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Received: 31 August 2018 Revised: 20 November 2018 Accepted: 3 December 2018

DOI: 10.1111/ajpy.12239

ORIGINAL ARTICLE

Parental attachment and depressive symptoms in Chinese


adolescents: The mediation effect of emotion regulation
Wanfen Chen1 | Dajun Zhang2 | Junsheng Liu1 | Yangu Pan3 | Biao Sang1,4

1
School of Psychology and Cognitive Science,
East China Normal University, Shanghai, China Objective: We examined if the links between adolescents' parental attachment and
2
Faculty of Psychology, Research Center for depressive symptoms are mediated by emotion regulation (cognitive reappraisal and
Mental Health Education, Southwest University, expressive suppression), and identified which mediator has a stronger mediation effect.
Chongqing, China
Method: The Inventory of Parent and Peer Attachment, Emotion Regulation Ques-
3
Research Institute of Social Development,
tionnaire, and the “Center for Epidemiological Studies-Depression Scale” were dis-
Southwestern University of Finance and
Economics, Chengdu, China tributed to 1955 Chinese adolescents (about 50% boys; 49% in senior high school;
4
Shanghai Academy of Educational Sciences, aged 10–20 years, M = 14.85  2.86 years) from seven provinces. Descriptive
Shanghai, China statistics, correlation analyses, regression analyses, and mediation analyses were
Correspondence conducted to test the hypotheses.
Biao Sang, School of Psychology and Cognitive Results: The results showed that cognitive reappraisal and expressive suppression
Science, East China Normal University, Shanghai
200062, China.
partially mediated the associations between paternal and maternal attachment and
Email: bsang@psy.ecnu.edu.cn depressive symptoms after controlling for grade and sex. Further, the indirect
Funding information effects of parental attachment through cognitive reappraisal were stronger than
National Innovation Center for Assessment of those through expressive suppression.
Basic Education Quality in China, Grant/Award
Number: 2014-06-007-01
Conclusions: These findings suggest that adolescents with secure parental attach-
ment (vs. insecure) have a lower risk of developing depressive symptoms and that
increasing use of cognitive reappraisal and decreasing use of expressive suppres-
sion may help adolescents reduce their depressive symptoms.

KEYWORDS

adolescents, cognitive reappraisal, depressive symptoms, expressive suppression,


mediation effect, parental attachment

Adolescence is a period of emotional storm, and a crucial Although depressive symptoms in adolescence can be
period for the occurrence of depressive symptoms (Allen & partly ascribed to transformations in cognitive, biological,
Sheeber, 2008). In comparison with only 2.8% in children, psychic, and affective aspects, recent studies have shown
the prevalence rate of depression is 5.6% in adolescents that parental attachment and emotion regulation also play
(Costello, Erkanli, & Angold, 2006). Depression increases essential roles (Betts, Gullone, & Allen, 2009; Kullik &
adolescents' risk for clinical disorders, suicide, substance Petermann, 2013; Li & Han, 2018; Sai, Luo, Ward, &
abuse, poor academic performance, and the deterioration of Sang, 2016).
social relationships (Duchesne & Ratelle, 2014). Longitudi- Parental attachment is an intimate relationship formed in
nal studies have shown that depression episodes in adoles- infancy and throughout a person's life. Based on attachment
cence are risk factors for subsequent attacks (Birmaher et al., theory, a safe and warm parent–child relationship is essential
1996). As such, the risk factors that could result in the for- for adolescents, and secure parental attachment is crucial to
mation and development of adolescent depressive symptoms adolescents' mental health (Bowlby, 1980). The parent–child
need to be identified, along with the protective factors which relationship, particularly a poor attachment bond, is often
could contribute to prevention and treatment. considered to be the main cause of depression in adolescents

Aust J Psychol. 2019;1–8. wileyonlinelibrary.com/journal/ajpy © 2019 The Australian Psychological Society 1


2 CHEN ET AL.

(Rudolph, Flynn, & Abaied, 2008). Adolescents' attachment


behaviours with attachment figures are expressed more What is already known about this topic
through communication and self-disclosure than through
• Depression has many harms, such as suicide, substance
seeking physical proximity (Bretherton, 1990). Prior studies
abuse, and poor academic performance.
showed that higher quality parental attachment led to less • The associations have been established between parental
reported depressive symptoms (Chen, Zhang, Pan, Cheng, & attachment, emotion regulation (e.g., cognitive reappraisal and
Liu, 2016; Duchesne & Ratelle, 2014). These findings sug- expressive suppression), and depressive symptoms.
gest that high quality parental attachment may protect • However, less is known about the potential psychological
against adolescent depressive symptoms. mechanisms of these associations.
Emotion regulation is inextricably associated with depres- What this topic adds
sive symptoms. Cognitive reappraisal and expressive suppres-
sion are two important emotion regulation strategies, which • Cognitive reappraisal and expressive suppression partially

attract a lot of attention from researchers (Gross & John, 2003). mediated the associations between parental attachment and

