The Impact of Childhood Abuse on Anxiety and Depression in Chinese Adolescents: A Transdiagnostic Model.

IF 2.7 2区心理学 Q2 PSYCHIATRY

Stress and Health Pub Date : 2025-08-01 DOI:10.1002/smi.70100

Rui Luo, Mengdi Qi, Yuhan Luo, Zhengqian Yang, Ran He, Zhaoyi Li, Yun Wang, Fumei Chen

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引用次数: 0

Abstract

Anxiety-depression comorbidity in adolescents has become an urgent public health problem, and childhood abuse has been proven to be associated with it. However, the mechanisms that drive this association are still relatively underexplored. This study investigated the cognitive and emotional mechanisms underlying this association, and whether these are moderated by teacher and peer support. Data came from 1184 Chinese adolescents (M_AgeTime1 = 13.82 years, SD = 1.50; 53.5% boys) from a three-wave longitudinal study with data spanning 1.5 years. Results revealed that a general factor (the internalizing factor) can capture the common etiology of anxiety and depression. Interpretation bias and emotion regulation difficulties mediated the association between childhood abuse and the internalizing factor. Furthermore, high teacher support buffered the positive association between emotion regulation difficulties and the internalizing factor, amplifying the positive association between interpretation bias and the internalizing factor. These findings emphasize the importance of individual cognition, emotional, and social contexts in adolescents with abuse experiences and provide empirical evidence for the intervention and clinical treatment of anxiety and depressive symptoms.

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童年虐待对中国青少年焦虑和抑郁的影响：一个跨诊断模型。

青少年焦虑抑郁共病已成为一个紧迫的公共卫生问题，儿童虐待已被证明与之有关。然而，驱动这种关联的机制仍然相对未被充分探索。本研究调查了这种关联背后的认知和情感机制，以及这些机制是否受到教师和同伴支持的调节。数据来自1184名中国青少年（MAgeTime1 = 13.82岁，SD = 1.50，其中53.5%为男孩），来自一项为期1.5年的三波纵向研究。结果表明，一个一般因素（内化因素）可以捕获焦虑和抑郁的共同病因。解释偏见和情绪调节困难在童年虐待与内化因素之间起中介作用。此外，高教师支持可以缓冲情绪调节困难与内化因素之间的正相关关系，放大解释偏见与内化因素之间的正相关关系。这些发现强调了个体认知、情感和社会背景在有虐待经历的青少年中的重要性，并为焦虑和抑郁症状的干预和临床治疗提供了经验证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Stress and Health 医学-精神病学

CiteScore

6.40

自引率

4.90%

发文量

审稿时长

>12 weeks

期刊介绍： Stress is a normal component of life and a number of mechanisms exist to cope with its effects. The stresses that challenge man"s existence in our modern society may result in failure of these coping mechanisms, with resultant stress-induced illness. The aim of the journal therefore is to provide a forum for discussion of all aspects of stress which affect the individual in both health and disease. The Journal explores the subject from as many aspects as possible, so that when stress becomes a consideration, health information can be presented as to the best ways by which to minimise its effects.