Abstract
Adolescence is a time of high incidence of depression and an important time window for depression prevention. Previous studies showed that parental alienation behaviors have a profound influence on adolescent depression, but the mediating and moderating mechanisms that underlie this influence are unclear. The current study explored the effects of parental alienation behaviors on adolescent depression, the mediating role of self-esteem and the moderating role of cognitive reappraisal in the association between parental alienation behaviors on adolescent depression. A total of 649 adolescents (Mage = 14.92 years, SD = 1.59) participated in the survey and completed the Parental Alienation Behavior Scale, Self-esteem Scale, Cognitive Reappraisal Scale, Depression Scale and demographic variables. After controlling for demographic variables, the results showed that parental alienation behaviors significantly and positively predicted adolescent depression. Mediation analysis showed that the association between parental alienation behaviors and adolescent depression was mediated by self-esteem. Moreover, the moderation analysis indicated that cognitive reappraisal moderated the association between parental alienation behaviors and self-esteem, as well as parental alienation behaviors and adolescent depression, which supports the stress-vulnerability model. The findings not only explain how parental alienation affects adolescent depression in the context of Chinese culture, but also provide theoretical and practical implications for the prevention and intervention of adolescent depression.
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Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237.
American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). American Psychiatric Publishing, Inc.
Baker, L., A. J (2005). The long-term effects of parental alienation on adult children: A qualitative research study. The American Journal of Family Therapy, 33(4), 289–302.
Baker, A. J. L. (2007). Adult children of parental alienation syndrome: Breaking the ties that bind. New York, NY: Norton.
Baker, A. J. L. (2009). Adult recall of parental alienation in a community sample: Prevalence and associations with psychological maltreatment. Journal of Divorce & Remarriage, 51(1), 16–35.
Baker, A. J. L., & Ben-Ami, N. (2011). To turn a child against a parent is to turn a child against himself: The direct and indirect effects of exposure to parental alienation strategies on self-esteem and well-being. Journal of Divorce Remarriage, 52(7), 472–489.
Baker, A. J. L., & Chambers, J. (2011). Adult recall of childhood exposure to parental conflict: Unpacking the black box of parental alienation. Journal of Divorce & Remarriage, 52(1), 55–76.
Baker, A. J. L., & Darnall, D. (2006). Behaviors and strategies employed in parental alienation. Journal of Divorce Remarriage, 45(1), 97–124.
Baker, A. J. L., & Eichler, A. (2016). The linkage between parental alienation behaviors and child alienation. Journal of Divorce & Remarriage, 57(7), 475–484.
Baker, A., & Verrocchio, M. C. (2013). Italian college student-reported childhood exposure to parental alienation: Correlates with well-being. Journal of Divorce Remarriage, 54(8), 609–628.
Baker, A. J. L., & Verrocchio, M. C. (2015). Parental bonding and parental alienation as correlates of psychological maltreatment in adults in intact and non-intact families. Journal of Child Family Studies, 24(10), 3047–3057.
Baker, A. J. L., & Verrocchio, M. C. (2016). Exposure to parental alienation and subsequent anxiety and depression in italian adults. The American Journal of Family Therapy, 44(5), 255–271.
Baker, A. J. L., Burkhard, B., & Albertson-Kelly, J. (2012). Differentiating alienated from not alienated children: A pilot study. Journal of Divorce & Remarriage, 53(3), 178–193.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York, NY: Harper and Row.
Bernet, W., Baker, A. J., & Verrocchio, M. C. (2015). Symptom Checklist-90‐Revised scores in adult children exposed to alienating behaviors: An italian sample. Journal of Forensic Sciences, 60(2), 357–362.
Boudreault-Bouchard, A. M., Dion, J., Hains, J., Vandermeerschen, J., Laberge, L., & Perron, M. (2013). Impact of parental emotional support and coercive control on adolescents’ self-esteem and psychological distress: Results of a four-year longitudinal study. Journal of Adolescence, 36(4), 695–704.
Buhle, J. T., Silvers, J. A., Wager, T. D., Lopez, R., Onyemekwu, C., Kober, H., Weber, J., & Ochsner, K. N. (2014). Cognitive reappraisal of emotion: A meta-analysis of human neuroimaging studies. Cerebral cortex, 24(11), 2981–2990.
