赖兴华,赵慧童,肖若凡,崔璨,赵阿勐,付伟,姜晶,尚婷惠子,李洪龙,于增艳.童年期虐待对大学生抑郁的影响:有调节的中介模型[J].四川精神卫生杂志,2025,(3):247-253.Lai Xinghua,Zhao Huitong,Xiao Ruofan,Cui Can,Zhao Ameng,Fu Wei,Jiang Jing,Shang Tinghuizi,Li Honglong,Yu Zengyan,Effect of childhood maltreatment on depression in college students: a moderated mediation model[J].SICHUAN MENTAL HEALTH,2025,(3):247-253
童年期虐待对大学生抑郁的影响:有调节的中介模型
Effect of childhood maltreatment on depression in college students: a moderated mediation model
投稿时间:2024-09-11  
DOI:10.11886/scjsws20240911001
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 maltreatment  Difficulties in emotion regulation  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(项目名称:早期家庭逆境对大学生抑郁的影响机制及其干预,项目编号:QYYCX2023-48);齐齐哈尔医学科学院青年博士专项科研基金项目(项目名称:心理弹性视角下大学生日常情绪特点、影响因素与促进,项目编号:QMSI2021B-08)
作者单位邮编
赖兴华 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
赵慧童 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
肖若凡 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
崔璨 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
赵阿勐 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
付伟 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
姜晶 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
尚婷惠子 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
李洪龙 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
于增艳* 齐齐哈尔医学院精神卫生学院黑龙江 齐齐哈尔 161006 161006
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中文摘要:
      背景 当前,大学生群体抑郁情绪问题日益凸显。童年期虐待经历是导致大学生抑郁的重要因素。虽然两者之间的关联已经得到确认,但关于童年期虐待如何通过特定的社会心理机制影响大学生心理健康,目前证据不足。目的 探讨情绪调节困难在童年期虐待与大学生抑郁之间的中介机制,并分析心理弹性和家庭社会经济地位的调节作用,为改善大学生抑郁状况提供参考。方法 于2024年3月14日,采用整群抽样方法,纳入黑龙江省某高校751名在校大学生为研究对象。使用童年期创伤问卷(CTQ)、情绪调节困难量表(DERS)、患者健康问卷抑郁量表(PHQ-9)、心理弹性量表简版(CD-RISC-10)以及家庭社会经济地位问卷进行评定。使用Pearson相关分析考查各量表评分之间的相关性。采用Process 4.2中的模型4与模型7进行情绪调节困难的中介效应检验以及心理弹性和家庭社会经济地位的调节效应检验。结果 ①共回收有效问卷712份(94.81%)。②大学生CTQ评分与DERS评分和PHQ-9评分均呈正相关(r=0.296、0.507,P均<0.01),与CD-RISC-10评分和家庭社会经济地位问卷评分均呈负相关(r=-0.148、-0.229,P均<0.01)。③情绪调节困难在童年期虐待与抑郁之间的间接效应值为0.091(95% CI:0.018~0.046),占总效应的17.95%。④“童年期虐待→情绪调节困难→抑郁”这一中介模型的前半段路径(童年期虐待→情绪调节困难)受心理弹性(β=-0.030,t=-6.147,95% CI:-0.040~-0.020)和家庭社会经济地位(β=-0.051,t=-3.929,95% CI:-0.077~-0.026)的调节。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,该中介模型中的“童年期虐待→情绪调节困难”路径受心理弹性和家庭社会经济地位的调节。
英文摘要:
      Background Currently, the problem of depressed mood in college students is becoming more prominent. The experience of childhood maltreatment is a significant contributor to depression among college students. Although the association between the two has been confirmed, the specific psychosocial mechanisms underlying how childhood maltreatment affects college students' mental health remain insufficiently evidenced.Objective To explore the mediating role of emotion regulation difficulties in the relationship between childhood maltreatment and depression among college students, and to investigate the moderated effects of psychological resilience and family socioeconomic status, aiming to provide references for improving depressive symptoms in college students.Methods On 14 March 2024, a cluster sampling method was employed to recruit 751 college students from a university in Heilongjiang Province. Participants were assessed with Childhood Trauma Questionnaire (CTQ), Difficulties in Emotion Regulation Scale (DERS), Patients' Health Questionnaire Depression Scale-9 item (PHQ-9), 10-item Connor-Davidson Resilience Scale (CD-RISC-10) and Family Socioeconomic Status Questionnaire. Pearson correlation analysis was adopted to examine the correlation between the scores of scales. Model 4 and model 7 in Process 4.2 were used to test the mediating effects of emotional regulation difficulties and the moderated effects of psychological resilience and family socioeconomic status.Results ① A total of 712 (94.81%) valid questionnaires were collected. ② College students' CTQ score was positively correlated with DERS score and PHQ-9 score (r=0.296, 0.507, P<0.01), and negatively correlated with CD-RISC-10 score and Family Socioeconomic Status Questionnaire score (r=-0.148, -0.229, P<0.01). ③ The indirect effect value of difficulties in emotion regulation on the relationship between childhood maltreatment and depression was 0.091 (95% CI: 0.018~0.046), accounting for 17.95% of the total effect. ④ The first half of the mediation model "childhood maltreatment → difficulties in emotion regulation → depression" (childhood maltreatment → difficulties in emotion regulation) was moderated by psychological resilience (β=-0.030, t=-6.147, 95% CI: -0.040~-0.020) and family socioeconomic status (β=-0.051, t=-3.929, 95% CI: -0.077~-0.026).Conclusion Childhood maltreatment exerts both a direct effect on college students' depression and an indirect effect through emotion regulation difficulties. The childhood maltreatment → emotion regulation difficulties pathway in this mediation model is moderated by psychological resilience and family socioeconomic status. [Funded by Qiqihar Medical University Graduate Student Innovation Fund Project (number, QYYCX2023-48); Special Research Fund Project for Young Doctors of Qiqihar Academy of Medical Sciences (number, QMSI2021B-08)]
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