度有所降低,但在女性中,社会不利条件对 DIF 和 EOT 的影响仍然显著。童年时期的家庭冲突与男性的 DIF 呈正相关,而与女性的 EOT 呈负相关。此外,母亲的精神问题与女性的 DIF 和 DDF 呈正相关:讨论:在一般人群中,ACE,尤其是社会不利条件,与成年后的情感障碍特征有关。从青少年时期就能发现的亚历山大症特征,可能使个体容易因童年逆境而产生情绪障碍。家庭冲突和母亲精神问题对情感障碍特征的影响因性别而异。
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Effects of childhood adversities on alexithymia features vary between sexes. Results of a prospective population study.

Introduction: Adverse childhood experiences (ACEs) associate with various mental disorders, including personality features. Our understanding of how ACEs influence alexithymia features in the general population is limited. In a prospective population setting, we studied whether ACEs associate with alexithymia, and the role of sex and emotional symptoms in this association.Methods: In a Finnish population-based prospective study, 3,142 individuals aged between 30 and 64 years completed eleven ACE questions and the Toronto Alexithymia Scale in 2000 and 2011, and the Hopkins Symptoms Checklist in 2011. The effect of ACEs on alexithymia and its subdomains - difficulty identifying feelings (DIF), difficulty describing feelings (DDF), and externally oriented thinking (EOT) in 2000 and 2011 - was analysed using repeated measures ANOVA.Results: The number of ACEs and their main component, childhood social disadvantage, associated positively with total alexithymia scores and its subdomains DIF and DDF, and negatively with EOT. After controlling for the effect of depression and anxiety, the strength of these associations was reduced, but the effect of social disadvantage on DIF and EOT remained significant in females. Childhood family conflicts associated positively with DIF in males and negatively with EOT in females. Additionally, maternal mental problems associated positively with DIF and DDF in females.Discussion: In the general population, ACEs, particularly social disadvantage, are associated with adult alexithymia features. Alexithymia features, detectable from youth, may predispose individuals to emotional disturbances caused by childhood adversities. The effect of family conflicts and maternal mental problems on alexithymia features varies between sexes.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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