Die Fang , Jin Lu , Hailiang Ran , Yandie He , Guiqing Zheng , Shuqing Liu , Yi Xiang , Xiang Wang , Xinyi Liu , Yuanyuan Xiao , Ying Chen
{"title":"童年虐待和父母教养方式在中国儿童和青少年焦虑和抑郁症状的持续性中调节心理弹性的中介作用。","authors":"Die Fang , Jin Lu , Hailiang Ran , Yandie He , Guiqing Zheng , Shuqing Liu , Yi Xiang , Xiang Wang , Xinyi Liu , Yuanyuan Xiao , Ying Chen","doi":"10.1016/j.jad.2025.119946","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Existing studies suggest that resilience may play as a significant mediator in the continuity of depressive and anxious symptoms in youth, however, longitudinal evidence is lacking. Besides, whether childhood maltreatment (CM) and parenting styles significantly moderate this mediation of resilience has not been discussed before.</div></div><div><h3>Methods</h3><div>This population-based longitudinal study included 5218 participants from the Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY), with a baseline survey (T<sub>1</sub>) and 2 rounds of follow-up (T<sub>2</sub> and T<sub>3</sub>). Univariate and multivariate logistic regression models were used to examine the continuity in depressive and anxious symptoms. Path analysis was adopted to estimate the mediation of resilience in the continuity of depressive and anxious symptoms. Stratified analysis was performed to test the moderation by CM and parenting styles in the mediation of resilience.</div></div><div><h3>Results</h3><div>Depressive and anxious symptoms at T<sub>1</sub> significantly predicted depressive and anxious symptoms at T<sub>3</sub> (adjusted OR for depressive symptoms: 3.35, 95 % CI: 2.85–3.93; adjusted OR for anxious symptoms: 3.31, 95 % CI: 2.76–3.99). Resilience mediated 18.96 % of the continuity in depressive symptoms and 19.51 % of the continuity in anxious symptoms, and the mediation was stronger for internal resilience factors. CM and parenting styles significantly moderated the mediation of resilience, with a stronger mediation found in individuals who had experienced CM, parental overprotection or parental rejection.</div></div><div><h3>Conclusions</h3><div>Resilience-based interventions could be useful in breaking the continuity of depressive and anxious symptoms in children and adolescents. Particularly for those who were exposed to CM or negative parenting styles.</div></div>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":"391 ","pages":"Article 119946"},"PeriodicalIF":4.9000,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Childhood maltreatment and parenting style moderate the mediation of resilience in the continuity of anxious and depressive symptoms in Chinese children and adolescents\",\"authors\":\"Die Fang , Jin Lu , Hailiang Ran , Yandie He , Guiqing Zheng , Shuqing Liu , Yi Xiang , Xiang Wang , Xinyi Liu , Yuanyuan Xiao , Ying Chen\",\"doi\":\"10.1016/j.jad.2025.119946\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Existing studies suggest that resilience may play as a significant mediator in the continuity of depressive and anxious symptoms in youth, however, longitudinal evidence is lacking. Besides, whether childhood maltreatment (CM) and parenting styles significantly moderate this mediation of resilience has not been discussed before.</div></div><div><h3>Methods</h3><div>This population-based longitudinal study included 5218 participants from the Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY), with a baseline survey (T<sub>1</sub>) and 2 rounds of follow-up (T<sub>2</sub> and T<sub>3</sub>). Univariate and multivariate logistic regression models were used to examine the continuity in depressive and anxious symptoms. Path analysis was adopted to estimate the mediation of resilience in the continuity of depressive and anxious symptoms. Stratified analysis was performed to test the moderation by CM and parenting styles in the mediation of resilience.</div></div><div><h3>Results</h3><div>Depressive and anxious symptoms at T<sub>1</sub> significantly predicted depressive and anxious symptoms at T<sub>3</sub> (adjusted OR for depressive symptoms: 3.35, 95 % CI: 2.85–3.93; adjusted OR for anxious symptoms: 3.31, 95 % CI: 2.76–3.99). Resilience mediated 18.96 % of the continuity in depressive symptoms and 19.51 % of the continuity in anxious symptoms, and the mediation was stronger for internal resilience factors. CM and parenting styles significantly moderated the mediation of resilience, with a stronger mediation found in individuals who had experienced CM, parental overprotection or parental rejection.</div></div><div><h3>Conclusions</h3><div>Resilience-based interventions could be useful in breaking the continuity of depressive and anxious symptoms in children and adolescents. Particularly for those who were exposed to CM or negative parenting styles.</div></div>\",\"PeriodicalId\":14963,\"journal\":{\"name\":\"Journal of affective disorders\",\"volume\":\"391 \",\"pages\":\"Article 119946\"},\"PeriodicalIF\":4.9000,\"publicationDate\":\"2025-07-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of affective disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0165032725013886\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of affective disorders","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0165032725013886","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Childhood maltreatment and parenting style moderate the mediation of resilience in the continuity of anxious and depressive symptoms in Chinese children and adolescents
Background
Existing studies suggest that resilience may play as a significant mediator in the continuity of depressive and anxious symptoms in youth, however, longitudinal evidence is lacking. Besides, whether childhood maltreatment (CM) and parenting styles significantly moderate this mediation of resilience has not been discussed before.
Methods
This population-based longitudinal study included 5218 participants from the Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY), with a baseline survey (T1) and 2 rounds of follow-up (T2 and T3). Univariate and multivariate logistic regression models were used to examine the continuity in depressive and anxious symptoms. Path analysis was adopted to estimate the mediation of resilience in the continuity of depressive and anxious symptoms. Stratified analysis was performed to test the moderation by CM and parenting styles in the mediation of resilience.
Results
Depressive and anxious symptoms at T1 significantly predicted depressive and anxious symptoms at T3 (adjusted OR for depressive symptoms: 3.35, 95 % CI: 2.85–3.93; adjusted OR for anxious symptoms: 3.31, 95 % CI: 2.76–3.99). Resilience mediated 18.96 % of the continuity in depressive symptoms and 19.51 % of the continuity in anxious symptoms, and the mediation was stronger for internal resilience factors. CM and parenting styles significantly moderated the mediation of resilience, with a stronger mediation found in individuals who had experienced CM, parental overprotection or parental rejection.
Conclusions
Resilience-based interventions could be useful in breaking the continuity of depressive and anxious symptoms in children and adolescents. Particularly for those who were exposed to CM or negative parenting styles.
期刊介绍:
The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.