Butler, A. C., Hokanson, J. E., & Flynn, H. A. (1994). A comparison of self-esteem lability and low trait self-esteem as vulnerability factors for depression. Journal of personality social psychology, 66(1), 166–177.
Cai, H. J. (2003). Explicit self-esteem, implicit self-esteem and depression. Chinese Mental Health Journal, 5, 331–336.
Carvalho Fernando, S., Beblo, T., Schlosser, N., Terfehr, K., Otte, C., Löwe, B., Wolf, O. T., Spitzer, C., Driessen, M., & Wingenfeld, K. (2014). The impact of self-reported childhood trauma on emotion regulation in borderline personality disorder and major depression. Journal of Trauma & Dissociation, 15(4), 384–401.
Chen, Q., & Wang, Z. H. (2014). Cognitive reappraisal and satisfaction with life: Multiple mediating of affect and resilience. Chinese Journal of Clinical Psychology, 22(2), 306–310.
Coyne, J. C., & Whiffen, V. E. (1995). Issues in personality as diathesis for depression: The case of sociotropy-dependency and autonomy-self-criticism. Psychological Bulletin, 118(3), 358–378.
Deng, L. Y., Zhao, X. Y., & Fang, X. Y. (2016). The influence of parental divorce on children and adolescents’ mental development: The important role of inter-parental conflict. Psychological Development and Education, 32(2), 246–256.
Di Giunta, L., Alessandri, G., Gerbino, M., Kanacri, P. L., Zuffiano, A., & Caprara, G. V. (2013). The determinants of scholastic achievement: The contribution of personality traits, self-esteem, and academic self-efficacy. Learning and individual Differences, 27, 102–108.
Douglas, E. M., & Hines, D. A. (2016). Children’s exposure to partner violence in homes where men seek help for partner violence victimization. Journal of Family Violence, 31(4), 515–525.
Festinger, L. (1954). A theory of social comparison processes. Human Relations, 7, 117–140.
Forkmann, T., Scherer, A., Pawelzik, M., Mainz, V., Drueke, B., Boecker, M., & Gauggel, S. (2014). Does cognitive behavior therapy alter emotion regulation in inpatients with a depressive disorder? Psychology research behavior management, 7, 147–153.
Gardner, R. A. (1998). The parental alienation syndrome. Cresskill, NJ: Creative Therapeutics.
Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299.
Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281–291.
Gross, J. J. (2014). Emotion regulation: Conceptual and empirical foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (2nd ed., pp. 3–20). Guilford Press.
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362.
Hands, A. J., & Warshak, R. A. (2011). Parental alienation among college students. The American Journal of Family Therapy, 39(5), 431–443.
Harman, J. J., Kruk, E., & Hines, D. A. (2018). Parental alienating behaviors: An unacknowledged form of family violence. Psychological Bulletin, 144(12), 1275–1299.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.
Hetherington, E. M., Bridges, M., & Insabella, G. M. (1998). What matters? What does not? Five perspectives on the association between marital transitions and children’s adjustment. American Psychologist, 53(2), 167–184.
Hilbert, S., Goerigk, S., Padberg, F., Nadjiri, A., Übleis, A., Jobst, A., Dewald-Kaufmann, J., Falkai, P., Bühner, M., & Naumann, F. (2019). The role of self-esteem in depression: A longitudinal study. Behavioural Cognitive Psychotherapy, 47(2), 244–250.
Hu, Z., & Peng, X., Z (2014). Household changes in contemporary China: An analysis based on census data. Sociological Studies, 29(3), 145–166.
Jaffe, A. M., Thakkar, M. J., & Piron, P. (2017). Denial of ambivalence as a hallmark of parental alienation. Cogent Psychology, 4(1), 1327144.
John, O. P., & Gross, J. J. (2004). Healthy and unhealthy emotion regulation: Personality processes, individual differences, and life span development. Journal of Personality, 72(6), 1301–1334.
Lazarus, R. S. (1991). Progress on a cognitive-motivational-relational theory of emotion. American Psychologist, 46(8), 819–834.
Li, Z. Q., Wang, L., Zhang, H. C., & Liu, H. C. (2010). Personality traits and subjective well-being: The mediating role of emotion regulation. Journal of Psychological Science, 33(1), 165–167.
