Teachers College, Columbia University, USA.
Harvard Medical School, USA.
J Anxiety Disord. 2023 Mar;94:102673. doi: 10.1016/j.janxdis.2023.102673. Epub 2023 Jan 16.
Biopsychosocial models posit that experiencing parental childhood abuse increases vulnerability to psychopathology in adulthood. There are a lack of studies investigating mediators of the parental childhood abuse-adulthood psychopathology relation. The current study investigated if trait self-acceptance mediated the parental childhood abuse-adulthood major depressive disorder (MDD), generalized anxiety disorder (GAD), and panic disorder (PD) severity relations.
Participants (n = 3294) partook in the 18-year Midlife Development in the United States (MIDUS) study at three time-points. We conducted structural equation modeling analyses to test how maternal and paternal childhood abuse at Time 1 would independently positively predict MDD, GAD, and PD severity at Time 3, and if self-acceptance at Time 2 mediated those relations while controlling for adulthood MDD, GAD, and PD severity at Time 1.
Self-acceptance notably mediated the parental childhood abuse-adulthood MDD, GAD, and PD relations. Overall, higher paternal and maternal childhood abuse was associated with lower self-acceptance. Reduced self-acceptance predicted heightened adulthood MDD, GAD, and PD.
Findings highlight the importance of understanding the parental childhood abuse-adulthood psychopathology relation and the possible mechanisms of its long-term impact.
心理生物社会模式假设,经历父母童年期虐待会增加成年后患精神病理学的脆弱性。目前缺乏研究调查父母童年期虐待与成年期精神病理学之间的中介因素。本研究调查特质自我接纳是否在父母童年期虐待与成年期重度抑郁症(MDD)、广泛性焦虑症(GAD)和惊恐障碍(PD)严重程度之间起中介作用。
参与者(n=3294)在三个时间点参加了 18 年的美国中年发展研究(MIDUS)。我们进行了结构方程模型分析,以检验在时间 1 时,母亲和父亲的儿童期虐待如何独立地正向预测时间 3 时的 MDD、GAD 和 PD 严重程度,以及在控制成年时的 MDD、GAD 和 PD 严重程度时,自我接纳是否在这些关系中起中介作用。
自我接纳显著中介了父母童年期虐待与成年期 MDD、GAD 和 PD 的关系。总体而言,较高的父亲和母亲的儿童期虐待与较低的自我接纳有关。自我接纳的降低预测了成年时 MDD、GAD 和 PD 的加重。
研究结果强调了理解父母童年期虐待与成年期精神病理学关系及其长期影响的可能机制的重要性。