■我们对青少年精神病住院患者的儿童性虐待(CSA)相关症状的了解仍然存在重大差距,以及潜在的弹性因素,如心理。CSA是早期出现边缘性人格特征的风险因素,创伤后应激,性问题。Mentalizing,这涉及到从心理学角度理解我们和他人反应的能力,是自我和人际功能的弹性因素。这项研究的目的是通过检查CSA的贡献来解决知识差距,并在由边缘性人格特征组成的潜在因素中进行思维化,创伤后应激,以及青少年精神病住院患者样本中的性问题。我们假设CSA和思维化将独立解释这个潜在因素的差异。
■参与者是从青少年住院精神病诊所招募的273名12-17岁的青少年。他们完成了青年反思功能问卷(RFQ-Y),儿童创伤症状清单(TSCC),和儿童边缘人格特征量表(BPFS-C)。CSA使用儿童依恋访谈(CAI)进行评估,儿童电脑诊断面试时间表(C-DISC),以及童年创伤问卷(CTQ)。
■27.5%的青少年精神病住院患者报告CSA。CSA和心理化独立地与由创伤后应激组成的潜在因素相关,边缘性格特征,性问题。CSA解释了潜在因子方差的5.0%,RF解释了16.7%。当我们考虑CSA和思维的独特和共同贡献时,该模型解释了该因素的23.0%的方差。
■CSA和心理化独立解释了由边缘性人格特征构成的潜在因素的方差,创伤后应激,性问题。心理化的直接作用更强,而心理化解释了青少年精神病住院患者中与创伤相关的症状相对更多的差异。研究结果与理论一致,即心理疗法是青少年精神病住院患者的内部弹性因素。通过暗示,临床干预侧重于促进心理化的发展,例如基于心理的治疗,可以缓解青少年精神病住院患者表现出的心理健康困难,包括与CSA相关的患者。
UNASSIGNED: Major gaps remain in our knowledge regarding childhood sexual abuse (CSA) related symptoms in adolescent psychiatric inpatients, as well as potential resilience factors like
mentalizing. CSA is a risk factor for the early emergence of borderline personality features, posttraumatic stress, and sexual concerns.
Mentalizing, which involves the capacity to understand our reactions and that of others in psychological terms, is a resilience factor for self and interpersonal functioning. The aim of this study was to address knowledge gaps by examining the contributions of CSA and
mentalizing in a latent factor composed of borderline personality features, posttraumatic stress, and sexual concerns in a sample of adolescent psychiatric inpatients. We hypothesized that CSA and
mentalizing would independently explain the variance in this latent factor.
UNASSIGNED: Participants were 273 adolescents aged 12-17 recruited from an adolescent inpatient psychiatric clinic. They completed the Reflective Function Questionnaire for Youth (RFQ-Y), the Trauma Symptom Checklist for Children (TSCC), and the Borderline Personality Features Scale for Children (BPFS-C). CSA was assessed using the Child Attachment Interview (CAI), the Computerized Diagnostic Interview Schedule for Children (C-DISC), as well as the Childhood Trauma Questionnaire (CTQ).
UNASSIGNED: 27.5% of adolescent psychiatric inpatients reported CSA. CSA and mentalizing were independently associated with a latent factor consisting of posttraumatic stress, borderline personality features, and sexual concerns. CSA explained 5.0% and RF explained 16.7% of the variance of the latent factor. When we consider both the unique and the shared contribution of CSA and mentalizing, the model explained 23.0% of the variance of this factor.
UNASSIGNED: CSA and mentalizing independently explained variance in a latent factor constituted of borderline personality features, posttraumatic stress, and sexual concerns. The direct effect of
mentalizing was stronger and
mentalizing explained comparatively more variance of trauma-related symptoms in adolescent psychiatric inpatients. The findings are consistent with the theory that mentalizing is an internal resilience factor in adolescent psychiatric inpatients. By implication, clinical interventions focused on promoting the development of mentalizing, such as Mentalization Based Treatment, may palliate mental health difficulties manifested by adolescent psychiatric inpatients including those associated with CSA.