Are childhood trauma exposures predictive of anxiety sensitivity in school attending youth?
Are childhood trauma exposures predictive of anxiety sensitivity in school attending youth?
复制标题
DOI：
10.1016/j.jad.2014.06.035
复制
发表时间：
2014-10-15
影响因子：
6.6
通讯作者：
Seedat, Soraya
中科院分区：
文献类型：
--
作者：
Martin, Lindi;Viljoen, Monet;Seedat, Soraya
背景：青少年的应激性生活事件与较高的焦虑敏感性（AS）纵向相关。一个尚未解决的问题是，是否AS在青春期与不同的童年逆境exposition.Methods：学校参加青少年（n=1149）完成的措施，焦虑敏感性（CASI），特质焦虑（STAI-T），童年创伤（CTQ），抑郁（CES-DC），酒精（AUDIT）和药物使用（DUDIT），和弹性（CD-RISC）和应对取向（A-COPE）。儿童期创伤暴露、复原力水平或应对取向没有显著的性别差异。性别差异是明显的AS，特质焦虑，抑郁，酒精和药物使用。抑郁、特质焦虑和饮酒介导了儿童期创伤量与AS之间的关系，并在某些儿童期创伤类型与AS之间的关系中发挥了作用。弹性和应对取向对儿童期创伤量与AS之间的关系都没有调节作用。横断面研究、过度或过度报告的数据线索使用自我报告工具，以及使用受回忆偏倚影响的儿童创伤回顾性测量（CTQ）。女孩比男孩更容易患上早发性焦虑症，因为女孩患AS、特质焦虑和抑郁症的比例更高，尽管她们在童年创伤、应对取向和复原力方面的比例相同。我们的研究结果，在儿童创伤的背景下，强调了抑郁症，特质焦虑和酒精使用的影响，作为青年AS发展的危险因素。(C)2014爱思唯尔有限公司版权所有。
Background: Stressful life events in adolescents have been found to be longitudinally associated with higher anxiety sensitivity (AS). A question that has not been addressed is whether AS in adolescence is associated with different childhood adversity exposures.Methods: School attending adolescents (n=1149) completed measures of anxiety sensitivity (CASI), trait anxiety (STAI-T), childhood trauma (CTQ), depression (CES-DC), alcohol (AUDIT) and drug use (DUDIT), and resilience (CD-RISC) and coping orientation (A-COPE).Results: There was no significant gender difference in childhood trauma exposure, resilience levels or coping orientation. Gender differences were evident in terms of AS, trait anxiety, depression, alcohol and drug use. Depression, trait anxiety and alcohol use mediated the relationship between the amount of childhood trauma and AS and played a role in the relationship between certain childhood trauma types and AS Neither resilience nor coping orientation had a moderating effect on the relationship between the amount of childhood trauma and ASLimitations: Cross-sectional study, over-or tinder-reporting of data clue to use of self-report instruments, and use of a retrospective measure of childhood trauma (CTQ) that is subject to recall bias.Conclusions: Girls are at greater risk than boys for early onset anxiety disorders as girls have higher rates of AS, trait anxiety and depression despite the same rates of childhood trauma, coping orientation and resilience. Our findings, in the context of childhood trauma, underscore the influence of depression, trait anxiety and alcohol use as risk factors for the development of AS in youth. (C) 2014 Elsevier B.V. All rights reserved.