Abstract
Objectives
Mental health problems among adolescents are increasingly prominent. The negative effects of emotional insecurity on adolescent mental health have garnered empirical support. It is important to understand the psychological processes underlying this relationship. Using a longitudinal design, the present study aimed to reveal the explanatory mechanism of the association between emotional insecurity and mental health problems among Chinese adolescents by testing the mediating effect of rejection sensitivity and the moderating effect of dispositional mindfulness.
Methods
The participants were 1156 Chinese adolescents (45.00% male; Mage = 15.96) who completed self-report questionnaires regarding emotional insecurity, rejection sensitivity, mental health problems (depression, anxiety, and stress), and dispositional mindfulness at three time points during the course of half a year (3-month interval).
Results
The results showed that retrospective reports of emotional insecurity in wave 1 were positively associated with adolescent depression, anxiety, and stress in wave 3 and that rejection sensitivity in wave 2 partly mediated this association. Furthermore, dispositional mindfulness in wave 3 moderated the pathway from rejection sensitivity to later adolescent depression, anxiety, and stress in the mediated model. Specifically, the effect of high rejection sensitivity on mental health problems was weaker in adolescents who reported high dispositional mindfulness.
Conclusions
Identifying the mechanisms by which emotional insecurity is associated with adolescent mental health problems over time has potential value for prevention and intervention.
Similar content being viewed by others
Data Availability
All data are available at the Open Science Framework (https://osf.io/9qt43/).
References
Alegre, A., Benson, J. M., & Perez-Escoda, N. (2014). Maternal warmth and early adolescents’ internalizing symptoms and externalizing behavior: Mediation via emotional insecurity. Personality & Individual Differences, 60, 24–47. https://doi.org/10.1016/j.paid.2013.07.077
An, Y., Fu, G., Yuan, G., Zhang, Q., & Xu, W. (2019). Dispositional mindfulness mediates the relations between neuroticism and posttraumatic stress disorder and depression in Chinese adolescents after a tornado. Clinical Child Psychology and Psychiatry, 24(3), 482–493. https://doi.org/10.1177/1359104518822672
Ayduk, Ö., Zayas, V., Downey, G., Cole, A. B., Shoda, Y., & Mischel, W. (2008). Rejection sensitivity and executive control: Joint predictors of borderline personality features. Journal of Research in Personality., 42(1), 151–168. https://doi.org/10.1016/j.jrp.2007.04.002
Bian, Y. F., Liang, L. C., & Zhang, Y. (2016). Effects of family on children’s mental development. Journal of Beijing Normal University (social Sciences), 61(5), 46–54.
Bishop, S. R., Lau, M. A., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. https://doi.org/10.1093/clipsy/bph077
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. https://doi.org/10.1037/0022-3514.84.4.822
Burke, K., Dittman, C. K., Forbes, E. J., & Eggins, E. (2021). PROTOCOL: a systematic review and meta‐analysis of randomised controlled trials evaluating the impact of parenting programmes for parents of adolescents (10–18 years) on adolescent mental health outcomes, positive development and the parent–adolescent relationship. Campbell Systematic Reviews, 17, e1146. https://doi.org/10.1002/cl2.1146
Cardi, V., Di Matteo, R., Corfield, F., & Treasure, J. (2013). Social reward and rejection sensitivity in eating disorders: An investigation of attentional bias and early experiences. World Journal of Biological Psychiatry, 14, 622–633. https://doi.org/10.3109/15622975.2012.665479
Chen, J., Liu, J. T., Wang, Y., Yang, Y., & Zhang, Y. (2013). A structural equation model of personality traits, depression, anxiety and suicidal ideation among senior high students. Chinese Journal of School Health, 34(3), 291–294. https://doi.org/10.16835/j.cnki.1000-9817.2013.03.013
Cummings, E. M., & Davies, P. T. (1995). The impact of parents on their children: An emotional security perspective. Annals of Child Development: A Research Annual, 10, 167–208.
