自尊在父母依恋水平与儿童青少年社交焦虑之间的中介作用

doi:10.11852/zgetbjzz2018-1360

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (5): 481-484.DOI: 10.11852/zgetbjzz2018-1360

自尊在父母依恋水平与儿童青少年社交焦虑之间的中介作用

刘真, 程文红, 肖泽萍

上海交通大学医学院附属精神卫生中心,上海 200030

收稿日期:2018-09-27 发布日期:2019-05-10 出版日期:2019-05-10
通讯作者: 肖泽萍,E-mail:xiaozeping88@163.com;程文红,E-mail:chengwhb@aliyun.com
作者简介:刘真(1994-),女,江苏人,硕士研究生,主要研究方向为儿童青少年焦虑障碍。
基金资助:
上海市科学技术委员会医学引导类科技支撑项目(17411969800);上海市儿童健康服务能力建设专项规划(GDEK201702)

Mediating effect of self-esteem on the relationship between parental attachment and social anxiety in children and adolescents

LIU Zhen, CHENG Wen-hong, XIAO Ze-ping

Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China

Received:2018-09-27 Online:2019-05-10 Published:2019-05-10
Contact: Corresponding authors:XIAO Ze-ping,E-mail:xiaozeping88@163.com; CHENG Wen-hong, E-mail:chengwhb@aliyun.com

摘要/Abstract

摘要： 目的探讨儿童青少年社交焦虑患者父母依恋水平与社交焦虑症状之间的关系,以及自尊在其中的中介作用。方法 2017年10月—2018年7月选取符合精神障碍诊断与统计手册(第5版)(DSM-5)诊断标准的社交焦虑障碍患者120例,年龄范围均为9～16岁。采用儿童社交焦虑量表(SASC)、父母和同伴依恋量表(IPPA)中的父母依恋量表和自尊量表(SES)对患者进行评定,并进行相关分析与中介效应分析。结果 1)社交焦虑水平与父子信任、父子沟通呈显著负相关(r=-0.21~-0.35,P<0.05),与母子依恋信任、母子沟通无显著相关;社交焦虑水平与父母疏远呈显著正相关(r=0.22~0.46,P<0.05),与自尊呈显著负相关(r=-0.44~-0.56,P<0.001)。2)儿童青少年社交焦虑患者的母子依恋水平对社交焦虑无显著的预测作用,而父子依恋水平对社交焦虑具有显著的负向预测作用(β =-0.64,P<0.001),自尊在父子依恋与社交焦虑之间起部分中介作用,中介效应占总效应的43.1%。结论父子依恋水平与儿童青少年时期的社交焦虑障碍关系密切,自尊在父子依恋水平和社交焦虑之间发挥中介作用。

关键词: 社交焦虑障碍, 父母依恋, 自尊, 儿童青少年

Abstract: Objective To explore the relationship between parental attachment and social anxiety symptoms in children and adolescents,as well as the mediation effect of self-esteem. Methods A total of 120 children and adolescents aged 9 to 16 years diagnosed with social anxiety disorder by DSM-5 were selected as participants from October 2017 to July 2018.Social Anxiety Scale for Children,paternal and maternal attachment subscale of Inventory of Parent and Peer Attachment and Rosenberg Self-esteem Scale were used for assessment.Correlation among variables and mediation effects were analyzed. Results 1) Social anxiety was negatively correlated with paternal trust and communication(r=-0.21--0.35,P<0.05),but not related to maternal trust and communication.Social anxiety was positively related to parental alienation(r=0.22-0.46,P<0.05).Social anxiety was also negatively correlated with self-esteem(r=-0.44--0.56,P<0.001). 2) No significant predictive effects were found between maternal attachment and social anxious level.Negative predictive effects were found in paternal attachment and social anxious level(β=-0.64,P<0.001).Self-esteem partially mediated the relationship between paternal attachment and social anxiety level,with 43.1% of the mediating effect in the total effect. Conclusions Paternal attachment is closely related to social anxiety disorder in children and adolescents.Self-esteem plays an important mediating role in the relationship between paternal attachment and social anxiety.

