PDF(Pubmed)
Abstract：
UNASSIGNED: Childhood emotional abuse (CEA) is a recognized risk factor for adolescent mentalizing challenges. However, there\'s limited understanding about how CEA might influence personality development and elevate the risk of adolescent personality pathology. A deeper grasp of these pathways is crucial, given that adolescence is a pivotal developmental phase for identity integration, personality consolidation, and the emergence of personality disorders. As the emphasis shifts to dimensional perspectives on adolescent personality pathology, the spotlight is increasingly on adolescents\' evolving personality organization (PO). Within this framework, personality disorder manifestations stem from inherent vulnerabilities in PO. A comprehensive understanding of how CEA leads to these inherent vulnerabilities in PO can inform enhanced interventions for at-risk adolescents. Nonetheless, our comprehension lacks insight into potential pathways to PO, especially those involving external factors like maltreatment and individual traits like mentalizing. This study sought to bridge these gaps by employing latent factor analysis and structural equation modeling to explore connections between emotional maltreatment, adolescent mentalizing, and PO.
UNASSIGNED: A community-based cohort of 193 adolescents (aged 12-17) took part in self-report assessments: the Childhood Experience of Care and Abuse Questionnaire (CECA.Q), the Reflective Functioning Questionnaire for Youth (RFQ-Y), and the Inventory for Personality Organization for Adolescents (IPO-A).
UNASSIGNED: The structural equation model revealed a significant direct influence of CEA on both RFQ-Confusion and PO, and a noteworthy direct effect of RFQ-Confusion on PO. Remarkably, the model accounted for 76.9% of the PO variance. CEA exhibited a significant indirect impact on PO through RFQ-Confusion, which was accountable for 52.3% of the CEA effect on PO, signifying a partial mediation by mentalizing.
UNASSIGNED: These insights carry substantial clinical implications, especially for devising integrated, trauma-informed strategies for adolescents with personality pathologies. This is particularly relevant for enhancing mentalizing and bolstering personality consolidation among adolescent CEA survivors.
UNASSIGNED: A community-based cohort of 193 adolescents (aged 12-17) took part in self-report assessments: the Childhood Experience of Care and Abuse Questionnaire (CECA.Q), the Reflective Functioning Questionnaire for Youth (RFQ-Y), and the Inventory for Personality Organization for Adolescents (IPO-A).
UNASSIGNED: The structural equation model revealed a significant direct influence of CEA on both RFQ-Confusion and PO, and a noteworthy direct effect of RFQ-Confusion on PO. Remarkably, the model accounted for 76.9% of the PO variance. CEA exhibited a significant indirect impact on PO through RFQ-Confusion, which was accountable for 52.3% of the CEA effect on PO, signifying a partial mediation by mentalizing.
UNASSIGNED: These insights carry substantial clinical implications, especially for devising integrated, trauma-informed strategies for adolescents with personality pathologies. This is particularly relevant for enhancing mentalizing and bolstering personality consolidation among adolescent CEA survivors.
摘要：
■儿童情绪虐待（CEA）是青少年心理挑战的公认风险因素。然而,关于CEA如何影响人格发展并提高青少年人格病理风险的认识有限。深入掌握这些途径至关重要，鉴于青春期是身份整合的关键发展阶段，人格巩固，以及人格障碍的出现。随着重点转向青少年人格病理学的维度视角，人们越来越关注青少年不断发展的人格组织(PO)。在这个框架内,人格障碍的表现源于PO固有的脆弱性。全面了解CEA如何导致PO中这些固有的脆弱性，可以为高危青少年提供更好的干预措施。尽管如此，我们的理解缺乏对PO的潜在途径的洞察力，尤其是那些涉及外部因素，如虐待和个体特征，如心理。本研究试图通过采用潜在的因子分析和结构方程模型来探索情感虐待之间的联系来弥合这些差距。青春期的心态，PO。
■一个由193名青少年（12-17岁）组成的社区队列参加了自我报告评估：儿童护理和虐待经历问卷（CECA。Q),青年反思功能问卷(RFQ-Y)，和青少年人格组织清单(IPO-A)。
■结构方程模型揭示了CEA对RFQ-Confusion和PO的直接影响，以及RFQ混淆对PO的显著直接影响。值得注意的是,该模型占PO方差的76.9%。CEA通过RFQ-Confusion对PO表现出显著的间接影响，占CEA对PO影响的52.3%，通过心智化来表示部分调解。
■这些见解具有重要的临床意义，特别是设计一体化，青少年人格病理的创伤知情策略。这对于增强青少年CEA幸存者的心态和增强人格巩固尤其重要。
■一个由193名青少年（12-17岁）组成的社区队列参加了自我报告评估：儿童护理和虐待经历问卷（CECA。Q),青年反思功能问卷(RFQ-Y)，和青少年人格组织清单(IPO-A)。
■结构方程模型揭示了CEA对RFQ-Confusion和PO的直接影响，以及RFQ混淆对PO的显著直接影响。值得注意的是,该模型占PO方差的76.9%。CEA通过RFQ-Confusion对PO表现出显著的间接影响，占CEA对PO影响的52.3%，通过心智化来表示部分调解。
■这些见解具有重要的临床意义，特别是设计一体化，青少年人格病理的创伤知情策略。这对于增强青少年CEA幸存者的心态和增强人格巩固尤其重要。
