Association study between anxiety and family environment as well as psychological resilience among adolescents

CONG En-zhao, WU Yan, XU Yi-feng

Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (9) : 990-993.

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Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (9) : 990-993. DOI: 10.11852/zgetbjzz2019-0059

Association study between anxiety and family environment as well as psychological resilience among adolescents

  • CONG En-zhao, WU Yan, XU Yi-feng
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Abstract

Objectives To explore the association between the family environment and anxiety among adolescents. Methods A multi-stage stratified sampling procedure was used to select 3 230 students from a middle school in Xinxiang city,Henan Province in China from 2014 to 2016. Participants completed self-designed general characteristics questionnaire,Screen for Anxiety Related Disorder(SCARED),Chinese Version of Family Environment Scale(FES-CV),and the Connor-Davidson Resilience Scale(CD-RISC) adapted for the Chinese adolescents population. Multiple Logistic regression analysis was used to identify the independent effects of family environment and function on anxiety mood of adolescents. Results 1) Totally 2 906 valid questionnaires were collected,and 1 071(36.9%) students had anxious mood. 2) Whether mother work outside in another city or not was significantly related to anxiety of the adolescents(χ2=5.066,P=0.026). 3) The cohesion(OR=0.906,95%CI:0.856-0.959) and entertainment(OR=0.935,95%CI:0.896-0.975) in the family environment factors were protective factors of anxiety mood in adolescents,while the confliction(OR=1.128,95%CI:1.078-1.181) and control factor(OR=1.064,95%CI:1.016-1.115) in the family environment were risk factors of anxiety mood in adolescents. 4) Resilience(OR=0.939,95%CI:0.914-0.964),adaptive ability of changing(OR=0.856,95%CI:0.817-0.896) in psychological resilience were protective facters of anxiety mood in adolescents. And tolerating negative emotions was the risk factor of adolescent anxiety(OR=1.047,95%CI:1.010-1.085). Conclusions Higher family cohesion and household entertainment might be protective factors for adolescent anxiety. Longer exposure to negative emotions increases the risk of anxiety. On the contrary,improving resilience and adaptive ability of changing could decrease the risk of anxiety of adolescents.

Key words

anxiety in adolescents / cohesion / family economy / resilience

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CONG En-zhao, WU Yan, XU Yi-feng. Association study between anxiety and family environment as well as psychological resilience among adolescents[J]. Chinese Journal of Child Health Care. 2019, 27(9): 990-993 https://doi.org/10.11852/zgetbjzz2019-0059

