The Shield of Self-Esteem: Buffering against the Impact of Traumatic Experiences, Fear, Anxiety, and Depression.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-10-04 DOI:10.3390/bs14100901
Alessandro Alberto Rossi, Silvia Francesca Maria Pizzoli, Isabel Fernandez, Roberta Invernizzi, Anna Panzeri, Federica Taccini, Stefania Mannarini
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Abstract

Background: Adverse life occurrences (e.g., severe accidents, violence/abuse, organic disorders such as COVID-19) can elicit traumatic responses that heighten fear, anxiety, and depression. However, scientific research has shown that certain variables, such as self-esteem, based on theories like terror management theory (TMT) and the anxiety-buffering hypothesis (ABH), can mitigate the negative effects of trauma. This study aimed to test the ABH by assessing the buffering role of self-esteem in the relationships among the impact of traumatic experiences, fear, anxiety, and depression.

Method: An observational research design was used. This study involved 321 participants who experienced COVID-19 as a traumatic experience. A sequential multiple-mediation model with observed variables (path analysis) was used to test the impact of the traumatic experience on fear, anxiety, and depression, examining the protective role of self-esteem.

Results: A path analysis revealed that fear and anxiety mediated the relationship between the impact of the traumatic experience of COVID-19 and depression. Additionally, in line with the ABH, self-esteem was found to mediate the relationship between the predictors and their adverse psychological consequences. This suggests that self-esteem played a buffering role, mitigating the negative impact of traumatic experiences on mental health outcomes.

Conclusions: These findings underscore the central mediating role of self-esteem, as well as fear and anxiety, in the pathway from trauma-related factors to depression. These insights advocate for evidence-based interventions aimed at alleviating the psychological suffering associated with traumatic experiences, fostering adaptation, and supporting psychological health.

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自尊之盾:抵御创伤经历、恐惧、焦虑和抑郁的影响。
背景:不良生活事件(如严重事故、暴力/虐待、COVID-19 等器质性疾病)会引发创伤反应,从而加剧恐惧、焦虑和抑郁。然而,科学研究表明,以恐怖管理理论(TMT)和焦虑缓冲假说(ABH)等理论为基础的某些变量(如自尊)可以减轻创伤的负面影响。本研究旨在通过评估自尊在创伤经历的影响、恐惧、焦虑和抑郁之间的关系中的缓冲作用来验证自尊假说:方法:采用观察研究设计。本研究涉及 321 名经历过 COVID-19 创伤经历的参与者。结果:路径分析显示,恐惧、焦虑和抑郁对恐惧、焦虑和抑郁的影响最大,而对恐惧、焦虑和抑郁的影响最小:路径分析显示,恐惧和焦虑在 COVID-19 的创伤经历影响与抑郁之间起中介作用。此外,与 ABH 相一致的是,自尊在预测因素与其不良心理后果之间起到了中介作用。这表明自尊发挥了缓冲作用,减轻了创伤经历对心理健康结果的负面影响:这些发现强调了自尊以及恐惧和焦虑在创伤相关因素与抑郁之间的中介作用。这些见解主张采取循证干预措施,以减轻与创伤经历相关的心理痛苦、促进适应和支持心理健康。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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