Many studies have linked emotion regulation to depressive depressive symptoms.

symptoms in adults and adolescents (Brenning, Soenens, • Compared to expressive suppression, cognitive reappraisal

Braet, & Bosmans, 2012; Kullik & Petermann, 2013; Sai et al., was a stronger mediator between parental attachment and
depressive symptoms.
2016; Soto, Perez, Kim, Lee, & Minnick, 2011). For instance,
• Parental attachment and cognitive reappraisal may reduce
Sai et al. (2016) found that the tendency to use expressive sup-
depressive symptoms, while expressive suppression may
pression in everyday life increases depressive symptoms in
increase depressive symptoms.
adolescents, whereas the tendency to use cognitive reappraisal
reduces depressive symptoms. Another research showed that,
compared with a control group, adolescents who scored higher
on depressive symptoms were more likely to use expressive
suppression and less likely to use cognitive reappraisal (Betts
et al., 2009). These research results imply that the tendency to individuals who frequently use cognitive reappraisal are more
use cognitive reappraisal may reduce the likelihood of adoles- likely to re-evaluate the situations meaningfully and actively.
cent depressive symptoms, whereas the tendency to use expres- Consequently, compared to infrequent users of cognitive reap-
sive suppression may increase the risk of it. praisal, they not only experience and express more positive
Attachment quality and emotion regulation are closely emotions and less negative emotions, but also report higher
linked. Attachment theory (Bowlby, 1980) indicates that early self-esteem and life satisfaction (Gross & John, 2003). Con-
interactions with attachment figures provide an important back- trastingly, compared to non-suppressors, suppressors experi-
ground for later emotion regulation and subsequent emotion ence and express less emotions. Furthermore, once the
adaptation. The emotion regulation model of attachment points suppressors express their emotions, they likely report more neg-
out that individuals may develop better emotion regulation ative emotions, less positive emotions, lower self-esteem, and
capacity through repeated and successful interactions with lower life satisfaction compared to individuals who seldom use
caregivers, which in turn contributes to regulating inappropri- expressive suppression (Gross & John, 2003). Additionally, a
ate emotions in later life (Mikulincer, Shaver, & Pereg, 2003). meta-analysis concerning adolescents and adults compared the
This theoretical model is supported by empirical studies about effectiveness of the two emotion regulation processes (cogni-
the associations between attachment to parents and emotion tive change and response modulation) defined by the process
regulation in elder children and adolescent samples model (Gross, 1998) and showed that cognitive change (cogni-
(Gresham & Gullone, 2012; Kullik & Petermann, 2013). tive reappraisal) was a more effective strategy than response
According to the Inventory of Parent and Peer Attachment modulation (expressive suppression) for self-report measures of
(IPPA) (Armsden & Greenberg, 1987), higher quality parental emotion (Webb et al., 2012).
attachment (i.e., lower level of “alienation” and higher levels Many researchers have respectively explored the effect
of “communication” and “trust”) predicts the usage of more of parental attachment on depressive symptoms and the
adaptive emotion regulation, while lower quality parental effect of emotion regulation on depressive symptoms; how-
attachment predicts the usage of more maladaptive emo- ever, few have simultaneously investigated the plausible
tion regulation (Gresham & Gullone, 2012; Kullik & impacts of parental attachment and emotion regulation on
Petermann, 2013). depressive symptoms in adolescent samples (Kullik & Peter-
Studies on young adults have revealed that cognitive reap- mann, 2013). The underlying psychological mechanisms
praisal is an adaptive and healthy strategy, while expressive behind these associations have not been fully tested either.
suppression is a maladaptive and unhealthy strategy which can In order to provide empirical bases for intervention and treat-
predict poor mental health (Webb, Miles, & Sheeran, 2012). ment of depressive symptoms, this study integrates these
For example, when confronted with stressful situations, three variables and attempts to explore the potential
CHEN ET AL. 3

