Elucidating the relation between childhood emotional abuse and depressive symptoms in adulthood: The mediating role of maladaptive interpersonal processes.
Elucidating the relation between childhood emotional abuse and depressive symptoms in adulthood: The mediating role of maladaptive interpersonal processes.
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DOI：
10.1016/j.paid.2014.09.045
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发表时间：
2015-02
影响因子：
4.3
通讯作者：
Alloy LB
中科院分区：
文献类型：
--
作者：
Massing-Schaffer M;Liu RT;Kraines MA;Choi JY;Alloy LB
本研究的目的是评估三种人际风险因素（即过度寻求安慰 [ERS]、寻求负面反馈 [NFS] 和拒绝敏感性 [RS]）在儿童情感虐待 (CEA) 和抑郁症状之间的关系中潜在的独特和相对中介作用。在四个月的时间间隔内对一百八十五名本科生进行了跟踪调查。参与者完成了对儿童虐待史、ERS、NFS 和 RS、基线抑郁症状以及四个月随访时抑郁症状的评估。单中介分析的结果表明，在考虑了儿童性虐待和身体虐待以及基线抑郁症状后，RS 和 NFS 而不是 ERS 介导了 CEA 与预期抑郁症状之间的关系。在我们的多中介模型中，只有 RS 仍然是 CEA 与预期抑郁症状之间关系的重要中介。目前的研究提供了初步证据，表明消极行为方式可能是一种将先前的 CEA 经历与随后的抑郁症状联系起来的机制。这些发现的临床意义表明，针对有适应不良的行为倾向，尤其是 RS，可能是对有抑郁风险的 CEA 受害者进行行为矫正治疗的有效辅助手段。
The purpose of this study is to assess the potential unique and relative mediating effects of three interpersonal risk factors (i.e., excessive reassurance-seeking [ERS], negative feedback seeking [NFS], and rejection sensitivity [RS]) in the relationship between childhood emotional abuse (CEA) and depressive symptoms. One hundred eighty-five undergraduates were followed over a four-month interval. Participants completed assessments of childhood abuse history, ERS, NFS, and RS, and depressive symptoms at baseline, as well as depressive symptoms at four-month followup. Findings from single-mediator analyses indicated that RS and NFS, but not ERS, mediated the relationship between CEA and prospective depressive symptoms, after accounting for childhood sexual and physical abuse, as well as baseline depressive symptoms. In our multi-mediator model, only RS remained a significant mediator of the relationship between CEA and prospective depressive symptoms. The current study provides preliminary evidence that negative behavioral styles may function as a mechanism linking prior experiences of CEA to subsequent depressive symptoms. Clinical implications of these findings suggest that targeting maladaptive behavioral tendencies, particularly RS, may be an effective adjunct in behavioral modification treatments of CEA victims at risk for depression.