References

[1] Merikangas KR,He JP,Burstein M,et al.Lifetime prevalence of mental disorders in U.S. adolescents:results from the National Comorbidity Survey Replication-Adolescent Supplement(NCS-A)[J]. J Am Acad Child Adolesc Psychiatry,2010,49(10):980-989.
[2]Kessler RC,Petukhova M,Sampson NA,et al.Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States[J]. Int J Methods Psychiatr Res,2012,21(3):169-184.
[3] Alslman ET,Abu Baker N,Dalky H.Mood and anxiety disorders among adolescent students in Jordan[J]. East Mediterr Health J,2017,23(9):604-610.
[4] Liu H,Shi Y,Auden E,et al.Anxiety in rural chinese children and adolescents:comparisons across provinces and among subgroups[J]. Int J Environ Res Public Health,2018.doi:10.3390/ijerph1510208.
[5] Zou P,Sun L,Yang W,et al.Associations between negative life events and anxiety,depressive,and stress symptoms:A cross-sectional study among Chinese male senior college students[J]. Psychiatry Res,2018,270:26-33.
[6] Shen YM,Chan BSM,Liu JB,et al.The prevalence of psychiatric disorders among students aged 6~ 16 years old in central Hunan,China[J]. BMC Psychiatry,2018,18(1):243.
[7] Leadbeater BJ,Ames ME,Linden-Carmichael AN.Age-varying effects of cannabis use frequency and disorder on symptoms of psychosis,depression,and anxiety in adolescents and adults[J]. Addiction,2018.doi:10.111/add.14459.
[8] Nock MK,Green JG,Hwang I,et al.Prevalence,correlates,and treatment of lifetime suicidal behavior among adolescents:results from the National Comorbidity Survey Replication Adolescent Supplement[J]. JAMA Psychiatry,2013,70(3):300-310.
[9] Costello EJ,Mustillo S,Erkanli A,et al.Prevalence and development of psychiatric disorders in childhood and adolescence[J]. Arch Gen Psychiatry,2003,60(8):837-844.
[10] Xu Y,Wang C,Shi M.Identifying Chinese adolescents with a high suicide attempt risk[J]. Psychiatry Res,2018,269:474-480.
[11] Riordan DM,Singhal D.Anxiety-related disorders:an overview[M]. J Paediatr Child Health,2018,54(10):1104-1109.
[12] Fergusson DM,Woodward LJ.Mental health,educational,and social role outcomes of adolescents with depression[J]. Arch Gen Psychiatry,2002, 59(3):225-231.
[13] Olofsdotter S,Furmark T,Aslund C,et al.The mediating role of parenting behaviors in the relationship between early and late adolescent levels of anxiety:specificity and informant effects[J]. J Adolesc,2018,69:118-129.
[14] Luebbe AM,Bell DJ.Positive and negative family emotional climate differentially predict youth anxiety and depression via distinct affective pathways[J]. J Abnorm Child Psychol,2014,42(6):897-911.
[15] Connor KM,Davidson JR.Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J]. Depress Anxiety,2003,18(2):76-82.
[16] Wu L,Tan Y,Liu Y.Factor structure and psychometric evaluation of the Connor-Davidson Resilience Scale in a new employee population of China[J]. BMC Psychiatry,2017,17(1):49.
[17] Velez CE,Krause ED,McKinnon A,et al.Social support seeking and early adolescent depression and anxiety symptoms:the moderating role of rumination[J]. J Early Adolesc,2016,36(8):1118-1143.
[18] Kelly KM,Mezuk B.Predictors of remission from generalized anxiety disorder and major depressive disorder[J]. J Affect Disord,2017,208:467-474.
[19] Zhou C,Sylvia S,Zhang L,et al.China′s left-behind children:impact of parental migration on health,nutrition,and educational outcomes[J]. Health Aff(Millwood),2015,34(11):1964-1971.
[20]Chiavegatto Filho ADP,Sampson L,Martins SS,et al.Neighbourhood characteristics and mental disorders in three Chinese cities:multilevel models from the world mental health surveys[J]. BMJ Open,2017,7(10):e017679.
[21] Shao J,Zhang L,Ren Y,et al.Parent-child cohesion,basic psychological needs satisfaction,and emotional adaptation in left-behind children in china:an indirect effects model[J]. Front Psychol,2018,9:1023.
[22] Cheng J,Sun YH.Depression and anxiety among left-behind children in China:a systematic review[J]. Child Care Health Dev,2015,41(4):515-523.
[23] Lucas-Thompson RG,Goldberg WA,Family relationships and children′s stress responses[J]. Adv Child Dev Behav,2011,40:243-299.
[24]Santesteban-Echarri O,MacQueen G,Goldstein BI,et al.Family functioning in youth at-risk for serious mental illness[J]. Compr Psychiatry,2018, 87:17-24.
[25] Skrove M,Romundstad P,Indredavik MS.Resilience,lifestyle and symptoms of anxiety and depression in adolescence:the Young-HUNT study[J]. Soc Psychiatry Psychiatr Epidemiol,2013,48(3):407-416.
[26] Rapp AM,Lau A,Chavira DA.Differential associations between social anxiety disorder,family cohesion,and suicidality across racial/ethnic groups:findings from the National Comorbidity Survey-Adolescent(NCS-A)[J]. J Anxiety Disord,2017,48:13-21.
[27] Gorenstein G,Gorenstein C,de Oliveira MC,et al.Child-focused treatment of pediatric OCD affects parental behavior and family environment[J]. Psychiatry Res,2015,229(1-2):161-166.
[28] Dutton DG,Lane RA,Koren T,et al.Secure base priming diminishes conflict-based anger and anxiety[J]. PLoS One,2016,11(9):e0162374.
[29] Luebbe AM,Tu C,Fredrick JW.Socialization goals,parental psychological control,and youth anxiety in chinese students:moderated indirect effects based on school type[J]. J Youth Adolesc,2018,47(2):413-429.
[30] Charney DS.Psychobiological mechanisms of resilience and vulnerability:implications for successful adaptation to extreme stress[J]. Am J Psychiatry,2004,161(2):195-216
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