Abstract
With anxiety becoming the most prevalent mental health issue among the college student population, it is important to understand the factors that are associated with symptomology. This study aims to expand the research on the interrelationship between family functioning, intrapsychic factors, and anxiety. Guided by the circumplex model of family systems, the current study explores the link between college student (N = 500) chaotically-enmeshed family functioning and anxiety, and whether psychological flexibility and self-compassion mediate this relationship. Multiple-sample latent structural equation modeling results revealed that higher levels of chaotically-enmeshed family functioning was significantly associated with lower levels of psychological flexibility and self-compassion levels, and that psychological flexibility and self-compassion mediated the relationship between chaotic-enmeshment and anxiety. Implications for family therapists who provide services to this population are discussed.
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References
American College Health Association. (2015). American college health association national college health assessment II: Reference group executive summary. Hanover, MD: American College Health Association.
Arnett, J. J. (2001). Conceptions of the transition to adulthood: Perspectives from adolescence through midlife. Journal of Adult Development, 8, 133–143. https://doi.org/10.1023/A:1026450103225.
Beiter, R., Nash, R., McCrady, M., Rhoades, D., Linscomb, M., Clarahan, M., & Sammut, S. (2015). The prevalence and correlates of depression, anxiety, and stress in a sample of college students. Journal of Affective Disorders, 173, 90–96. https://doi.org/10.1016/j.jad.2014.10.054.
Bergen-Cico, D., & Cheon, S. (2014). The mediating effects of mindfulness and self-compassion on trait anxiety. Mindfulness, 5(5), 505–519. https://doi.org/10.1007/s12671-013-0205-y.
Bieling, P. J., Antony, M. M., & Swinson, R. P. (1998). The State–trait anxiety inventory, trait version: Structure and content re-examined. Behaviour Research and Therapy, 36(7), 777–788. https://doi.org/10.1016/S0005-7967(98)00023-0.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., … Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007.
Center for Collegiate Mental Health. (2016). 2015 Annual report. Happy Valley, PA: Penn State University.
Ciarrochi, J., Bilich, L., & Godsel, C. (2010). Psychological flexibility as a mechanism of change in Acceptance and Commitment Therapy. In Ruth Baer’s (Ed.), Assessing mindfulness and acceptance: Illuminating the processes of change (pp. 51–76). Oakland, CA: New Harbinger Publications, Inc.
Cranford, J. A., Eisenberg, D., & Serras, A. M. (2009). Substance use behaviors, mental health problems, and use of mental health services in a probability sample of college students. Addictive Behaviors, 34(2), 134–145. https://doi.org/10.1016/j.addbeh.2008.09.004.
Dimsdale, J. E. (1997). Symptoms of anxiety and depression as precursors to hypertension. JAMA, 277(7), 574–575. https://doi.org/10.1001/jama.1997.03540310072038.
Fuligni, A. J., & Masten, C. L. (2010). Daily family interactions among young adults in the United States from Latin American, Filipino, East Asian, and European backgrounds. International Journal of Behavioral Development, 34(6), 491–499. https://doi.org/10.1177/0165025409360303.
Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867. https://doi.org/10.1002/jclp.22021.
Hastings, P. D., Nuselovici, J. N., Rubin, K. H., & Cheah, C. S. L. (2010). Shyness, parenting and parent–child relationships. In K. H. Rubin & R. J. Coplan (Eds.), The development of shyness and social withdrawal (pp. 107–130). New York: Guilford.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006.
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., … Stewart, S. H. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54(4), 553–578. https://doi.org/10.1007/BF03395492.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change. New York: Guilford Press.
Heffernan, M., Griffin, M., McNulty, S., & Fitzpatrick, J. J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16, 366–373. https://doi.org/10.1111/j.1440-172X.2010.01853.x.
IBM Corporation. (2013). IBM SPSS Statistics 22. Somers, NY: IBM Corporation.
Johnston, J. H., Bailey, W. A., & Wilson, G. (2014). Mechanisms for fostering multigenerational resilience. Contemporary Family Therapy, 36(1), 148–161. https://doi.org/10.1007/s10591-012-9222-6.
Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–878. https://doi.org/10.1016/j.cpr.2010.03.001.
Kelly, A. C., & Dupasquier, J. (2016). Social safeness mediates the relationship between recalled parental warmth and the capacity for self-compassion and receiving compassion. Personality and Individual Differences, 89, 157–161. https://doi.org/10.1016/j.paid.2015.10.017.
Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd edn.). New York: Guilford Press.
LeMoyne, T., & Buchanan, T. (2011). Does ‘‘hovering’’ matter? Helicopter parenting and its effect on well-being. Sociological Spectrum, 31, 399–418. https://doi.org/10.1080/02732173.2011.5740380.
MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta- analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. https://doi.org/10.1016/j.cpr.2012.06.003.
MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediation analysis. Annual Review of Psychology, 58, 593–614. https://doi.org/10.1146/annurev.psych.58.110405.085542.
MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83–104. https://doi.org/10.1037/1082-989X.7.1.83.
MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39(1), 99–128. https://doi.org/10.1207/s15327906mbr3901_4.
Masten, A. S., Roisman, G. I., Long, J. D., Burt, K. B., Obradović, J., Riley, J. R., … Tellegen, A. (2005). Developmental cascades: Linking academic achievement and externalizing and internalizing symptoms over 20 years. Developmental Psychology, 41(5), 733–746. https://doi.org/10.1037/0012-1649.41.5.733.
McKay, M., Lev, A., & Skeen, M. (2012). Acceptance and commitment therapy for interpersonal problems: Using mindfulness, acceptance, and schema awareness to change interpersonal behaviors. Oakland, CA: New Harbinger Publications.
McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011). Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research, 45(8), 1027–1035. https://doi.org/10.1016/j.jpsychires.2011.03.006.
Moyer, D. N., & Sandoz, E. K. (2015). The role of psychological flexibility in the relationship between parent and adolescent distress. Journal of Child and Family Studies, 24(5), 1406–1418. https://doi.org/10.1007/s10826-014-9947-y.
Muthén, L. K., & Muthén, B. O. (1998–2011). Mplus user’s guide (6th edn.). Los Angeles, CA: Muthén & Muthén.
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self & Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027.
Neff, K. D. (2011). Self-compassion. New York: William Morrow.
Neff, K. D., & Dahm, K. A. (2015). Self-compassion: What it is, what it does, and how it relates to mindfulness. In B. D. Ostafin, M. D. Robinson & B. P. Meier (Eds.), Handbook of mindfulness and self-regulation (pp. 121–137). New York: Springer.
Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41(1), 139–154. https://doi.org/10.1016/j.jrp.2006.03.004.
Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240. https://doi.org/10.1080/15298860902979307.
Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: Two different ways of relating to oneself. Journal of Personality, 77, 23–50. https://doi.org/10.1111/j.1467-6494.2008.00537.x.
Norton, P. J., Temple, S. R., & Pettit, J. W. (2008). Suicidal ideation and anxiety disorders: Elevated risk or artifact of comorbid depression? Journal of Behavior Therapy and Experimental Psychiatry, 39(4), 515–525. https://doi.org/10.1016/j.jbtep.2007.10.010.
Olson, D. (2011). FACES IV and the circumplex model: Validation study. Journal of Marital and Family Therapy, 37(1), 64–80. https://doi.org/10.1111/j.1752-0606.2009.00175.x.
Olson, D. H. (2000). Circumplex model of marital and family systems. Journal of Family Therapy, 22(2), 144–167. https://doi.org/10.1111/1467-6427.00144.
Olson, D. H., & Gorall, D. M. (2003). Circumplex model of marital and family systems. In F. Walsh (Ed.), Normal family processes (3rd edn., pp. 514–548). New York: Guilford.
Olson, D. H., & Gorall, D. M. (2006). Faces IV and the circumplex model. Minneapolis, MN: Life Innovations.
Osborne, J. W., & Costello, A. B. (2009). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Pan-Pacific Management Review, 12(2), 131–146.
Padilla-Walker, L. M., & Nelson, L. J. (2012). Black hawk down? Establishing helicopter parenting as a distinct construct from other forms of parental control during emerging adulthood. Journal of Adolescence, 35(5), 1177–1190. https://doi.org/10.1016/j.adolescence.2012.03.007.
Panayiotou, G., Karekla, M., & Mete, I. (2014). Dispositional coping in individuals with anxiety disorder symptomatology: Avoidance predicts distress. Journal of Contextual Behavioral Science, 3(4), 314–321. https://doi.org/10.1016/j.jcbs.2014.07.001.
Pepping, C. A., Davis, P. J., O’Donovan, A., & Pal, J. (2015). Individual differences in self-compassion: The role of attachment and experiences of parenting in childhood. Self and Identity, 14(1), 104–117. https://doi.org/10.1080/15298868.2014.955050.
Potter, R. F., Yar, K., Francis, A. P., & Schuster, S. (2014). Self-compassion mediates the relationship between parental criticism and social anxiety. International Journal of Psychology and Psychological Therapy, 14(1), 33–43.
Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757–761. https://doi.org/10.1016/j.paid.2010.01.023.
Raudino, A., Fergusson, D. M., & Horwood, L. J. (2013). The quality of parent/child relationships in adolescence is associated with poor adult psychosocial adjustment. Journal of Adolescence, 36(2), 331–340. https://doi.org/10.1016/j.adolescence.2012.12.002.
Reed, K., Duncan, J. M., Lucier-Greer, M., Fixelle, C., & Ferraro, A. J. (2016). Helicopter parenting and emerging adult self-efficacy: Implications for mental and physical health. Journal of Child and Family Studies, 25(10), 3136–3149. https://doi.org/10.1007/s10826-016-0466-x.
Roemer, L., Orsillo, S. M., & Salters-Pedneault, K. (2008). Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: Evaluation in a randomized controlled trial. Journal of Consulting and Clinical Psychology, 76(6), 1083–1089. https://doi.org/10.1037/a0012720.
