Relationship between childhood maltreatment and depression and anxiety symptoms in adolescents: a chain mediation role of resilience and stress
10.3969/j.issn.1006-2483.2026.03.039
- VernacularTitle:儿童期虐待与青少年抑郁焦虑症状关系：心理韧性与压力的链式中介作用
- Author:
Lin ZHANG
1
;
Jinsong HU
1
;
Sha LIU
1
;
Shuang HUANG
1
Author Information
1. Changsha Municipal Center for Disease Control and Prevention(Changsha Municipal Health Comprehensive Supervision and Law Enforcement Bureau), Changsha, Hunan 410001, China
- Publication Type:Journal Article
- Keywords:
Childhood abuse;
Depression;
Anxiety;
Pressure
- From:
Journal of Public Health and Preventive Medicine
2026;37(3):180-184
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the role of resilience and stress in childhood maltreatment and adolescent depression and anxiety symptoms, and to provide a basis for adolescent psychological intervention. Methods From September to October 2022, a total of 11 217 students from four middle schools in Changsha were selected by multistage stratified sampling, and the Childhood Trauma Questionnaire, Depression–Anxiety–Stress Scales and the Resilience Scale for Chinese Adolescents were used to carry out online questionnaire survey. Results The detection rate of depressive symptoms and anxiety symptoms in adolescent was 19.43% (2 179) and 28.7% (3 224). The direct effect of childhood maltreatment on depressive symptoms was significant (β =0.09), Childhood maltreatment is a negative prediction of resilience (β = -0.57) and a positive prediction of pressure (β =0.06); Resilience can negatively predict stress (β = -0.61) and depressive symptoms (β = -0.25) (all P values <0.001); The direct effect of childhood maltreatment on anxiety symptoms was significant (β =0.03), resilience negatively predicts anxiety symptoms (β = -0.08) (all P values <0.01). Resilience and stress have a partially mediating role between childhood maltreatment and depressive symptoms, the mediation effect value was 0.39, accounting for 81.25% of the total effect. The effect values of the three pathways accounted for 29.17%, 8.33% and 43.75% of the total effect, respectively. Resilience and stress have a partial mediating effect between childhood abuse and anxiety symptoms, and the mediating effect was 0.36, accounting for 92.31% of the total effect, and the effect values of the three pathways accounted for 12.82%, 10.26% and 69.23% of the total effect, respectively. Conclusion Childhood maltreatment could affect adolescents’ depression and anxiety through the chain mediating effect of resilience and stress.
