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。

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Die Fang , Jin Lu , Hailiang Ran , Yandie He , Guiqing Zheng , Shuqing Liu , Yi Xiang , Xiang Wang , Xinyi Liu , Yuanyuan Xiao , Ying Chen
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引用次数: 0

摘要

背景:现有的研究表明,弹性可能在青少年抑郁和焦虑症状的连续性中发挥重要的中介作用,然而,缺乏纵向证据。此外,童年虐待和父母教养方式是否显著调节心理弹性的中介作用尚未被讨论。方法:本研究以人群为基础,从云南省儿童青少年心理健康调查(MHSCAY)中纳入5218名参与者,进行基线调查(T1)和2轮随访(T2和T3)。采用单因素和多因素logistic回归模型来检验抑郁和焦虑症状的连续性。采用通径分析评估心理弹性在抑郁和焦虑症状连续性中的中介作用。通过分层分析,检验父母教养方式和父母教养方式在心理弹性的中介作用中的调节作用。结果:T1时的抑郁和焦虑症状显著预测T3时的抑郁和焦虑症状(抑郁症状的校正OR: 3.35, 95 % CI: 2.85-3.93;焦虑症状的调整OR: 3.31, 95 % CI: 2.76-3.99)。心理弹性对抑郁症状的连续性有18.96 %的中介作用,对焦虑症状的连续性有19.51 %的中介作用,且内在心理弹性对心理弹性的中介作用更强。CM和父母教养方式显著调节了心理弹性的中介作用,在经历过CM、父母过度保护或父母拒绝的个体中,中介作用更强。结论:基于弹性的干预措施可能有助于打破儿童和青少年抑郁和焦虑症状的连续性。特别是对于那些暴露于CM或消极父母方式的人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.
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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
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.
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