Adverse Childhood Experiences and Mental Health in WomenPathways of Infl uence in a Clinical Sample
- Yolanda Fontanil 1
- María Dolores Méndez 2
- Yolanda Martín-Higarza 3
- Patricia Solís-García 1
- Esteban Ezama 2
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1
Universidad de Oviedo
info
- 2 Servicio de Salud Mental del Principado de Asturias
- 3 Instituto de Medicina Legal, Gobierno del Principado de Asturias
ISSN: 0214-9915, 1886-144X
Datum der Publikation: 2021
Titel der Ausgabe: Monográfico Mariano Yela
Ausgabe: 33
Nummer: 3
Seiten: 399-406
Art: Artikel
Andere Publikationen in: Psicothema
Zusammenfassung
Antecedentes: aunque el impacto negativo de las Experiencias Adversas Infantiles (ACEs) en la salud mental ha sido constatado en investigaciones previas, las vías a través de las que afectan al bienestar psicológico no están claras. Este estudio transversal analizó la relación entre ACEs y presencia de disfunciones psíquicas y el papel de las estrategias de afrontamiento, la regulación emocional y el apego adulto en esta asociación. Método: formaron la muestra 207 mujeres que recibieron apoyo psicoterapéutico en los Servicios Públicos de Salud Mental en España. El 53,1% también fueron atendidas por psiquiatría. Se realizaron análisis descriptivos y asociativos de las variables implicadas. Resultados: el 48,3% informó de 4 o más ACEs, la correlación con la severidad de los síntomas fue significativa. Las ecuaciones de regresión mostraron que cuatro variables explicaban el 56,2% de la varianza: Miedo al Rechazo y Abandono, Descontrol, Rechazo y Reestructuración Cognitiva. Conclusiones: las ACEs están directamente asociadas con la gravedad de las disfunciones psíquicas. Estos datos sugieren que una adecuada exploración sensible a estas experiencias puede ser terapéutica. La relación entre tipo de adversidad y las variables estudiadas muestra vías indirectas a través de las cuales las ACEs afectan a la salud mental de las mujeres.
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