Liu, W., R (2016). The intergenerational emotion and solidarity in transitional China: Comparisons of two kinds of parent-relier families in Shanghai. Sociological Studies, 31(4), 145–168.
Liu, A. L., & Liu, X. M. (2020). Development trajectory of depression in college students: A three-year follow-up study with the latent growth mixture model. Chinese Journal of Clinical Psychology, 28(1), 71–75.
Liu, W., Zhang, N., Yu, Z. Y., Zhang, J. Y., & Che, H. B. (2020). Emotion regulation and mental health in children and adolescents: A meta-analysis. Chinese Journal of Clinical Psychology, 28(5), 1002–1008.
Liu, Y., Ren, G., Q., & Qu, K., J (2023). The emotion regulation effect of cognitive reappraisal strategies on college students with depression tendency. Chinese Journal of Clinical Psychology, 31(1), 39–44.
Lowenstein, L. F. (2013). Is the concept of parental alienation a meaningful one? Journal of Divorce & Remarriage, 54(8), 658–667.
McCrory, E. J., De Brito, S. A., Kelly, P. A., Bird, G., Sebastian, C. L., Mechelli, A., Samuel, S., & Viding, E. (2013). Amygdala activation in maltreated children during pre-attentive emotional processing. The British Journal of Psychiatry, 202(4), 269–276.
Miralles, P., Godoy, C., & Hidalgo, M. D. (2021). Long-term emotional consequences of parental alienation exposure in children of divorced parents: A systematic review. Current Psychology, 1–15.
Moksnes, U. K., & Reidunsdatter, R. J. (2019). Self-esteem and mental health in adolescents–level and stability during a school year. Norsk Epidemiologi, 28, 1–2.
Mouatsou, C., & Koutra, K. (2021). Emotion regulation in relation with resilience in emerging adults: The mediating role of self-esteem. Current Psychology, 1–14.
Ochsner, K. N., & Gross, J. J. (2005). The cognitive control of emotion. Trends in Cognitive Sciences, 9(5), 242–249.
Ochsner, K. N., Silvers, J. A., & Buhle, J. T. (2012). Functional imaging studies of emotion regulation: A synthetic review and evolving model of the cognitive control of emotion. Annals of the new York Academy of Sciences, 1251(1), E1–E24.
Orth, U., & Robins, R. W. (2014). The development of self-esteem. Current Directions in Psychological Science, 23(5), 381–387.
Orth, U., Robins, R. W., Meier, L. L., & Conger, R. D. (2016). Refining the vulnerability model of low self-esteem and depression: Disentangling the effects of genuine self-esteem and narcissism. Journal of Personality and Social Psychology, 110(1), 133–149.
Petti,TA (2014). Parental alienation: The handbook for mental health and legal professionals. Journal of Clinical Psychiatry, 75(8), e824.
Ramkissoon, H. (2020). COVID-19 place confinement, pro-social, pro-environmental behaviors, and residents’ wellbeing: A new conceptual framework. Frontiers in Psychology, 11, 2248.
Ramkissoon, H. (2022a). COVID-19 adaptive interventions: Implications for wellbeing and quality-of-life. Frontiers in Psychology, 13, 810951.
Ramkissoon, H. (2022b). Prosociality in times of separation and loss. Current Opinion in Psychology, 45, 101290.
Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58(3), 307–321.
Rieger, S., Göllner, R., Trautwein, U., & Roberts, B. W. (2016). Low self-esteem prospectively predicts depression in the transition to young adulthood: A replication of Orth, Robins, and Roberts (2008). Journal of personality social psychology, 110(1), e16-e22.
Sheiner, M. (2015). A secure base: Parent-child attachment and healthy human development. Clinical Social Work Journal, 36(10), 62–73.
Sowislo, J. F., & Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological bulletin, 139(1), 213–240.
Ministry of Civil Affairs of the People’s Republic of China. (2022). Civil affairs statistics for the fourth quarter of 2022. https://www.mca.gov.cn/mzsj/tjsj/2022/202204tjsj.html.
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1–18.
