童年期情感虐待对惊恐障碍症状严重程度的影响:神经质人格与应激感受的链式中介作用

The Influence of Childhood Emotional Abuse on the Severity of Panic Disorder Symptoms:The Chain Mediation Effect of Neurotic Personality and Perceived Stress

目的:本研究旨在探索儿童期情感虐待对惊恐障碍患者症状严重程度的影响,以及神经质人格和应激感受在其中的链式中介作用。方法:选取100例符合精神障碍诊断与统计手册第5版(DSM-5)诊断标准的惊恐障碍患者,采用童年期创伤量表、大五人格量表、应激感受量表和惊恐障碍严重度量表进行测量。结果:(1)童年期情感虐待与惊恐障碍症状严重程度(r=0.22,P<0.05)、神经质人格(r=0.31,P<0.01)、应激感受(r=0.20,P<0.05)显著正相关;神经质人格与惊恐障碍症状严重程度(r=0.29,P<0.01)、应激感受(r=0.37,P<0.01)显著正相关;应激感受与惊恐障碍症状严重程度(r=0.33,P<0.01)显著正相关。(2)Bootstrap中介效应表明,神经质人格和应激感受的链式中介效应值的95%置信区间为[0.122,0.414]。结论:童年期情感虐待通过神经质人格和应激感受的链式中介作用间接影响惊恐障碍症状严重程度。

Objective:This article aims to explore the mechanism of childhood emotional abuse on the severity of symptoms in patients with panic disorder,as well as the chain mediating role of neurotic personality and stress perception in it.Methods:Recruit 100 patients with panic disorder who meet the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders,5th Edition(DSM-5),and use the Childhood Trauma Scale,NEO Five-Factor Inventory,Stress Perception Scale and Panic Disorder Severity Scale Table to investigate it.Results:(1)There was a significant positive correlation between the childhood emotional abuse and the severity of panic disorder symptoms(r=0.22,P<0.05),neurotic personality(r=0.31,P<0.01),and perceived stress(r=0.20,P<0.05).The neurotic personality was positive correlated with the severity of panic disorder symptoms(r=0.29,P<0.01)and perceived stress(r=0.37,P<0.01).Besides,the perceived stress was positively correlated with the severity of panic disorder symptoms(r=0.33,P<0.01).(2)Bootstrap mediation effect shows that the 95%confidence interval of chain mediating effect value of neurotic personality and perceived stress is[0.122,0.414].Conclusion:Childhood emotional abuse can indirectly affect the severity of panic disorder symptoms through the chain mediation of neurotic personality and perceived stress.