Implications of childhood psychological maltreatment and peer victimization for COVID-19 PTSD symptoms among adolescents: Mindfulness and self-compassion as explanatory mechanisms in trauma transmission.

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Qinglu Wu, Nan Zhou, Hongjian Cao, Shaofan Wang
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Abstract

Objective: The linking mechanisms underlying associations between early adversities and posttraumatic stress disorder (PTSD) symptoms related to major public health crises remain unclear. Grounded in the stress process model, the present study examined the potential mediating roles of mindfulness and various forms of emotion regulation strategies (general: cognitive reappraisal and expressive suppression; self-care specific: self-compassion) in the associations between victimization by family members and peers (childhood psychological maltreatment and peer victimization) and COVID-19 PTSD symptoms among adolescents.

Method: Three-wave survey data were collected from 844 Chinese junior high school students (51.7% boys, Mage = 13.21 years old, SD = .39) in the COVID-19 context (December 2020 to June 2022). The second-wave and the third-wave data were collected 6 months and 1.5 years later from the baseline, respectively.

Results: Childhood psychological maltreatment and peer victimization were associated with COVID-19 PTSD symptoms through either mindfulness or self-compassion. A sequential mediating pathway from mindfulness to self-compassion was identified. In contrast, no mediating pathways involving cognitive reappraisal or expressive suppression were identified.

Conclusions: Early victimization by family members and peers as primary stressors may contribute to subsequent PTSD symptoms in challenging life contexts due to major public health crises (e.g., the pandemic) through proliferating into secondary stressors of impeded mindfulness and self-compassion. Self-care-specific emotion regulation strategies may uniquely matter more above and beyond the general emotion regulation strategies in explaining such associations. Trainings that facilitate mindfulness and self-compassion could be potential avenues to reduce the deleterious implications of early adversities for later psychological well-being. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

儿童心理虐待和同伴受害对青少年COVID-19创伤后应激障碍症状的影响:正念和自我同情是创伤传播的解释机制
目的:早期逆境与重大公共卫生危机相关的创伤后应激障碍(PTSD)症状之间的联系机制尚不清楚。本研究以应激过程模型为基础,探讨了正念和各种情绪调节策略(一般:认知重评和表达抑制;自我照顾特异性:自我同情)在家庭成员和同伴受害(儿童心理虐待和同伴受害)与青少年COVID-19 PTSD症状之间的关系。方法:收集2020年12月- 2022年6月2019冠状病毒病背景下844名中国初中生的三波调查数据,其中男生占51.7%,年龄为13.21岁,SD = 0.39。第二波和第三波数据分别在基线后6个月和1.5年收集。结果:儿童心理虐待和同伴受害通过正念或自我同情与COVID-19创伤后应激障碍症状相关。发现了一条从正念到自我同情的顺序中介通路。相反,没有发现涉及认知重评或表达抑制的中介途径。结论:家庭成员和同伴作为主要压力源的早期受害,可能通过扩散成为阻碍正念和自我同情的次要压力源,在由于重大公共卫生危机(例如大流行)而具有挑战性的生活环境中导致随后的PTSD症状。在解释这种关联时,自我照顾特定的情绪调节策略可能比一般的情绪调节策略更重要。促进正念和自我同情的训练可能是减少早期逆境对后来心理健康的有害影响的潜在途径。(PsycInfo Database Record (c) 2025 APA,版权所有)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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