Key words: social anxiety disorder, paternal attachment, self-esteem, children and adolescents

中图分类号:

R749.94

刘真, 程文红, 肖泽萍. 自尊在父母依恋水平与儿童青少年社交焦虑之间的中介作用[J]. 中国儿童保健杂志, 2019, 27(5): 481-484.

LIU Zhen, CHENG Wen-hong, XIAO Ze-ping. Mediating effect of self-esteem on the relationship between parental attachment and social anxiety in children and adolescents[J]. journal1, 2019, 27(5): 481-484.

参考文献

[1] 栾雅淞,曹建琴,周郁秋. 青少年社交焦虑障碍的病因及发病机制研究现状[J]. 中国学校卫生,2014,35(7):1115-1118.
[2] Spence SH,Rapee RM. The etiology of social anxiety disorder:an evidence-based model[J]. Behav Res Ther,2016,86:50-67.
[3] Brumariu LE,Kerns KA. Parent-child attachment and internalizing symptoms in childhood and adolescence:a review of empirical findings and future directions[J]. Dev Psychopathol,2010,22(1):177.
[4] van Tuijl LA,de Jong PJ,Sportel BE,et al. Implicit and explicit self-esteem and their reciprocal relationship with symptoms of depression and social anxiety:a longitudinal study in adolescents[J]. J Behav Ther Exp Psy,2014,45(1):113-121.
[5] 李飞,苏林雁,金宇,等.儿童社交焦虑量表的中国城市常模[J].中国儿童保健杂志.2006,14(4):335-337.
[6] 张迎黎,张亚林,张迎新,等. 修订版青少年依恋问卷中文版在初中生中应用的信效度[J]. 中国心理卫生杂志,2011,25(1):66-70.
[7]季益富,于欣. 自尊量表(Rosenberg. The self-Esteem Scale,SES) [J]. 中国心理卫生杂志,1999,13(增刊):318-320.
[8] 温忠麟,张雷,侯杰泰,等. 中介效应检验程序及其应用[J]. 心理学报,2004,36(5):614-620.
[9] Lecompte V,Moss E,Cyr C,et al. Preschool attachment,self-esteem and the development of preadolescent anxiety and depressive symptoms[J]. Attach Hum Dev,2014,16(3):242-260.
[10] Majdandžić M,Möller EL,de Vente W,et al. Fathers' challenging parenting behavior prevents social anxiety development in their 4-year-old children:a longitudinal observational study[J]. J Abnorm Child Psych,2014,42(2):301-310.
[11] Sowislo JF,Orth U. Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies[J]. Psychol Bull,2013,139(1):213-240.
[12] Kuster F,Orth U,Meier LL. High self-esteem prospectively predicts better work conditions and outcomes[J]. Soc Psychol Pers Sci,2013,4(6):668-675.
[13] Colonnesi C,Draijer EM,Jan JM,et al. The relation between insecure attachment and child anxiety:a meta-analytic review[J]. J Clin Child Adolesc,2011,40(4):630-645.
[14] Bögels S,Phares V. Fathers' role in the etiology,prevention and treatment of child anxiety:a review and new model[J]. Clin Psychol Rev,2008,28(4):539-558.
[15] Möller EL,Nikolić M,Majdandžić M,et al. Associations between maternal and paternal parenting behaviors,anxiety and its precursors in early childhood:a meta-analysis[J]. Clin Psychol Rev,2016,45:17-33.
[16] Panter-Brick C,Burgess A,Eggerman M,et al. Practitioner review:engaging fathers-recommendations for a game change in parenting interventions based on a systematic review of the global evidence[J]. J Child Psychol Psyc,2014,55(11):1187-1212.
[17] Paquette D. Theorizing the father-child relationship:mechanisms and developmental outcomes[J]. Hum Dev,2004,47(4):193-219.
[18] Qing C,Du WY,Gao Y,et al.Analysis of family functioning and parent-child relationship between adolescents with depression and their parents[J].Shanghai Arch Psychiatry,2017,29(6):365-372.

自尊在父母依恋水平与儿童青少年社交焦虑之间的中介作用

Mediating effect of self-esteem on the relationship between parental attachment and social anxiety in children and adolescents

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