Cummings, E. M., George, M. R. W., McCoy, K., & Davies, P. T. (2012). Interparental conflict in kindergarten and adolescent adjustment: Prospective investigation of emotional security as an explanatory mechanism. Child Development, 83, 1703–1715. https://doi.org/10.1111/j.1467-8624.2012.01807.x
Cummings, E. M., Schermerhorn, A. C., Davies, P. T., Goeke-Morey, M. C., & Cummings, J. S. (2006). Interparental discord and child adjustment: Prospective investigations of emotional security as an explanatory mechanism. Child Development, 77, 132–152. https://doi.org/10.1111/j.1467-8624.2006.00861.x
Davies, P. T., & Cummings, M. E. (1994). Marital conflict and child adjustment: An emotional security hypothesis. Psychological Bulletin, 116, 387–411. https://doi.org/10.1037//0033-2909.116.3.387
Davies, P. T., Forman, E. M., Rasi, J. A., & Stevens, K. I. (2002). Assessing children’s emotional security in the interparental relationship: The security in the interparental subsystem scales. Child Development, 73, 544–562. https://doi.org/10.1111/1467-8624.00423
Downey, G., & Feldman, S. I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychology, 70(6), 1327–1343. https://doi.org/10.1037/0022-3514.70.6.1327
Downey, G., Mougios, V., Ayduk, O., London, B. E., & Shoda, Y. (2004). Rejection sensitivity and the defensive motivational system: Insights from the startle response to rejection cues. Psychological Science, 15(10), 668–673. https://doi.org/10.1111/j.0956-7976.2004.00738.x
Eaton, N. R., South, S. C., & Krueger, R. F. (2009). The cognitive-affective processing system (caps) approach to personality and the concept of personality disorder: Integrating clinical and social-cognitive research. Journal of Research in Personality, 43(2), 208–217. https://doi.org/10.1016/j.jrp.2009.01.016
Flook, L., & Fuligni, A. J. (2008). Family and school spillover in adolescents’ daily lives. Child Development, 79(3), 776–787. https://doi.org/10.1111/j.1467-8624.2008.01157.x
Gao, S., Assink, M., Cipriani, A., & Lin, K. (2017). Associations between rejection sensitivity and mental health outcomes: A meta-analytic review. Clinical Psychology Review, 57, 59–74. https://doi.org/10.1016/j.cpr.2017.08.007
Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83–91. https://doi.org/10.1037/a0018441
Gong, X., Xie, X. Y., Xu, R., & Luo, Y. J. (2010). Psychometric properties of the Chinese versions of DASS-21 in Chinese college students. Chinese Journal of Clinical Psychology, 18(4), 443–446. https://doi.org/10.16128/j.cnki.1005-3611.2010.04.020
Greco, L. A., Baer, R. A., & Smith, G. T. (2011). Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). Psychological Assessment, 23(3), 606–614. https://doi.org/10.1037/a0022819
Grossman, P., & Van Dam, N. T. (2011). Mindfulness, by any other name...: trials and tribulations of Sati in Western psychology and science. Contemporary Buddhism, 12(1), 219–239.
Hafner, N., Pepping, C. A., & Wertheim, E. H. (2018). Dispositional mindfulness, rejection sensitivity, and behavioural responses to rejection: The role of emotion regulation. Australian Journal of Psychology, 71(2), 163–172. https://doi.org/10.1111/ajpy.12224
Harold, G. T., Shelton, K. H., Goeke-Morey, M. C., & Cummings, E. M. (2004). Marital conflict, child emotional security about family relationships and child adjustment. Social Development, 13(3), 350–376. https://doi.org/10.1111/j.1467-9507.2004.00272.x
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.
Heppner, W. L., Kernis, M. H., Lakey, C. E., Campbell, W. K., Goldman, B. M., Davis, P. J., & Cascio, E. V. (2008). Mindfulness as a means of reducing aggressive behavior: Dispositional and situational evidence. Aggressive Behavior, 34(5), 486–496. https://doi.org/10.1002/ab.20258
Jobe, R. L. (2003). Emotional and physiological reactions to social rejection: the development and validation of the tendency to expect rejection scale and the relationship between rejection expectancy and responses to exclusion (Doctorial dissertation). The University of Tennessee.
Levy, S. R., Ayduk, O., & Downey, G. (2001). The role of rejection sensitivity in people’s relationships with significant others and valued social groups. In M. R. Leary (Ed.), Interpersonal rejection (pp. 251–289). Oxford University Press.
Li, Y. F., Sun, W. X., Sun, X. J., Sun, J., Yang, D. M., Jia, B. L., & Yuan, B. (2020). Effects of mindfulness meditation on anxiety, depression, stress, and mindfulness in nursing students: A meta-analysis and trial sequential analysis of randomized controlled trials. Frontiers of Nursing, 7(1), 63–73.
Liu, Q. Q., Zhou, Z. K., Yang, X. J., Kong, F. C., Niu, G. F., & Fan, C. Y. (2017). Mobile phone addiction and sleep quality among Chinese adolescents: A moderated mediation model. Computers in Human Behavior, 72, 108–114. https://doi.org/10.1016/j.chb.2017.02.042
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(05), 1002–1008. https://doi.org/10.16128/j.cnki.1005-3611.2020.05.029
Liu, X. F., Chi, X. L., Zhang, J. T., Duan, W. J., & Wen, Z. K. (2019). Validation of Child and Adolescent Mindfulness Measure (CAMM) in Chinese Adolescents. Psychological Exploration, 39(03), 250–256.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales. Psychology Foundation.
