Childhood Adversity and Illness Appraisals as Predictors of Health Anxiety in Emerging Adults with a Chronic Illness.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2023-03-01 DOI:10.1007/s10880-022-09870-z

Katherine A Traino, Hannah C Espeleta, Taylor M Dattilo, Rachel S Fisher, Larry L Mullins

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Abstract

Emerging adults with a chronic medical condition (CMC) are at increased risk for developing health anxiety (HA). Adverse childhood experiences (ACEs) have been linked to developing HA. CMCs and ACEs frequently co-occur among emerging adults. However, no known research has examined ACEs and HA within this critical developmental period. Further, increased negative illness appraisals (e.g., uncertainty, intrusivness) may partially explain the relation between ACEs and HA. The present study examined the following mediation model: ACEs → illness appraisals → HA. Emerging adults (N = 121) with a CMC completed self-report measures of demographics, ACEs, illness appraisals, and HA. Regression analyses were conducted to test each illness appraisal as a mediator between ACEs and HA. Results demonstrated significant indirect effects for both illness appraisals. Findings demonstrate greater ACEs may increase negative illness appraisals which heightens overall HA. Thus, these associations support trauma-informed care approaches to support emerging adults.

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童年逆境和疾病评价作为慢性疾病初发成人健康焦虑的预测因子。

患有慢性疾病(CMC)的新兴成年人患健康焦虑(HA)的风险增加。不良童年经历(ace)与HA的发生有关。cmc和ace经常同时发生在新生成人中。然而，没有已知的研究在这个关键的发育时期检查ace和HA。此外，增加的负面疾病评估(例如，不确定性，侵入性)可能部分解释ace和HA之间的关系。本研究考察了ace→疾病评估→HA的中介模型。有CMC的新生成人(N = 121)完成了人口统计学、ace、疾病评估和HA的自我报告测量。采用回归分析来检验每种疾病评估作为ace和HA之间的中介。结果显示两种疾病评估有显著的间接影响。研究结果表明，更大的ace可能增加负面疾病评估，从而提高整体HA。因此，这些关联支持创伤知情护理方法来支持新生成人。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.