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Parental marital status and anxiety symptoms in adolescents: the mediating effect of childhood maltreatment

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机构: [1]Capital Med Univ, Xuanwu Hosp, Neurol Dept, Beijing 100053, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Evidence Based Dept, Beijing, Peoples R China [3]Beijing Univ Chinese Med, Affiliated Hosp 3, Neurol Dept, Beijing, Peoples R China [4]Peking Univ, Beijing Huilongguan Hosp, Huilongguan Clin Med Sch, Beijing 100096, Peoples R China
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关键词: Parents' marital status Anxiety symptoms Childhood maltreatment Adolescents Mediation

摘要:
Although previous studies have established the association between parental marital status and mental health problems in adolescents, however, the adverse effects of incomplete family settings and childhood maltreatment on adolescent anxiety symptoms have not been fully investigated. Moreover, whether childhood maltreatment can mediate the relationship between parental marital status and anxiety symptoms remains unclear. A population-based cross-sectional study was performed among 35,573 adolescents in elementary schools across 17 provinces in China. And childhood maltreatment, resilience, and anxiety symptoms were assessed among adolescents, respectively. The parental marital status was self-reported as having two married biological parents, divorced parents, stepparents, and single-parent. We found that the rates of anxiety symptoms among adolescents were 35.1% in intact families, 48.8% in divorced families, 49% in stepparent families, and 48% in single-parent families. Divorced parents (aOR = 1.191, 95% CI [1.060-1.337]) was an independent risk factor for adolescents' anxiety symptom while having stepparents and single-parent were not. In addition, emotional abuse (aOR = 1.300, 95% CI [1.285-1.316]), sexual abuse (aOR = 1.088, 95% CI [1.063-1.114]), and physical neglect (aOR = 1.019, 95% CI [1.007-1.031]) were all independent risk factors for anxiety symptoms in adolescents, while physical abuse and emotional neglect were not. The negative impacts of divorced and remarried parents on adolescent anxiety symptoms were mediated by childhood maltreatment partially (64.9% and 72.2%), while childhood maltreatment completely mediated the adverse impacts of single-parent on adolescent anxiety symptoms. Childhood maltreatment intervention strategies could be necessary for anxiety symptoms of adolescents in divorced/stepparent/single-parent families.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 精神病学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 精神病学
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出版当年[2022]版:
Q1 CLINICAL NEUROLOGY Q2 PSYCHIATRY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q2 PSYCHIATRY

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Neurol Dept, Beijing 100053, Peoples R China
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