psychological mechanisms behind them. In addition, 1 | METHOD


because previous research suggested that both grade and sex
may significantly affect parental attachment (Chen et al., 1.1 | Participants
2016), expressive suppression (Dong & Zhang, 2015), and
Adolescents (N = 1955; 967 boys, 955 girls, 33 unknown)
depressive symptoms (Cui, Shi, Zhang, & Yu, 2012;
were recruited from randomly selected classes in seven
Fredrick, Demaray, Malecki, & Dorio, 2018; Luo, Xiang,
junior high schools and seven senior high schools in seven
Zhang, & Wang, 2017), we included these two variables as
Chinese provinces: Hunan, Guangdong, Henan, Jiangsu,
covariates in our data analyses. Therefore, based on the
Sichuan, Tianjin, and Jilin. They were currently in Grades
above literature review, we examined the relationships
7 to 12 in November 2014:1,001 students from junior high
between parental attachment, emotion regulation (expressive
school (Grades 7 to 9) and 954 students from senior high
suppression and cognitive reappraisal), and depressive school (Grades 10 to 12). Participants' ages were between
symptoms among Chinese adolescents. In this research, 10 and 20 years (M = 14.85, SD = 2.86): 4 were 11-year-
paternal attachment and maternal attachment were examined old, 113 were 12-year-old, 274 were 13-year-old, 1,560 were
separately. After controlling for sex and grade, the current 14-20-year-old, and 44 did not provide their age. Table 1
research was conducted according to the following presents participants' characteristics.
hypotheses:
Hypothesis 1:Paternal and maternal (parental) 1.2 | Procedures
attachment will be significantly negatively Before the start, this research was approved by the Ethics
associated with depressive symptoms and Committee of Southwest University. The measurements
expressive suppression, and significantly posi- were conducted in participants' respective classrooms.
tively correlated with cognitive reappraisal. Before the questionnaires were distributed, the teachers told
Cognitive reappraisal will be significantly neg- students that the survey was only for research purposes, that
atively correlated with depressive symptoms. their participation was voluntary, and that they were free to
Expressive suppression will be significantly reject participation without any bad consequences. This
positively correlated with depressive study obtained verbal informed consent from all participants.
symptoms. Subsequently, participants filled out the self-report surveys
anonymously and submitted them directly to their teachers.
Cognitive reappraisal will mediate
Hypothesis 2:
the associations between parental (paternal
1.3 | Measures
and maternal) attachment and depressive
symptoms. 1.3.1 | Parental attachment
The paternal and maternal attachment subscales of the IPPA
Expressive suppression will medi-
Hypothesis 3: were taken to gauge participants' parental attachment. Each
ate the associations between parental attach- of them includes 25 items using a 5-point Likert scale
ment and depressive symptoms. (1 = never; 5 = always) to assess the degree of Alienation,
Trust, and Communication (Armsden & Greenberg, 1987).
Hypothesis 4: The mediation effect of parental For the maternal attachment items, adolescents assessed the
attachment through cognitive reappraisal will level of alienation (e.g., “I get little attention from my
be significantly stronger than that through mother”), trust (e.g., “My mother respects my feelings”),
expressive suppression. and communication (e.g., “I tell my mother my problems

TABLE 1 Participants' characteristics

Grade Sex
7 8 9 10 11 12 Boy Girl Unknown Total
Hunan 54 59 58 58 57 55 182 148 11 341
Guangdong 58 59 60 56 - - 117 115 1 233
Henan 61 41 51 59 59 59 142 185 3 330
Jiangsu 50 35 45 50 57 47 164 114 6 284
Sichuan 47 13 39 45 42 53 88 148 3 239
Tianjin 55 60 56 55 52 20 167 125 6 298
Jilin 48 52 - 36 54 40 107 120 3 230
Total 373 319 309 359 321 274 967 955 33 1955
4 CHEN ET AL.

