A Prospective Examination of the Relations Between Emotional Abuse and Anxiety: Moderation by Distress Tolerance.
A Prospective Examination of the Relations Between Emotional Abuse and Anxiety: Moderation by Distress Tolerance.
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DOI：
10.1007/s11121-016-0691-y
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发表时间：
2017-01
期刊：
影响因子：
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通讯作者：
MacPherson L
中科院分区：
文献类型：
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作者：
Banducci AN;Lejuez CW;Dougherty LR;MacPherson L
焦虑是青少年最常见、最有害的心理问题，与许多个人和环境因素有关。其中两个因素包括童年情感虐待（CEA）和低痛苦耐受力（DT）。当前的研究旨在了解 CEA 和低 DT 如何影响社区青少年样本中五年内每年测量的焦虑症状。我们假设 DT 会调节 CEA 和焦虑之间的关系，因此随着时间的推移，CEA 水平较高和 DT 水平较低的青少年的焦虑程度会升高。五年内，每年使用修订后的儿童焦虑和抑郁量表、儿童创伤问卷和痛苦恢复力行为指标对社区青少年（N = 244）进行评估。基线时较高的 CEA 与基线时较高的焦虑、每次年度评估时较高的焦虑相关，并且随着时间的推移，焦虑的总体下降幅度更大。较低的 DT 与基线时较高的焦虑相关，但不能预测焦虑随时间的变化。基线 DT 显着调节基线 CEA 与焦虑之间的关系，因此具有较高 CEA 和较低 DT 的青少年在每次年度评估中焦虑程度最高。随着时间的推移，DT 较低且 CEA 分数较高的青少年的焦虑症状水平最高。
Anxiety, the most common and impairing psychological problem experienced by youth, is associated with numerous individual and environmental factors. Two such factors include childhood emotional abuse (CEA) and low distress tolerance (DT). The current study aimed to understand how CEA and low DT impacted anxiety symptoms measured annually across five years among a community sample of youth. We hypothesized DT would moderate the relationship between CEA and anxiety, such that youth with higher levels of CEA and lower levels of DT would have elevated anxiety over time. Community youth (N = 244) were annually assessed across five years using the Revised Child Anxiety and Depression Scale, Childhood Trauma Questionnaire, and Behavioral Indicator of Resiliency to Distress. Higher CEA at baseline was associated with higher anxiety at baseline, higher anxiety at each annual assessment, and with greater overall decreases in anxiety over time. Lower DT was associated with higher anxiety at baseline, but did not predict changes in anxiety over time. Baseline DT significantly moderated the relationship between baseline CEA and anxiety, such that youth with both higher CEA and lower DT had the highest anxiety at each annual assessment. Youth with lower DT and higher CEA scores had the highest level of anxiety symptoms across time.