Associations of recent stressful life events with anxiety symptoms among Chinese adolescents with a consideration of family functioning

作者：Yilin Hua, Weiqing Jiang, Yitong He, Xinyu Zheng, Cuihong Huang, Liling Guo, Liling Guo, Yangfeng Guo, Lan Guo, Lan Guo · 发表于：European Journal of Psychotraumatology · 年份：2024 · DOI：10.1080/20008066.2024.2337577 · 被引用次数：19 · 研究领域：Child and Adolescent Psychosocial and Emotional Development、Maternal Mental Health During Pregnancy and Postpartum、Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Background: The association between stressful life events (SLEs) and adolescent anxiety symptoms has been extensively studied, but the specific impacts of different SLEs domains remain inconclusive. Moreover, limited research has examined the role of family functioning in these associations.Objective: This study aimed to investigate the associations between various recent SLEs and adolescent anxiety symptoms and explore the role of family functioning.Methods: Data were obtained from the second phase of the Longitudinal Study of Adolescents’ Mental and Behavioral Well-being Research in Guangzhou, China. A total of 10,985 students (51.9% boys; mean [SD] age, 15.3 [1.5] years) from forty middle schools participated in the study in 2022 and completed a self-report questionnaire assessing anxiety symptoms, SLEs, and family functioning using the Generalized Anxiety Disorder-7 (GAD-7), Adolescent Self-rating Life Events Checklist (ASLEC; including five subscales: interpersonal stress, academic stress, punishment-related stress, loss-related stress, and adaptation-related stress), and the adapted Chinese version of the Family Assessment Device (FAD), respectively. Linear mixed-effects models were performed and the moderation role of family functioning was also examined.Results: The fully adjusted model revealed that a 1-SD increase in the overall ASLEC score was associated with higher levels of anxiety symptoms (β = 2.23, 95%CI: 2.15–2.32). Among various SLEs domains, the academic do...