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08-05-2023

Longitudinal Relations Between Childhood Maltreatment, Emotion Regulation Difficulties, and Suicidal Ideation and Non-Suicidal Self-Injury: An 18-Month Investigation of Psychiatrically Hospitalized Adolescents

Auteurs: Jennifer A. Poon, Roberto López Jr, Lynne Marie-Shea, Richard T. Liu

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 9/2023

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Abstract

Within the Dimensional Model of Adversity and Psychopathology, extant research shows that exposure to threat—including emotional, physical, and sexual abuse—is linked to psychopathology among adolescents; problems with emotion regulation may, at least in part, explain this association. Both theoretical and empirical work also suggests that emotion regulation difficulties—particularly access to emotion regulation strategies—may mediate the relation between threat and self-injurious thoughts and behavior, though no studies to date have explicitly tested this model. The current study tested relations between threat, limited access to emotion regulation strategies, and self-injurious thoughts and behaviors among high-risk youth across an 18-month follow-up. The sample consisted of 180 adolescents (Mage = 14.89; SD = 1.35; ages 12–17; 71.7% female; 78.9% White; 55.0% heterosexual) recruited from an inpatient psychiatric unit. Threat was assessed at baseline using the abuse subscales from Childhood Trauma Questionnaire. Access to emotion regulation strategies was assessed using the Difficulties in Emotion Regulation Scale at baseline, 6-, and 12-months. Presence (versus absence) of non-suicidal self-injury and suicidal ideation severity were assessed at baseline, 12-, and 18-months using the Self-Injurious Thoughts and Behaviors Interview and the Suicidal Ideation Questionnaire-JR, respectively. After accounting for baseline levels of the mediator, outcome, and depressive symptoms, structural equation models supported the role of 12-month access to emotion regulation strategies as a mediator between baseline threat and 18-month suicidal ideation and non-suicidal self-injury. Treatment aimed at bolstering access to emotion regulation strategies may help reduce suicide risk among youth who have experienced childhood abuse.
Voetnoten
1
Using this procedure, the 12-month SI model initially calculated a small, non-significant negative residual variance for baseline emotional abuse (σ = -0.18, p = 0.978). In line with SEM conventions, this residual was constrained to zero, which did not significant degrade model fit (S-B \(\Delta \chi^{2}\)(1) = 0.002, p = 0.969; see Kolenikov & Bollen, 2012). Therefore, this altered model with a constrained residual variance for baseline emotional abuse became the model from which the most parsimonious model was obtained for the 12-month SI outcome.
 
2
As significant predictors of SITBs (Cha et al., 2018), sex and sexual identity were included in the initial models. However, the pattern of results was equivalent to those presented here. For parsimony and space considerations, results were reported without these predictors in the model.
 
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Metagegevens
Titel
Longitudinal Relations Between Childhood Maltreatment, Emotion Regulation Difficulties, and Suicidal Ideation and Non-Suicidal Self-Injury: An 18-Month Investigation of Psychiatrically Hospitalized Adolescents
Auteurs
Jennifer A. Poon
Roberto López Jr
Lynne Marie-Shea
Richard T. Liu
Publicatiedatum
08-05-2023
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 9/2023
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-023-01067-8

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