Endo Misaki, Ono Miki, Deguchi Ayaka, Iwata Yoshio, Tamada Yu, Masuya Jiro, Tanabe Hajime, Hashimoto Naoki, Inoue Takeshi, Honyashiki Mina
Department of Psychiatry, Tokyo Medical University, Tokyo, Japan.
Department of Psychiatry, Saitama Prefectural Psychiatric Hospital, Saitama, Japan.
Neuropsychiatr Dis Treat. 2024 Apr 16;20:877-884. doi: 10.2147/NDT.S440616. eCollection 2024.
Subjective social status influences anxiety, but at present, the mechanism is not fully understood. It has been reported that negative childhood experiences, such as abuse, can influence depressive symptoms through subjective social status and personality traits, such as self-esteem. A similar mechanism is presumed to underlie anxiety symptoms in adulthood. Therefore, we hypothesized that subjective social status and self-esteem are intermediate factors in the indirect effects of childhood abuse on state anxiety in adulthood, and analyzed the indirect effects via these factors using a path analysis.
Child Abuse and Trauma Scale, Subjective Social Status, Rosenberg Self-Esteem Scale, and State-Trait Anxiety Inventory Form Y questionnaires were administered in a self-report format to 404 adult volunteers from January 2014 to August 2014. In addition, a path analysis was conducted to determine whether subjective social status and self-esteem are associated with the indirect effects of childhood abuse on anxiety symptoms in adulthood.
Childhood abuse did not directly affect state anxiety in adulthood, but affected state anxiety via subjective social status and self-esteem. Subjective social status affected state anxiety via self-esteem. This model explained 25.2% of the variation in state anxiety in adult volunteers.
The present study demonstrated that childhood abuse affects anxiety in adulthood through subjective social status and self-esteem. Therefore, interventions that enhance subjective social status and self-esteem for adults who experienced childhood abuse may help reduce their anxiety.
主观社会地位会影响焦虑情绪,但目前其机制尚未完全明确。据报道,童年期的负面经历,如虐待,可通过主观社会地位和自尊等人格特质影响抑郁症状。推测成年期焦虑症状背后也存在类似机制。因此,我们假设主观社会地位和自尊是童年期虐待对成年期状态焦虑产生间接影响的中介因素,并通过路径分析来分析经由这些因素产生的间接影响。
2014年1月至2014年8月,采用自填式问卷的方式,对404名成年志愿者进行了儿童虐待与创伤量表、主观社会地位量表、罗森伯格自尊量表及状态-特质焦虑问卷Y型的调查。此外,通过路径分析来确定主观社会地位和自尊是否与童年期虐待对成年期焦虑症状的间接影响相关。
童年期虐待并未直接影响成年期的状态焦虑,但通过主观社会地位和自尊对状态焦虑产生影响。主观社会地位通过自尊影响状态焦虑。该模型解释了成年志愿者状态焦虑变异的25.2%。
本研究表明,童年期虐待通过主观社会地位和自尊影响成年期焦虑。因此,对于有童年期虐待经历的成年人,提高其主观社会地位和自尊的干预措施可能有助于减轻他们的焦虑。