and troubles”). Attachment relationships between adoles- for normality and linearity, descriptive statistics and regres-
cents and fathers were measured by the paternal items with sion analyses—calculating for kurtosis, skewness, and the
parallel wordings. After reverse scoring, the attachment variance inflation factor—were conducted. Second, correla-
scores for father and mother were the sum of the 25 related tional analyses were administered to test the associations of
items. Higher scores represented better parental attachment parental attachment with the two mediators and one outcome
quality. The IPPA has been successfully applied to Chinese variable in the expected directions. Third, we used the PRO-
adolescents (Chen et al., 2016), showing good reliability and CESS Macro in SPSS (Hayes, 2013) to perform multiple
validity. In the current research, Cronbach's alpha coeffi- mediation analyses to test the mediating effects of cognitive
cients were 0.91 for both paternal and maternal attachment reappraisal and expressive suppression in the associations
subscales. between paternal and maternal attachment and depressive
symptoms. We employed 1,000 bootstrap samples. A bias-
1.3.2 | Emotion regulation corrected bootstrapping procedure was used to estimate 95%
The Emotion Regulation Questionnaire was used to assess confidence intervals (CI) around the indirect effect. If zero
adolescents' tendency to use cognitive reappraisal and did not fall in the CI of the indirect effect, it meant that this
expressive suppression in their daily lives (Gross & John, indirect effect was significant (Shrout & Bolger, 2002).
2003). This questionnaire comprises 10 items; six measure Respective analyses were employed for paternal and mater-
cognitive reappraisal and four measure expressive suppres- nal attachment. We compared indirect effects for each medi-
sion. Participants rated the items on a 7-point Likert scale ation model to compare the relative strength between two
(from “1 = strongly disagree” to “7 = strongly agree”). A mediators (Hayes, 2013).
Chinese version of this questionnaire which has been vali-
dated by adults and teenagers was used (e.g., Sai et al.,
2016). In this study, Cronbach's alpha coefficients were 0.71 2 | RESULTS
for the cognitive reappraisal subscale and 0.66 for the
expressive suppression subscale. 2.1 | Preliminary analyses

1.3.3 | Depressive symptoms


The results of descriptive statistics and regression analyses
indicated no severe violations of normal and linear hypothe-
The Chinese version of the “Center for Epidemiological
ses (e.g., kurtosis from −0.38 to 0.12, skewness from −0.59
Studies-Depression Scale” (CES-D) was employed to assess
to 0.32, and variance inflation factor from 1.07 to 1.46).
participants' depressive symptoms (Radloff, 1977). This
Table 2 shows the means (M), standard deviations (SD), and
scale consists of 20 items that gauge present levels of
Pearson's bivariate correlations for all variables.
depressive symptoms (e.g., “I felt depressed”). Participants
Table 2 shows that paternal and maternal attachment
were asked to endorse how frequently in the last week each
were significantly positively associated with cognitive reap-
depressive symptom appeared on a 4-point Likert scale ranging
praisal, and significantly negatively associated with expres-
from 0 (rarely or none of the time [less than 1 day]) to
sive suppression and depressive symptoms. Depressive
3 (most or all the time [5–7 days]). Four positively worded
symptoms were significantly negatively associated with cog-
items were reverse-scored. The Cronbach's alpha coefficient
nitive reappraisal and positively associated with expressive
for the CES-D in present study was 0.89.
suppression. Paternal and maternal attachments were signifi-
cantly positively correlated with each other. Cognitive reap-
1.4 | Data analyses praisal and expressive suppression were significantly
SPSS 19.0 was used for data analyses. Before the analyses, positively correlated with each other. In addition, sex was
we used multiple imputation to deal with the missing data. positively related to paternal and maternal attachment, and
Then, first, to test whether the data were up to the standards negatively related to expressive suppression. Grade was

TABLE 2 M, SD, and correlations of all variables (N = 1955)

Variable M SD 1 2 3 4 5 6
1. Paternal attachment 90.89 17.44 —
2. Maternal attachment 97.01 16.64 0.54** —
3. Cognitive reappraisal 30.10 6.39 0.25** 0.25** —
4. Expressive suppression 15.59 5.45 −0.12** −0.11** 0.18** —
5. Depressive symptoms 40.43 10.08 −0.40** −0.37** −0.26** 0.17** —
6. Sex (1 = B, 2 = G) 0.05* 0.11** 0.00 −0.14** −0.01 —
7. Grade −0.11** −0.07** −0.01 −0.07** 0.04 0.07**

Note. B = boy; G = girl.