Teng, Z., Liu, Y., & Guo, C. (2015). A meta-analysis of the relationship between self-esteem and aggression among chinese students. Aggression and violent behavior, 21, 45–54.
Vandellen, M. R., Campbell, W. K., Hoyle, R. H., & Bradfield, E. K. (2011). Compensating, resisting, and breaking: A meta-analytic examination of reactions to self-esteem threat. Personality Social Psychology Review, 15(1), 51–74.
Verrocchio, M. C., Marchetti, D., & Fulcheri, M. (2015). Perceived parental functioning, self-esteem, and psychological distress in adults whose parents are separated/divorced. Frontiers in Psychology, 6, 1760.
Verrocchio, M. C., Baker, A. J. L., & Bernet, W. (2016). Associations between exposure to alienating behaviors, anxiety, and depression in an italian sample of adults. Journal of Forensic Sciences, 61(3), 692–698.
Verrocchio, M. C., Marchetti, D., Carrozzino, D., Compare, A., & Fulcheri, M. (2019). Depression and quality of life in adults perceiving exposure to parental alienation behaviors. Health Quality of Life Outcomes, 17(1), 1–9.
Warshak, R. (2015). Parental alienation: Overview, management, intervention, and practice tips. Journal of the American Academy of Matrimonial Lawyers, 28, 181–248.
Wen, Z. L., Zhang, L., & Hou, Z. T. (2006). Mediated moderator and moderated mediator. Acta Psychologica Sinica, 38(3), 448–452.
Xu, C., Xu, Y., Xu, S., Zhang, Q., Liu, X., Shao, Y., Xu, X., Peng, L., & Li, M. (2020). Cognitive reappraisal and the association between perceived stress and anxiety symptoms in COVID-19 isolated people. Frontiers in Psychiatry, 11, 858–865.
Yang, Y., Ma, X., Kelifa, M. O., Li, X., Chen, Z., & Wang, P. (2022). The relationship between childhood abuse and depression among adolescents: The mediating role of school connectedness and psychological resilience. Child Abuse & Neglect, 131, 105760.
Yap, M. B. H., Pilkington, P. D., Ryan, S. M., & Jorm, A. F. (2014). Parental factors associated with depression and anxiety in young people: A systematic review and meta-analysis. Journal of Affective Disorders, 156, 8–23.
Zhang, X. K., & Tian, L. M. (2005). The buffering effect of self-esteem on the depressive and anxious reactions to induced failure. Acta Psychologica Sinica, 2, 240–245.
Zhang, J., Wu, Z. Y., Fang, G., Li, J., Han, B. X., & Chen, Z. Y. (2010). Development of the chinese age norms of CES-D in urban area. Chinese Mental Health Journal, 24(2), 139–143.
Zhang, J. H., Man, D. H., Liu, G. R., Zhang, S., Dou, F. F., & Lin, C. D. (2013). A research on the relationship between elementary school students’ parenting styles and social Creativity: The mediating role of self-esteem. Psychological Development and Education, 29(6), 595–603.
Zhao, F. Q., Chen, B. B., Li, Y. X., Yiu, Z. B., Liu, B., & Zhang, B. S. (2022). Father coparenting and adolescent depression in nuclear families: The mediating roles of father-child attachment and mother-child attachment. Psychological Development and Education, 38(1), 109–117.
Zhou, X., Wu, X. C., Zeng, M., & Tian, Y. X. (2016). The relationship between emotion regulation and PTSD/PTG among adolescents after the Ya’an earthquake: The moderating role of social support. Acta Psychologica Sinica, 48(8), 969–980.
Zhou, Z. K., Cao, M., Tian, Y., Huang, C., Yang, X. J., & Song, Y. Z. (2021). Parent-child relationship and depression in junior high school students: The mediating effects of self-esteem and emotional resilience. Psychological Development and Education, 37(6), 864–872.
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If a child begins to look down on one parent, it is probably because he/she is standing on the shoulders of the other parent.
——(Minuchin).
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Wang, K., Xie, X., Zhang, T. et al. Change brings new life: the influence of parental alienation behaviors on adolescent depression. Curr Psychol 43, 7745–7757 (2024). https://doi.org/10.1007/s12144-023-04973-8
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DOI: https://doi.org/10.1007/s12144-023-04973-8