Abstract Adverse Childhood Experiences (ACEs) increase developmental vulnerabilities for adult psychopathology, and behavioural addictions in particular. However, our understanding of the common psychological mechanisms underlying various behavioural addictions is currently limited. The present study explores self-report emotion dysregulation and depression severity as candidate transdiagnostic processes for addictions known to be related to ACEs such as gambling, food, and internet (social media) use. A large community sample of working adults (n = 1,231) was surveyed online. Validated self-report assessments of gambling, food, and social media addiction severity were administered. The study found that cumulative ACEs were linked to clinical symptoms of gambling, food, and social media addiction through the mediator of emotion dysregulation. Specific emotion dysregulation mechanisms common to gambling, food, and social media addictions include poor control of impulses when upset, and poor clarity about emotions. Additionally, emotion dysregulation and depression serially mediated the association between ACEs, and food and social media addiction severity. The study specifies emotion- and mood-related clinical targets for clinical assessments and interventions that could benefit adults with a history of ACEs.

中文翻译：

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童年逆境和行为成瘾：成人社区样本中情绪失调和抑郁的中介作用

摘要 童年不良经历 (ACE) 增加了成人精神病理学的发育脆弱性，尤其是行为成瘾。然而，我们对各种行为成瘾背后的常见心理机制的理解目前是有限的。本研究探讨了自我报告的情绪失调和抑郁症的严重程度，作为已知与赌博、食物和互联网（社交媒体）使用等 ACE 相关的成瘾的候选跨诊断过程。在线调查了大型社区工作成年人样本（n = 1,231）。对赌博、食物和社交媒体成瘾严重程度进行了经过验证的自我报告评估。该研究发现，累积的 ACE 通过情绪失调的中介与赌博、食物和社交媒体成瘾的临床症状有关。赌博、食物和社交媒体成瘾常见的特定情绪失调机制包括心烦意乱时对冲动的控制不佳，以及对情绪的清晰度不佳。此外，情绪失调和抑郁连续介导了 ACE 与食物和社交媒体成瘾严重程度之间的关联。该研究为临床评估和干预指定了情绪和情绪相关的临床目标，这些目标可以使有 ACE 病史的成年人受益。