*p < 0.05.; **p < 0.01.
CHEN ET AL. 5

negatively related to paternal and maternal attachments, and TABLE 3 Unstandardized indirect effects from parental attachment to

expressive suppression. Consequently, sex and grade were depressive symptoms

included as covariates in subsequent mediation analyses. Indirect effect Effect BootSE BootLLCI BootULCI
Paternal attachment ! depressive −0.04 0.01 −0.06 −0.03
symptoms (total)
2.2 | Mediation effect test Paternal attachment ! cognitive −0.03 0.01 −0.04 −0.02
2.2.1 | Paternal attachment, emotion regulation, and reappraisal ! depressive
symptoms
depressive symptoms
Paternal attachment ! expressive −0.01 0.00 −0.02 −0.01
Multiple mediation analysis revealed the following results. suppression ! depressive
First, the association between paternal attachment and symptoms

depressive symptoms was mediated by cognitive reappraisal Maternal attachment ! depressive −0.04 0.01 −0.06 −0.03
symptoms (total)
and expressive suppression (see Figure 1, Table 3). Second,
Maternal attachment ! cognitive −0.03 0.01 −0.04 −0.03
the total effect of paternal attachment on depressive symp- reappraisal ! depressive
toms was −0.23 (p < 0.001). Third, the direct effect of symptoms

paternal attachment on depressive symptoms was still signif- Maternal attachment ! expressive −0.01 0.00 −0.02 −0.01
suppression ! depressive
icant (β = −0.19, p < 0.001). Fourth, the mediating effects symptoms
of paternal attachment on depressive symptoms through cog-
nitive reappraisal and expressive suppression were signifi- effects = −0.03; −0.01, 95% CI = −0.04, −0.03; −0.02,
cant (indirect effects = −0.03; −0.01, 95% CI = −0.04, −0.01, respectively). The ratios of the mediation effect in
−0.02; −0.02, −0.01, respectively). The percentages of the the total effect of cognitive reappraisal and expressive sup-
mediating effect in the total effect of cognitive reappraisal pression were 14.95 and 4.94%, respectively, for the mater-
and expressive suppression were 13.45 and 5.25%, respec- nal attachment mediation model. Likewise, the contrast test
tively, for the paternal attachment mediation model. Further- of the mediation effects showed that the mediation effect of
more, the contrast test of the mediating effects indicated that maternal attachment through cognitive reappraisal was sig-
the mediating effect of paternal attachment through cognitive nificantly stronger than that through expressive suppression
reappraisal was significantly stronger than that through (C2 = −0.02, 95% CI = −0.04, −0.01) (Hayes, 2013).
expressive suppression (C1 = −0.02, 95% CI = −0.03,
−0.01) (Hayes, 2013).
3 | DISCUSSION
2.2.2 | Maternal attachment, emotion regulation, and
depressive symptoms Adolescents' paternal/maternal attachment, cognitive reap-
Similarly, multiple mediation analysis suggested that the praisal, expressive suppression, and depressive symptoms
association between maternal attachment and depressive were significantly related in the expected directions. More-
symptoms was mediated by cognitive reappraisal and over, after controlling for grade and sex, cognitive reapprai-
expressive suppression (see Figure 2, Table 3). The total sal and expressive suppression mediated the effects of
effect of maternal attachment on depressive symptoms was paternal and maternal attachment on depressive symptoms.
−0.22 (p < 0.001). The direct effect of maternal attachment Additionally, the indirect effects of paternal and maternal
on depressive symptoms kept significant (β = −0.18, attachment through cognitive reappraisal were significantly
p < 0.001) as well, and the mediating effects of maternal stronger than that through expressive suppression.
attachment on depressive symptoms through cognitive reap- The findings of the correlation analyses verified H1.
praisal and expressive suppression were significant (indirect First, adolescents' paternal and maternal attachment

FIGURE 1 Mediation effect of emotion regulation on the association FIGURE 2 Mediation effect of emotion regulation on the association
between paternal attachment and depressive symptoms. Note. Path between maternal attachment and depressive symptoms. Note. Path
coefficients were unstandardized; **p < 0.01, *** p < 0.001; insignificant coefficients were unstandardized; *p < 0.05, **p < 0.01, *** p < 0.001;
paths of grade and sex were not drawn in the figure insignificant paths of grade and sex were not drawn in the figure
6 CHEN ET AL.

