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Trait self-acceptance mediates parental childhood abuse predicting depression and anxiety symptoms in adulthood
Affiliation:1. Teachers College, Columbia University, USA;2. Harvard Medical School, USA;3. The Pennsylvania State University, USA;1. College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia;2. Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia;1. Department of Psychology, Arizona State University, Tempe, AZ, USA;2. Department of Psychology, Marquette University, Milwaukee, WI, USA;3. Columbia University, Teachers College, New York, NY, USA;1. University of Wisconsin - Madison, Department of Psychiatry, 6001 Research Park Boulevard, Madison, WI 53719, United States;2. Iowa State University, Department of Kinesiology, Forker Building, 534 Wallace Road, Ames, IA 50011, United States;3. The University of Texas at Austin, Department of Psychiatry and Behavioral Sciences, 1601 Trinity Street, Building B, Austin, TX 78712, United States;4. Institute for Early Life Adversity Research, The University of Texas at Austin Dell Medical School & Department of Psychiatry and Behavioral Sciences, 1601 Trinity Street, Building B, Austin, TX 78712, United States;5. Medical College of Wisconsin, Neuroscience Research Center, Department of Pharmacology and Toxicology, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USA;6. University of Wisconsin – Madison, Department of Kinesiology, 1300 University Avenue, Madison, WI 53706, United States;1. Behavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany;2. Research Group Security and Privacy, Faculty of Computer Science, University of Vienna, Austria
Abstract:BackgroundBiopsychosocial models posit that experiencing parental childhood abuse increases vulnerability to psychopathology in adulthood. There are a lack of studies investigating mediators of the parental childhood abuse–adulthood psychopathology relation. The current study investigated if trait self-acceptance mediated the parental childhood abuse–adulthood major depressive disorder (MDD), generalized anxiety disorder (GAD), and panic disorder (PD) severity relations.MethodsParticipants (n = 3294) partook in the 18-year Midlife Development in the United States (MIDUS) study at three time-points. We conducted structural equation modeling analyses to test how maternal and paternal childhood abuse at Time 1 would independently positively predict MDD, GAD, and PD severity at Time 3, and if self-acceptance at Time 2 mediated those relations while controlling for adulthood MDD, GAD, and PD severity at Time 1.ResultsSelf-acceptance notably mediated the parental childhood abuse-adulthood MDD, GAD, and PD relations. Overall, higher paternal and maternal childhood abuse was associated with lower self-acceptance. Reduced self-acceptance predicted heightened adulthood MDD, GAD, and PD.ConclusionFindings highlight the importance of understanding the parental childhood abuse–adulthood psychopathology relation and the possible mechanisms of its long-term impact.
Keywords:Parental childhood abuse  Depression  Anxiety  Self-acceptance  Longitudinal  Structural equation modeling  MDD"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0040"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  major depressive disorder  GAD"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0050"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  generalized anxiety disorder  PD"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0060"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  panic disorder  T1"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0070"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Time 1  T2"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0080"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Time 2  T3"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0090"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Time 3  SAQs"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0100"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Self-administered Questionnaires  CTS2"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0110"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Revised Conflict Tactics Scale  SPWB"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0120"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  The Scales of Psychological Well-Being  DSM-III-R"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0130"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition  CIDI-SF"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0140"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Composite International Diagnostic Interview–Short Form  WHO"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0150"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  World Health Organization  SEM"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0160"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  structural equation modeling  CFI"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0170"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  confirmatory fit index  TLI"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0180"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Tucker-Lewis index  RMSEA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0190"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  root mean square error of approximation  SRMR"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  key0200"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  standardized root mean square residual
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