在青少年中，反刍思维与社交焦虑的关系中，认知融合和体验回避的顺序中介作用。

Sequential multiple mediation of cognitive fusion and experiential avoidance in the relationship between rumination and social anxiety among Chinese adolescents.

机构信息

Institute of Brain and Education Innovation; Key Laboratory of Brain Functional Genomics (MOE & STCSM), School of Psychology and Cognitive Science, East China Normal University, Shanghai, People's Republic of China.

Key Laboratory of Adolescent Cyberpsychology and Behavior (Ministry of Education), Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Central China Normal University, Wuhan, People's Republic of China.

出版信息

Anxiety Stress Coping. 2022 May;35(3):354-364. doi: 10.1080/10615806.2021.1955864. Epub 2021 Jul 21.

DOI:10.1080/10615806.2021.1955864

PMID:34286641

Abstract

BACKGROUND AND OBJECTIVES

The potential mechanism by which rumination influences social anxiety through cognitive fusion and experiential avoidance proposed by the Acceptance and Commitment Therapy model has not been well-documented. This study, therefore, aimed to examine the sequential multiple mediation of the two processes.

DESIGN

A cross-sectional survey was conducted.

METHOD

A total of 233 Chinese adolescents (42.06% girls) completed a set of printed self-report questionnaires measuring rumination, cognitive fusion, experiential avoidance, and social anxiety. The SPSS macro PROCESS (model 6) was used to test a sequential mediating model. A 95% confidence interval (CI) was calculated with 5000 bootstrapping re-samples.

RESULTS

Bootstrap analyses indicated that there were indirect effects of rumination on social anxiety mediated by cognitive fusion together with experiential avoidance ( = 0.098, BootSE = 0.032, CI = 0.045 to 0.170), or solely by experiential avoidance ( = 0.048, BootSE = 0.020, CI = 0.014 to 0.093). The mediation of cognitive fusion alone was not significant ( = 0.065, BootSE = 0.038, CI = -0.006 to 0.144).

CONCLUSIONS

The results indicated the sequential mediating role of cognitive fusion and experiential avoidance, and the relative prominence of the latter in the association between rumination and social anxiety.

摘要

背景与目的

接受与承诺疗法模型提出，反刍通过认知融合和体验回避影响社交焦虑的潜在机制尚未得到充分证明。因此，本研究旨在检验这两个过程的序列多重中介作用。

设计

横断面调查。

方法

共 233 名中国青少年（42.06%为女生）完成了一组测量反刍、认知融合、体验回避和社交焦虑的印刷版自陈式问卷。使用 SPSS 宏 PROCESS（模型 6）检验序列中介模型。使用 5000 次 bootstrap 重采样计算 95%置信区间（CI）。

结果

bootstrapping 分析表明，反刍对社交焦虑的间接影响通过认知融合和体验回避共同介导（ = 0.098，BootSE = 0.032，CI = 0.045 至 0.170），或仅通过体验回避介导（ = 0.048，BootSE = 0.020，CI = 0.014 至 0.093）。认知融合的单独中介作用不显著（ = 0.065，BootSE = 0.038，CI = -0.006 至 0.144）。