negatively associated with depressive symptoms. That is, underlying psychological mechanisms. The present results
higher quality parental attachment related to less depressive lend support to attachment theory (Bowlby, 1980), as they
symptoms, which was consistent with prior research (Chen imply that forming secure and comfortable parental attach-
et al., 2016; Duchesne & Ratelle, 2014; Kullik & Petermann, ment may have positive effects on adolescents' cognitive
2013). These results support attachment theory (Bowlby, reappraisal usage, which may contribute to decreasing ado-
1980). Second, paternal and maternal attachment were posi- lescents' depressive symptoms.
tively correlated with cognitive reappraisal, and negatively Consistent with H3, the findings showed that expressive
correlated with expressive suppression. These findings are suppression partially mediates the associations between
similar to previous research results (Gresham & Gullone, paternal/maternal attachment and depressive symptoms
2012; Mikulincer et al., 2003). When confronting life events, while controlling for grade and sex. In other words, parental
compared with adolescents having low quality parental attachment could have a direct and indirect (via expressive
attachment, adolescents with high quality parental attach- suppression) influence on depressive symptoms. The find-
ment are more possible to use the cognitive reappraisal strat- ings suggest that expressive suppression has a mediation
egy and less possible to use the expressive suppression effect on the associations between parental attachment and
strategy. Third, a negative relation was shown between cog- depressive symptoms. These findings are similar to the find-
nitive reappraisal and depressive symptoms. This finding is ings of prior research (Brenning et al., 2012) and support
in line with prior research (Sai et al., 2016), which suggested attachment theory (Bowlby, 1980). In addition, the findings
that increased use of cognitive reappraisal correlates to also demonstrate the person–context interaction theories
decreased depressive symptoms. Fourth, the result that (Magnusson & Stattin, 1998), which suggest that remote
expressive suppression positively related with depressive environmental factors (e.g., parental attachment) can influ-
symptoms is in accordance with previous findings about ence human psychological development through proximal
adolescents (Brenning et al., 2012; Sai et al., 2016), which individual factors (e.g., emotion regulation). The present
indicated that the more expressive suppression adolescents results imply that insecure parental attachment may prevent
use, the more depressive symptoms they experience. How- adolescents from fluently expressing their emotions, which
ever, this result is inconsistent with the outcomes of a study perhaps lead them to experience more depressive symptoms.
that employed a Chinese adult sample (Soto et al., 2011), In accordance with H4, the data indicated that the media-
which showed that expressive suppression does not relate to tion effects of paternal/maternal attachment through cogni-
depressive symptoms. Altogether, these results reveal that tive reappraisal are significantly stronger than that through
expressive suppression usage is positively related to depres- expressive suppression. This finding has several possible
sive symptoms among Chinese adolescents, but this relation explanations. According to the emotion regulation model of
is no longer suitable for adults. This perhaps can be attachment (Mikulincer et al., 2003), adolescents with high
explained by the fact that, compared with Chinese adults, quality parental attachment prefer to use cognitive reapprai-
adolescents are not very capable of employing expressive sal strategy rather than expressive suppression strategy.
suppression to regulate their emotions, which may make Moreover, attachment security may promote one's emotion
them experience more negative emotions, and eventually regulation by endorsing comfortable and supportive relation-
bring about more depressive symptoms (Sai et al., 2016). ships (Eisenberger & Naliboff, 2011). This unique advantage
Further, the findings partially demonstrate the process model implies that securely attached individuals can successfully
of emotion regulation, which indicates that cognitive reap- regulate their emotions or re-evaluate life events in a rela-
praisal use is related to positive emotions, and expressive tively modest manner (Gross & John, 2003). In other words,
suppression use is related to negative emotions they adopt an effective cognitive reappraisal strategy. Fur-
(Gross, 1998). ther, compared with expressive suppression, cognitive reap-
The present results indicated that cognitive reappraisal praisal is a more adaptive and effective emotion regulation
partially mediates the relationships between paternal/mater- strategy (Aldao, Nolenhoeksema, & Schweizer, 2010;
nal attachment and depressive symptoms while controlling Gross & John, 2003; Webb et al., 2012). Future studies
for grade and sex, which supports H2. Parental attachment should explore these reasons in more depth.
not only directly influenced depressive symptoms, but also This study provides new and useful information about
indirectly influenced depressive symptoms through cognitive these associations and their underlying psychological mecha-
reappraisal. The findings suggest that cognitive reappraisal nisms. The findings suggest that adolescents with insecure
plays an important role in the relations between paternal/ parental attachment (vs. secure) have a higher risk of devel-
maternal attachment and depressive symptoms. To our oping depressive symptoms, and cognitive reappraisal and
knowledge, research focusing on the associations between expressive suppression play mediating roles after controlling
parental attachment, cognitive reappraisal, and depressive for grade and sex. One implication is that effective measures
symptoms among adolescents has been scarce. The current need to be taken to help Chinese adolescents increase their
study examined their relations and explored the potential use of cognitive reappraisal and decrease their use of
CHEN ET AL. 7