Samaie, G., & Farahani, H. A. (2011). Self-compassion as a moderator of the relationship between rumination, self-reflection and stress. Procedia-Social and Behavioral Sciences, 30, 978–982. https://doi.org/10.1016/j.sbspro.2011.10.190.
Schiffrin, H. H., Liss, M., Miles-McLean, H., Geary, K. A., Erchull, M. J., & Tashner, T. (2014). Helping or hovering? The effects of helicopter parenting on college students’ well-being. Journal of Child and Family Studies, 23(3), 548–557. https://doi.org/10.1007/s10826-013-9716-3.
Schmidt, N. B., Buckner, J. D., & Keough, M. E. (2007). Anxiety sensitivity as a prospective predictor of alcohol use disorders. Behavior Modification, 31(2), 202–219. https://doi.org/10.1177/0145445506297019.
Segrin, C., Givertz, M., Swaitkowski, P., & Montgomery, N. (2015). Overparenting is associated with child problems and a critical family environment. Journal of Child and Family Studies, 24(2), 470–479. https://doi.org/10.1007/s10826-013-9858-3.
Segrin, C., Woszidlo, A., Givertz, M., Bauer, A., & Taylor Murphy, M. (2012). The association between overparenting, parent-child communication, and entitlement and adaptive traits in adult children. Family Relations, 61(2), 237–252. https://doi.org/10.1111/j.1741-3729.2011.00689.x.
Silberstein, L. R., Tirch, D., Leahy, R. L., & McGinn, L. (2012). Mindfulness, psychological flexibility and emotional schemas. International Journal of Cognitive Therapy, 5(4), 406–419. https://doi.org/10.1521/ijct.2012.5.4.406.
Soysa, C. K., & Wilcomb, C. J. (2015). Mindfulness, self-compassion, self-efficacy, and gender as predictors of depression, anxiety, stress, and well-being. Mindfulness, 6(2), 217–226. https://doi.org/10.1007/s12671-013-0247-1.
Spielberger, C. D. (1983). Manual for the state–trait anxiety inventory. Palo Alto, CA: Mind Garden.
Sun, X., Chan, D. W., & Chan, L. (2016). Self-compassion and psychological well-being among adolescents in Hong Kong: Exploring gender differences. Personality and Individual Differences, 101, 288–292. https://doi.org/10.1016/j.paid.2016.06.011.
Tirch, D., Schoendorff, B., & Silberstein, L. R. (2014). The ACT practitioner’s guide to the science of compassion: Tools for fostering psychological flexibility. Oakland, CA: New Harbinger Publications.
Tsai, K. M., Telzer, E. H., & Fuligni, A. J. (2013). Continuity and discontinuity in perceptions of family relationships from adolescence to young adulthood. Child Development, 84(2), 471–484. https://doi.org/10.1111/j.1467-8624.2012.01858.x.
Tully, P. J., Cosh, S. M., & Baune, B. T. (2013). A review of the affects of worry and generalized anxiety disorder upon cardiovascular health and coronary heart disease. Psychology, Health & Medicine, 18(6), 627–644. https://doi.org/10.1080/13548506.2012.749355.
van Ingen, D. J., Freiheit, S. R., Steinfeldt, J. A., Moore, L. L., Wimer, D. J., Knutt, A. D., & … Roberts, A. (2015). Helicopter parenting: The effect of an overbearing caregiving style on peer attachment and self-efficacy. Journal of College Counseling, 18(1), 7–20. https://doi.org/10.1002/j.2161-1882.2015.00065.x.
Westphal, M., Leahy, R. L., Pala, A. N., & Wupperman, P. (2016). Self-compassion and emotional invalidation mediate the effects of parental indifference on psychopathology. Psychiatry Research, 242, 186–191. https://doi.org/10.1016/j.psychres.2016.05.040.
Willgoss, T. G., & Yohannes, A. M. (2013). Anxiety disorders in patients with COPD: A systematic review. Respiratory Care, 58(5), 858–866. https://doi.org/10.4187/respcare.01862.
Williams, K. E., Ciarrochi, J., & Heaven, P. C. (2012). Inflexible parents, inflexible kids: A 6-year longitudinal study of parenting style and the development of psychological flexibility in adolescents. Journal of Youth and Adolescence, 41(8), 1053–1066. https://doi.org/10.1007/s10964-012-9744-0.
Yadavaia, J. E., Hayes, S. C., & Vilardaga, R. (2014). Using acceptance and commitment therapy to increase self-compassion: A randomized controlled trial. Journal of Contextual Behavioral Science, 3(4), 248–257. https://doi.org/10.1016/j.jcbs.2014.09.002.
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Berryhill, M.B., Hayes, A. & Lloyd, K. Chaotic-Enmeshment and Anxiety: The Mediating Role of Psychological Flexibility and Self-Compassion. Contemp Fam Ther 40, 326–337 (2018). https://doi.org/10.1007/s10591-018-9461-2
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DOI: https://doi.org/10.1007/s10591-018-9461-2