童年期虐待对大学生抑郁的影响-有调节的中介模型*
Theeffect of childhood maltreatment on depression in college students-with moderated mediation modeling
投稿时间:2024-09-11  修订日期:2025-04-03
DOI:
中文关键词:  童年期虐待  情绪调节困难  抑郁  心理弹性  家庭社会经济地位
英文关键词:Childhood abuse  Emotion regulation difficulties  Depression  Psychological resilience  Family socioeconomic status
基金项目:齐齐哈尔医学院研究生创新基金项目(编号:QYYCX2023-48);齐齐哈尔医学院科学院青年博士专项科研基金项目(编号:QMSI2021B-08); 齐齐哈尔医学院社会科学基金重点项目(编号:QYSKL2022-03ZD)
作者单位地址
赖兴华 齐齐哈尔医学院 卜奎北大街333号齐齐哈尔医学院
赵慧童 齐齐哈尔医学院 
肖若凡 齐齐哈尔医学院 
崔璨 齐齐哈尔医学院 
赵阿勐 齐齐哈尔医学院 
付伟 齐齐哈尔医学院 
姜晶 齐齐哈尔医学院 
尚婷慧子 齐齐哈尔医学院 
李洪龙 齐齐哈尔医学院 
于增艳* 齐齐哈尔医学院 卜奎北大街333号齐齐哈尔医学院
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中文摘要:
      背景 大学生是心理健康问题发生的高危人群,寻找提升大学生心理健康水平的方法对个体的健康成长与社会发展具有重要意义。目的 探究童年期虐待经历对大学生抑郁的影响,以及情绪调节困难、心理弹性和家庭社会经济地位在二者之间的作用机制。方法 本研究于2024年4月进行,使用整群抽样的方法,采用童年期虐待问卷、情绪调节困难问卷、患者健康问卷、简版心理弹性问卷、家庭社会经济地位问卷对751名大学生进行调查。使用Pearson相关分析考察各量表得分之间的相关性。采用Process4.2进行有调节的中介模型的检验。结果(1)童年期虐待、情绪调节困难、抑郁、心理弹性、家庭社会经济地位两两相关;(2)童年期虐待对抑郁的直接预测效应显著(β=0.348,P<0.05);(3)情绪调节困难在童年期虐待与抑郁之间中介作用显著[(间接效应=0.069,95%CI:0.038~0.098,p<0.01,间接效应占总效应的60%)(4)童年期虐待→情绪调节困难→抑郁这一中介效应的前半段路径(童年期虐待→情绪调节困难)受心理弹性(β=-0.015,t=-2.150,p<0.05)与家庭社会经济地位(β=-0.044,t=-2.529,p<0.05)调节。结论 童年期虐待既能直接影响大学生抑郁,也可以通过情绪调节困难间接影响抑郁。童年期虐待对大学生抑郁的影响是有调节的中介效应,该中间效应仅在心理弹性和家庭社会经济地位较低时显著。
英文摘要:
      Background College students are a high-risk group for mental health problems, and finding ways to improve college students" mental health is important for the healthy growth and social development of individuals. Objective To explore the effects of childhood abuse experiences on depression among college students and the mechanisms by which emotion regulation difficulties, psychological resilience, and family socioeconomic status play a role in the relationship. Methods This study was conducted in April 2024, using whole population sampling with the Childhood Abuse Questionnaire, Emotion Regulation Difficulties Questionnaire, Patient Health Questionnaire, Brief Psychological Resilience Questionnaire, and Family Socioeconomic Status Questionnaire to survey 751 college students. Pearson correlation analyses were used to examine the correlations between the scores of the scales. Tests of moderated chained mediation modeling were conducted using Process 4.2. Results (1) Childhood abuse, emotional regulation difficulties, depression, psychological resilience, and family socioeconomic status were correlated two-by-two; (2) the direct predictive effect of childhood abuse on depression was significant (β=0.348, p<0.05); and (3) emotional regulation difficulties mediated the relationship between childhood abuse and depression [(Indirect effect=0.069, 95% CI: 0.038~ 0.098, p<0.01, indirect effect accounted for 60% of the total effect) (4) The first half of the pathway of the mediating effect of childhood maltreatment → emotion regulation difficulties → depression (childhood maltreatment → emotion regulation difficulties) was moderated by psychological resilience (β=-0.015, t=-2.150, p<0.05) and family socioeconomic status (β=-0.044, t=-2.529, p <0.05) moderated. Conclusion Childhood abuse can affect college students" depression both directly and indirectly through difficulties in emotion regulation. There was a moderated mediating effect of childhood maltreatment on college student depression, and this intermediate effect was only significant at lower levels of psychological resilience and family socioeconomic status.
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