Ma, J., Yu, S. Y., Liang, S., Ding, J., Feng, Z., Yang, F., Gao, W. J., Lin, J. N., Huang, C. X., Liu, X. J., & Su, L. Y. (2013). An anxious and non-anxious survey among depressive middle school students in Changsha. Chinese Journal of Clinical Psychology, 21(5), 708–712. https://doi.org/10.16128/j.cnki.1005-3611.2013.05.041
Maurizi, L. K., Grogan-Kaylor, A., Granillo, M. T., & Delva, J. (2013). The role of social relationships in the association between adolescents’ depressive symptoms and academic achievement. Children & Youth Services Review, 35(4), 618–625. https://doi.org/10.1016/j.childyouth.2013.01.006
Paoli, T. D., Fuller-Tyszkiewicz, M., Halliwell, E., Puccio, F., & Krug, I. (2017). Social rank and rejection sensitivity as mediators of the relationship between insecure attachment and disordered eating. European Eating Disorders Review: THe Journal of the Eating Disorders Association, 25(6), 469–478. https://doi.org/10.1002/erv.2537
Peters, J. R., Eisenlohr-Moul, T. A., & Smart, L. M. (2016). Dispositional mindfulness and rejection sensitivity: The critical role of nonjudgment. Personality & Individual Differences, 93, 125–129. https://doi.org/10.1016/j.paid.2015.06.029
Romero-Canyas, R., Downey, G., Berenson, K., Ayduk, O., & Kang, N. J. (2010). Rejection sensitivity and the rejection-hostility link in romantic relationships. Journal of Personality, 78(1), 119–148. https://doi.org/10.1111/j.1467-6494.2009.00611.x
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386. https://doi.org/10.1002/jclp.20237
Wang, M. Z., Fan, C. Y., Zhou, Z. K., & Chen, W. (2014). Parental conflict affects adolescents’ depression and social anxiety: Based on cognitive-contextual and emotional security theories. Acta Psychologica Sinica, 46(01), 90–100. https://doi.org/10.3724/SP.J.1041.2014.00090
Yang, Y. L. (2017). The analysis on the relationship among rejection sensitivity, friendship quality, self esteem and loneliness of high school students (Master’s thesis). Harbin Normal University.
Zimmer-Gembeck, M. J. (2015). Emotional sensitivity before and after coping with rejection: A longitudinal study. Journal of Applied Developmental Psychology, 41, 28–37. https://doi.org/10.1016/j.appdev.2015.05.001
Zimmer-Gembeck, M. J., & Nesdale, D. (2013). Anxious and angry rejection sensitivity, social withdrawal, and retribution in high and low ambiguous situations. Journal of Personality, 81(1), 29–38. https://doi.org/10.1111/j.1467-6494.2012.00792.x
Zimmer-Gembeck, M. J., Nesdale, D., Webb, H. J., Khatibi, M., & Downey, G. (2016). A longitudinal rejection sensitivity model of depression and aggression: Unique rules of anxiety, anger, blame, withdrawal, and retribution. Journal of Abnormal Child Psychology, 44, 1291–1307. https://doi.org/10.1007/s10802-016-0127-y
Zimmer-Gembeck, M. J., & Skinner, E. A. (2015). Adolescent vulnerability and the distress of rejection: Associations of adjustment problems and gender with control, emotions, and coping. Journal of Adolescence, 45, 149–159. https://doi.org/10.1016/j.adolescence.2015.09.004
Zimmer-Gembeck, M. J., Trevaskis, S., Nesdale, D., & Downey, G. (2014). Relational victimization, loneliness, and depressive symptoms: Indirect associations via self and peer reports of rejection sensitivity. Journal of Youth and Adolescence, 43, 568–582. https://doi.org/10.1007/s10964-013-9993-6
Funding
This research was supported by the National Natural Science Foundation of China [Grant No. 31800929] and the Fundamental Research Funds for the Central Universities [Grant No. 2020NTSS42].
Author information
Authors and Affiliations
Contributions
SY designed and executed the study, assisted with recruitment of participants, conducted data analysis, and wrote the paper. JPS collaborated with the design of the study, recruited participants, conducted data cleaning, and edited the paper. JYH collaborated with the design of the study, and assisted with recruitment of participants. SYF collaborated with the theoretical conceptualization, design, and execution of the study, and assisted with data collection and the editing of the final manuscript. WX supervised the process and acquired foundation for this study. All authors approved the final version of the manuscript for submission.
Corresponding author
Ethics declarations
Ethics Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the Biomedical Research Institutional Review Board of Beijing Normal University and with the 1964 Helsinki declaration and its later amendments or comparable ethical standard.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Yu, S., Shi, J., Huang, J. et al. Longitudinal Relationship Between Emotional Insecurity and Adolescent Mental Health: the Mediation of Rejection Sensitivity and Moderation of Dispositional Mindfulness. Mindfulness 12, 2662–2671 (2021). https://doi.org/10.1007/s12671-021-01727-0
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12671-021-01727-0