Li Wenyan, Guo Yangfeng, Lai Wenjian, Wang Wanxin, Li Xiuwen, Zhu Liwan, Shi Jingman, Guo Lan, Lu Ciyong
Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080, China.
Health Promotion Centre for Primary and Secondary Schools of Guangzhou Municipality, Guangzhou, 510080, China.
Child Adolesc Psychiatry Ment Health. 2023 Feb 8;17(1):21. doi: 10.1186/s13034-023-00564-4.
Previous researches have not distinguished the between-person effects from the within-person effects when exploring the relationship between self-esteem, coping styles, and anxiety symptoms among adolescents. To address this gap, this study investigated reciprocal associations among self-esteem, coping styles, and anxiety symptoms in a three-wave longitudinal panel survey, using an analytical strategy that disaggregates the within-person and the between-person variance.
Data was drawn from the Longitudinal Study of Adolescents' Mental and Behavioral Well-being Research study conducted in 10 public schools in the Guangdong province of China. All participants had a baseline visit (N = 1957, mean age 13.6, grades 7 and 10) and follow-up interviews at 1-year intervals for 3 years. A random intercept cross-lagged panel model combined with mediation analysis was performed.
At the within-person level, the following results were observed. (1) Low self-esteem and anxiety symptoms bidirectionally predicted each other. (2) Low self-esteem and negative coping style bidirectionally predicted each other. (3) Anxiety symptoms predicted subsequent negative coping style but not vice versa. At the between-person level, we obtained the following main results. (1) Significant predictive effects on the random intercept were found among all three study constructs. (2) There were sex differences regarding the association between self-esteem and anxiety symptoms and the correlation of females was stronger than that of males. (3) Self-esteem mediated the reciprocal relations between coping styles and anxiety symptoms.
Overall, findings revealed a reciprocal relationship between low self-esteem and anxiety symptoms for both females and males. Besides, anxiety symptoms predict subsequent negative coping style but not vice versa. We also highlighted the mediating role of self-esteem in the reciprocal relations between coping styles and anxiety symptoms. Thus, interventions targeted at promoting self-esteem and cultivating positive coping style may help reduce adolescent anxiety.
以往研究在探讨青少年自尊、应对方式与焦虑症状之间的关系时,未区分个体间效应和个体内效应。为填补这一空白,本研究在一项三波纵向面板调查中,采用一种分解个体内和个体间方差的分析策略,调查了自尊、应对方式和焦虑症状之间的相互关联。
数据来自于在中国广东省10所公立学校进行的青少年心理和行为健康纵向研究。所有参与者都有一次基线访问(N = 1957,平均年龄13.6岁,七年级和十年级),并在3年中每年进行一次随访访谈。进行了随机截距交叉滞后面板模型结合中介分析。
在个体内水平上,观察到以下结果。(1)低自尊和焦虑症状相互双向预测。(2)低自尊和消极应对方式相互双向预测。(3)焦虑症状预测随后的消极应对方式,但反之不然。在个体间水平上,我们得到了以下主要结果。(1)在所有三个研究构念中都发现了对随机截距的显著预测效应。(2)自尊与焦虑症状之间的关联存在性别差异,女性的相关性强于男性。(3)自尊在应对方式和焦虑症状之间的相互关系中起中介作用。
总体而言,研究结果揭示了男性和女性低自尊与焦虑症状之间的相互关系。此外,焦虑症状预测随后的消极应对方式,但反之不然。我们还强调了自尊在应对方式和焦虑症状之间的相互关系中的中介作用。因此,旨在提高自尊和培养积极应对方式的干预措施可能有助于减少青少年焦虑。