The relationship between stressful events, emotion dysregulation, and anxiety symptoms among youth: longitudinal support for stress causation but not stress generation.

The relationship between stressful events, emotion dysregulation, and anxiety symptoms among youth: longitudinal support for stress causation but not stress generation.
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青少年压力事件、情绪失调和焦虑症状之间的关系:压力因果关系的纵向支持,而非压力产生。

DOI:
10.1080/10615806.2020.1839730
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发表时间:
2021-03
期刊:
Anxiety, stress, and coping
影响因子:
--
通讯作者:
Hankin BL
Hankin BL
中科院分区:
其他
文献类型:
--
作者:
Schneider RL;Long EE;Arch JJ;Hankin BL

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在青春期的压力事件和抑郁症状之间存在明显的双向联系,但这种联系对焦虑症状的方向性仍然没有得到充分的研究。我们批判性地评估青年压力源和焦虑之间的纵向关系。具体来说,我们研究是否压力预测焦虑症状超过1.5年的时间(压力因果关系),以及是否焦虑症状预测压力在此期间(压力产生)。我们研究了潜在的影响因素,包括压力源类型(独立与依赖)和情绪失调(不接受;目标导向困难)。在社区青年(n=528,年龄8-17)中,每3个月评估一次社会,分离和身体焦虑症状,频率和压力源类型,持续1.5年。评估基线情绪失调。时间滞后分析评估了随着时间的推移,压力和焦虑的双向关系,控制了以前的焦虑和抑郁。人际压力预测随后的身体和社交焦虑症状,但焦虑没有预测随后的压力。不接受和目标导向的困难预测随后的焦虑症状和压力源,但没有缓和的关系。研究结果支持了青年焦虑的压力因果模型,但不是压力产生模型。此外,不接受和目标导向的困难预测更大的后续焦虑症状和压力。我们讨论预防和干预的影响。
There is a clear bi-directional link between stressful events and depressive symptoms in adolescence, but the directionality of this link for anxiety symptoms remains underexamined. We critically evaluate the longitudinal relationship between stressors and anxiety among youth. Specifically, we examine whether stressors predict anxiety symptoms over a 1.5-year period (stress causation), and whether anxiety symptoms predict stressors over this period (stress generation). We examine potential influencing factors, including stressor type (independent vs. dependent) and emotion dysregulation (nonacceptance; goal-directed difficulty). Social, separation, and physical anxiety symptoms, and frequency and stressor type, were assessed every 3 months for 1.5 years among community youth (n=528, ages 8–17). Baseline emotion dysregulation was assessed. Time-lagged analyses evaluated the bi-directional relationship of stress and anxiety over time, controlling for previous anxiety and depression. Interpersonal stressors predicted subsequent physical and social anxiety symptoms, but anxiety did not predict subsequent stressors. Both nonacceptance and goal-directed difficulties predicted subsequent anxiety symptoms and stressors, but did not moderate the relationship. The findings supported the stress causation model for youth anxiety, but not the stress generation model. Additionally, nonacceptance and goal-directed difficulty predicted both greater subsequent anxiety symptoms and stressors. We discuss implications for prevention and intervention.
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