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从青少年早期环境压力暴露预测青少年晚期焦虑:认知控制作为中介因素

Predicting Late Adolescent Anxiety From Early Adolescent Environmental Stress Exposure: Cognitive Control as Mediator.

作者信息

Tsai Nancy, Jaeggi Susanne M, Eccles Jacquelynne S, Atherton Olivia E, Robins Richard W

机构信息

McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, United States.

School of Education, University of California, Irvine, Irvine, CA, United States.

出版信息

Front Psychol. 2020 Aug 11;11:1838. doi: 10.3389/fpsyg.2020.01838. eCollection 2020.

Abstract

Early exposure to stressful life events is associated with greater risk of chronic diseases and mental health problems, including anxiety. However, there is significant variation in how individuals respond to environmental adversity, perhaps due to individual differences in processing and regulating emotional information. Differences in cognitive control - processes necessary for implementing goal directed behavior - have been linked to both stress exposure and anxiety, but the directionality of these links is unclear. The present study investigated the longitudinal pathway of environmental stress exposure during early adolescence on later adolescent anxiety, and the possible mediating mechanism of cognitive control. Participants were 674 Mexican-origin adolescents (mean = 10.8 years, 50% male) enrolled in the California Families Project, an ongoing longitudinal study of Mexican-origin families. In the current analysis, we examined self-reports of environmental stressors at age 14 (Time 1), cognitive control at age 16 (Time 2), and anxiety at age 18 (Time 3). Structural equation modeling revealed that environmental stressors (Time 1) had both direct and indirect effects on later anxiety (Time 3) through their effects on cognitive control (Time 2), even when accounting for prior levels of anxiety (Time 2). Cognitive control accounted for 18% of the association between environmental stressors and adolescent anxiety: an increase in stressors decreased cognitive control (β = -0.20, < 0.001), however, cognitive control buffers against anxiety (β = -0.10, = 0.004). These findings deepen our understanding of the mechanisms underlying the development of anxiety and highlight the importance of cognitive control as a potential protective factor.

摘要

早年暴露于应激性生活事件与患慢性疾病和心理健康问题(包括焦虑症)的风险增加有关。然而,个体对环境逆境的反应存在显著差异,这可能是由于在处理和调节情绪信息方面的个体差异所致。认知控制方面的差异——实施目标导向行为所必需的过程——已与应激暴露和焦虑症相关联,但这些关联的方向性尚不清楚。本研究调查了青春期早期环境应激暴露对青少年后期焦虑的纵向路径,以及认知控制可能的中介机制。参与者是674名墨西哥裔青少年(平均年龄 = 10.8岁,50%为男性),他们参与了加利福尼亚家庭项目,这是一项对墨西哥裔家庭进行的正在进行的纵向研究。在当前分析中,我们考察了14岁时(时间1)环境应激源的自我报告、16岁时(时间2)的认知控制以及18岁时(时间3)的焦虑情况。结构方程模型显示,环境应激源(时间1)通过对认知控制(时间2)的影响,对后期焦虑(时间3)既有直接影响也有间接影响,即使考虑到先前的焦虑水平(时间2)。认知控制在环境应激源与青少年焦虑之间的关联中占18%:应激源增加会降低认知控制(β = -0.20,< 0.001),然而,认知控制可缓冲焦虑(β = -0.10, = 0.004)。这些发现加深了我们对焦虑症发展潜在机制的理解,并突出了认知控制作为潜在保护因素的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d637/7432129/83ba32b60df4/fpsyg-11-01838-g001.jpg

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