expressive suppression, which may both reduce their depres- Brenning, K. M., Soenens, B., Braet, C., & Bosmans, G. (2012). Attachment
and depressive symptoms in middle childhood and early adolescence: Test-
sive symptoms. Another implication is that researchers ing the validity of the emotion regulation model of attachment. Personal
should pay more attention to the importance of building Relationships, 19(3), 445–464. https://doi.org/10.1111/j.1475-6811.2011.
healthy parental attachment for effective emotion regulation 01372.x
Bretherton, I. (1990). Open communication and internal working models: The
and the prevention of depressive symptoms. role in the development of attachment relationships. In R. Thompson (Ed.),
Although the present investigation has theoretical and Socioemotional development: The Nebraska symposium on motivation
practical value, it has some limitations. First, the cross- (pp. 57–113). Lincoln: University of Nebraska Press.
Chen, W., Zhang, D., Pan, Y., Cheng, G., & Liu, G. (2016). Research on paren-
sectional nature of the research hampers the establishment of
tal attachment and depression of adolescents: The mediating role of psycho-
a causal association between variables. To address this ques- logical Suzhi. Journal of Psychological Science, 39(6), 1282–1289. https://
tion and ascertain causality, experimental or longitudinal doi.org/10.16719/j.cnki.1671-6981.20160601
Costello, E. J., Erkanli, A., & Angold, A. (2006). Is there an epidemic of child or
studies are required to verify the findings. Second, the cur-
adolescent depression. Journal of Child Psychology & Psychiatry, 47(12),
rent study employed self-report methods, which may elicit 1263–1271. https://doi.org/10.1111/j.1469-7610.2006.01682.x
response bias. Future research on parental attachment, emo- Cui, L., Shi, G., Zhang, Y., & Yu, Y. (2012). A study of the integrated cognitive
tion regulation, and depressive symptoms can therefore ben- model of depression for adolescents and its gender difference. Acta Psycho-
logica Sinica, 44(11), 1501–1514. https://doi.org/10.3724/SP.J.1041.2012.
efit from the use of other types of measurement 01501
(e.g., observation, experiments, and interviews). Third, there Dong, Z., & Zhang, D. (2015). The relationship between psychological Suzhi,
are many kinds of emotion regulation strategies; however, emotion regulation strategies and life satisfaction among middle school stu-
dents. Journal of Southwest University (Social Sciences Edition), 41(6),
only two of them—cognitive reappraisal and expression
99–103. https://doi.org/10.13718/j.cnki.xdsk.2015.06.012
suppression—were gauged in this study. Future research Duchesne, S., & Ratelle, C. F. (2014). Attachment security to mothers and
should explore other strategies (e.g., emotional venting, fathers and the developmental trajectories of depressive symptoms in adoles-
cence: Which parent for which trajectory? Journal of Youth and Adoles-
rumination, and distraction) to examine parental attachment
cence, 43(4), 641–654. https://doi.org/10.1007/s10964-013-0029-z
and depressive symptoms. Eisenberger, N. I., & Naliboff, B. D. (2011). Attachment figures activate a safety
signal-related neural region and reduce pain experience. Proceedings of the
National Academy of Sciences of the United States of America, 108(28),
11721–11726. https://doi.org/10.1073/pnas.1108239108
ACKNOWLEDGEMENTS
Fredrick, S. S., Demaray, M. K., Malecki, C. K., & Dorio, N. B. (2018). Can
This research was supported by the National Innovation social support buffer the association between depression and suicidal idea-
Center for Assessment of Basic Education Quality in China tion in adolescent boys and girls? Psychology in the Schools, 55(5),
490–505. https://doi.org/10.1002/pits.22125
(2014-06-007-01). We would like to thank all the partici- Gresham, D., & Gullone, E. (2012). Emotion regulation strategy use in children
pants, leaders of the seven provinces for helping us with data and adolescents: The explanatory roles of personality and attachment. Per-
collection, and the graduate students from Southwest Uni- sonality & Individual Differences, 52(5), 616–621. https://doi.org/10.1016/j.
paid.2011.12.016
versity who helped us in entering data for analyses. Gross, J. J. (1998). Antecedent- and response-focused emotion regulation: Diver-
gent consequences for experience, expression, and physiology. Journal of
ORCID Personality and Social Psychology, 74(1), 224–237. https://doi.org/10.
1037/0022-3514.74.1.224
Wanfen Chen https://orcid.org/0000-0001-5419-9586 Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regula-
Dajun Zhang https://orcid.org/0000-0002-0761-5118 tion processes: implications for affect, relationships, and well-being. Journal
of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.
1037/0022-3514.85.2.348
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional
REFERENC ES process analysis: A regression-based approach. New York, NY: Guilford
Aldao, A., Nolenhoeksema, S., & Schweizer, S. (2010). Emotion-regulation Press.
strategies across psychopathology: A meta-analytic review. Clinical Psychol- Kullik, A., & Petermann, F. (2013). Attachment to parents and peers as a risk
ogy Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004 factor for adolescent depressive disorders: The mediating role of emotion
Allen, N. B., & Sheeber, L. B. (2008). Adolescent emotional development and regulation. Child Psychiatry & Human Development, 44(4), 537–548.
the emergence of depressive disorders. Cambridge, England: Cambridge https://doi.org/10.1007/s10578-012-0347-5
University Press. Li, P., & Han, Z. R. (2018). Emotion regulation and psychopathological symp-
Armsden, G. C., & Greenberg, M. T. (1987). The inventory of parent and peer toms of Chinese school-age children: A person-centred and multi-informant
attachment: Individual differences and their relationship to psychological approach. International Journal of Psychology, 53(1), 7–15. https://doi.
well-being in adolescence. Journal of Youth and Adolescence, 16(5), org/10.1002/ijop.12249
427–454. https://doi.org/10.1007/BF02202939 Luo, Y., Xiang, Z., Zhang, H., & Wang, Z. (2017). Protective factors for depres-
Betts, J., Gullone, E., & Allen, J. S. (2009). An examination of emotion regula- sive symptoms in adolescents: Interpersonal relationships and perceived
tion, temperament, and parenting style as potential predictors of adolescent social support. Psychology in the Schools, 54, 1–13. https://doi.org/10.1002/
depression risk status: A correlational study. British Journal of Developmen- pits.22033
tal Psychology, 27(2), 473–485. https://doi.org/10.1348/026151008X314900 Magnusson, D., & Stattin, H. (1998). Person-context interaction theories. In
Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., W. Damon & R. M. Lerner (Eds.), Handbook of child psychology. Theoreti-
Dahl, R. E., … Nelson, B. (1996). Childhood and adolescent depression: a cal models of human development (5th ed.) (Vol. 1, pp. 685–759).
review of the past 10 years. Part I. Journal of the American Academy of New York, NY: John Wiley & Sons Inc.
Child & Adolescent Psychiatry, 35(11), 1427–1439. https://doi.org/10. Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect
1097/00004583-199611000-00011 regulation: The dynamics, development, and cognitive consequences of
Bowlby, J. (1980). Attachment and loss). Sadness and depression (Vol. 3). attachment-related strategies. Motivation and Emotion, 27(2), 77–102.
New York, NY: Basic Books. https://doi.org/10.1023/A:1024515519160
8 CHEN ET AL.

