积极的再评价应对方式能调节父母虐待和缺乏关爱与成年期广泛焦虑严重程度之间的关系

IF 4.8 2区 医学 Q1 PSYCHIATRY Journal of Anxiety Disorders Pub Date : 2024-01-09 DOI:10.1016/j.janxdis.2024.102826
Matthew H.S. Ng , Nur Hani Zainal , Michelle Gayle Newman
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引用次数: 0

摘要

童年时期遭受父母虐待和缺乏父母关爱是成年后出现精神病态的风险因素。进行积极再评价的倾向可能是这一关系的合理机制。本研究探讨了积极的再评价应对是否能调节母/父虐待/亲情与成年后广泛性焦虑症(GAD)症状之间的关系。美国中年发展研究(Midlife Development in the United States)的参与者数据(n = 3,294)分三次收集,每次间隔九年。纵向结构方程中介模型检验了在控制了第一阶段的 GAD 症状的情况下,第二阶段的积极再评价应对是否对第一阶段的母亲/父亲虐待/亲情与第三阶段的 GAD 症状之间的关系起到了中介作用。积极的再评价应对在母/父童年虐待--严重心理障碍症状严重程度和母/父童年亲情--严重心理障碍症状严重程度之间起中介作用。母亲和父亲的虐待与较低的积极再评价倾向有关,这预示着 GAD 症状严重程度的增加。相反,较高的母爱/父爱与较高的积极再评价相关,预示着较低的 GAD 严重程度。增量预测结果显示,通过积极再评价路径从童年虐待到严重心理障碍症严重程度,母虐显著而父虐不显著,而来自父母双方的亲情仍然显著。积极的再评价应对可能是一种将童年经历与成年后严重心理障碍联系起来的机制。
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Positive reappraisal coping mediates the relationship between parental abuse and lack of affection on adulthood generalized anxiety severity

Exposure to parental abuse and lack of parental affection during childhood are risk factors for adulthood psychopathology. Tendency to engage in positive reappraisal may be a plausible mechanism underlying this relationship. The current study examined if positive reappraisal coping mediated the relationship between maternal/paternal abuse/affection and adulthood generalized anxiety disorder (GAD) symptoms. Participant data (N = 3294) from the Midlife Development in the United States study was collected in three waves, spaced nine years apart. Longitudinal structural equation mediation modeling examined whether positive reappraisal coping at Time 2 mediated the relationship between maternal/paternal abuse/affection at Time 1 and GAD symptoms at Time 3, controlling for GAD symptoms at Time 1. Positive reappraisal coping mediated maternal/paternal childhood abuse – GAD symptom severity and maternal/paternal childhood affection – GAD severity relations. Maternal and paternal abuse was associated with lower positive reappraisal tendencies, predicting increased GAD symptom severity. Conversely, higher maternal/paternal affection was associated with increased positive reappraisal, predicting lower GAD severity. Incremental prediction revealed that childhood abuse to GAD severity via positive reappraisal path was significant for maternal but not paternal abuse, whereas affection from both parents remained significant. Positive reappraisal coping may be a possible mechanism linking childhood experiences to adulthood GAD severity.

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来源期刊
CiteScore
16.60
自引率
2.90%
发文量
95
期刊介绍: The Journal of Anxiety Disorders is an interdisciplinary journal that publishes research papers on all aspects of anxiety disorders for individuals of all age groups, including children, adolescents, adults, and the elderly. Manuscripts that focus on disorders previously classified as anxiety disorders such as obsessive-compulsive disorder and posttraumatic stress disorder, as well as the new category of illness anxiety disorder, are also within the scope of the journal. The research areas of focus include traditional, behavioral, cognitive, and biological assessment; diagnosis and classification; psychosocial and psychopharmacological treatment; genetics; epidemiology; and prevention. The journal welcomes theoretical and review articles that significantly contribute to current knowledge in the field. It is abstracted and indexed in various databases such as Elsevier, BIOBASE, PubMed/Medline, PsycINFO, BIOSIS Citation Index, BRS Data, Current Contents - Social & Behavioral Sciences, Pascal Francis, Scopus, and Google Scholar.
期刊最新文献
Corrigendum to “Metacognitive therapy versus exposure and response prevention for obsessive-compulsive disorder – a non-inferiority randomized controlled trial” Journal of Anxiety Disorders (2024), Volume 104, June 2024, 102873 Excessive avoidance bias towards uncertain faces in non-clinical social anxiety individuals Interplay of serum BDNF levels and childhood adversity in predicting earlier-onset post-traumatic stress disorder: A two-year longitudinal study Negative emotion differentiation buffers against intergenerational risk for social anxiety in at-risk adolescent girls Intensive treatments for children and adolescents with anxiety or obsessive-compulsive disorders: A systematic review and meta-analysis
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