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自尊的盾牌:缓冲创伤经历、恐惧、焦虑和抑郁的影响。

The Shield of Self-Esteem: Buffering against the Impact of Traumatic Experiences, Fear, Anxiety, and Depression.

作者信息

Rossi Alessandro Alberto, Pizzoli Silvia Francesca Maria, Fernandez Isabel, Invernizzi Roberta, Panzeri Anna, Taccini Federica, Mannarini Stefania

机构信息

Department of Philosophy, Sociology, Education, and Applied Psychology, Section of Applied Psychology, University of Padova, 35131 Padova, Italy.

Center for Intervention and Research on Family Studies-CIRF, Department of Philosophy, Sociology, Education, and Applied Psychology, Section of Applied Psychology, University of Padova, 35131 Padova, Italy.

出版信息

Behav Sci (Basel). 2024 Oct 4;14(10):901. doi: 10.3390/bs14100901.

Abstract

BACKGROUND

Adverse life occurrences (e.g., severe accidents, violence/abuse, organic disorders such as COVID-19) can elicit traumatic responses that heighten fear, anxiety, and depression. However, scientific research has shown that certain variables, such as self-esteem, based on theories like terror management theory (TMT) and the anxiety-buffering hypothesis (ABH), can mitigate the negative effects of trauma. This study aimed to test the ABH by assessing the buffering role of self-esteem in the relationships among the impact of traumatic experiences, fear, anxiety, and depression.

METHOD

An observational research design was used. This study involved 321 participants who experienced COVID-19 as a traumatic experience. A sequential multiple-mediation model with observed variables (path analysis) was used to test the impact of the traumatic experience on fear, anxiety, and depression, examining the protective role of self-esteem.

RESULTS

A path analysis revealed that fear and anxiety mediated the relationship between the impact of the traumatic experience of COVID-19 and depression. Additionally, in line with the ABH, self-esteem was found to mediate the relationship between the predictors and their adverse psychological consequences. This suggests that self-esteem played a buffering role, mitigating the negative impact of traumatic experiences on mental health outcomes.

CONCLUSIONS

These findings underscore the central mediating role of self-esteem, as well as fear and anxiety, in the pathway from trauma-related factors to depression. These insights advocate for evidence-based interventions aimed at alleviating the psychological suffering associated with traumatic experiences, fostering adaptation, and supporting psychological health.

摘要

背景

不良生活事件(如严重事故、暴力/虐待、COVID-19等器质性疾病)可引发创伤反应,加剧恐惧、焦虑和抑郁。然而,科学研究表明,基于恐惧管理理论(TMT)和焦虑缓冲假说(ABH)等理论的某些变量,如自尊,可减轻创伤的负面影响。本研究旨在通过评估自尊在创伤经历的影响、恐惧、焦虑和抑郁之间关系中的缓冲作用来检验ABH。

方法

采用观察性研究设计。本研究纳入了321名将COVID-19视为创伤经历的参与者。使用带有观察变量的序列多重中介模型(路径分析)来检验创伤经历对恐惧、焦虑和抑郁的影响,考察自尊的保护作用。

结果

路径分析显示,恐惧和焦虑介导了COVID-19创伤经历的影响与抑郁之间的关系。此外,与ABH一致,自尊被发现介导了预测因素与其不良心理后果之间的关系。这表明自尊起到了缓冲作用,减轻了创伤经历对心理健康结果的负面影响。

结论

这些发现强调了自尊以及恐惧和焦虑在从创伤相关因素到抑郁的路径中的核心中介作用。这些见解倡导采取循证干预措施,以减轻与创伤经历相关的心理痛苦,促进适应并支持心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea0f/11505037/e40f4383eb62/behavsci-14-00901-g001.jpg

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