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for Hong Kong Chinese. Emotion, 11(6), 1450–1455. https://doi.org/10.1037/
research in the general population. Applied Psychological Measurement, a0023340
1(3), 385–401. https://doi.org/10.1177/014662167700100306 Webb, T. L., Miles, E., & Sheeran, P. (2012). Dealing with feeling: a meta-
Rudolph, K. D., Flynn, M., & Abaied, J. L. (2008). A developmental perspective analysis of the effectiveness of strategies derived from the process model of
on interpersonal theories of youth depression. In J. R. Z. Abela & emotion regulation. Psychological Bulletin, 138(4), 775–808. https://doi.
B. L. Hankin (Eds.), Handbook of depression in children and adolescents org/10.1037/a0027600
(pp. 79–102). New York, NY: Guilford Press.
Sai, L., Luo, S., Ward, A., & Sang, B. (2016). Development of the tendency to
use emotion regulation strategies and their relation to depressive symptoms
in Chinese adolescents. Frontiers in Psychology, 7, 1–6. https://doi.org/10.
How to cite this article: Chen W, Zhang D, Liu J,
3389/fpsyg.2016.01222
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperi- Pan Y, Sang B. Parental attachment and depressive
mental studies: New procedures and recommendations. Psychological symptoms in Chinese adolescents: The mediation
Methods, 7(4), 422–445. https://doi.org/10.1037/1082-989X.7.4.422 effect of emotion regulation. Aust J Psychol. 2019;
Soto, J. A., Perez, C. R., Kim, Y. H., Lee, E. A., & Minnick, M. R. (2011). Is
expressive suppression always associated with poorer psychological func-
1–8. https://doi.org/10.1111/ajpy.12239
tioning? A cross-cultural comparison between European Americans and

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