唐新龙,江洋,陆振华,余万庆,宋帆,张俊.儿童期虐待对初中生抑郁症状的影响:同伴依恋和情绪弹性的作用路径[J].四川精神卫生杂志,2024,37(6):526-531.Tang Xinlong,Jiang Yang,Lu Zhenhua,Yu Wanqing,Song Fan,Zhang Jun,Influence of childhood abuse on the presence of depressive symptom in junior high school students: the effecting path of peer attachment and emotional resilience[J].SICHUAN MENTAL HEALTH,2024,37(6):526-531 |
儿童期虐待对初中生抑郁症状的影响:同伴依恋和情绪弹性的作用路径 |
Influence of childhood abuse on the presence of depressive symptom in junior high school students: the effecting path of peer attachment and emotional resilience |
投稿时间:2024-02-24 |
DOI:10.11886/scjsws20240224001 |
中文关键词: 儿童期虐待 同伴依恋 情绪弹性 抑郁症状 中介效应 |
英文关键词:Childhood abuse Peer attachment Emotional resilience Depressive symptom Mediating effect |
基金项目:皖西卫生职业学院2020年度省级一般科研项目(项目名称:青少年非自杀性自我伤害的发病机制、早期识别和防治的基础研究,项目编号:KJ2020B006);皖西卫生职业学院2024年度省级高校自然和人文科学研究立项项目(项目名称:“家庭-学校”交互作用对中学生焦虑抑郁影响研究,项目编号:2024AH053467) |
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中文摘要: |
背景 抑郁是初中生常见的心理健康问题。同伴依恋、情绪弹性、儿童期虐待与抑郁症状四者之间存在相关关系,推测同伴依恋和情绪弹性可能是儿童期虐待与初中生抑郁症状之间的链式作用路径。目的 探究儿童期虐待与初中生抑郁症状的关系,分析同伴依恋和情绪弹性在其中的作用路径,为改善初中生心理健康状况提供参考。方法 于2022年5月—7月,采用整群抽样法抽取安徽省某初中的1 781名在校初中生。采用儿童期虐待问卷(CTQ-SF)、修订版青少年依恋量表(IPPA-R)中的同伴依恋分量表、青少年情绪弹性问卷(AERQ)和流调中心抑郁量表(CES-D)进行评定。使用Pearson相关分析考查各量表评分之间的相关性。使用Process 4.2和Bootstrap法进行同伴依恋和情绪弹性在儿童期虐待与抑郁症状之间的作用路径分析。结果 初中生CTQ-SF评分与IPPA-R同伴依恋分量表评分和AERQ评分均呈负相关(r=-0.527、-0.495,P均<0.01),与CES-D评分呈正相关(r=0.669,P<0.01);IPPA-R同伴依恋分量表评分与AERQ评分呈正相关(r=0.556,P<0.01),与CES-D评分呈负相关(r=-0.599,P<0.01);AERQ评分与CES-D评分呈负相关(r=-0.698,P<0.01)。儿童期虐待可正向预测抑郁症状(β=0.675,P<0.01),也可以负向预测同伴依恋(β=-0.824,P<0.01)和情绪弹性(β=-0.305,P<0.01)。儿童期虐待可以通过同伴依恋和情绪弹性影响抑郁症状(β=0.387,P<0.01)。同伴依恋和情绪弹性分别是儿童期虐待与抑郁症状之间的独立作用路径,间接效应值分别为0.093(95% CI:0.066~0.122)、0.108(95% CI:0.084~0.133)。同伴依恋-情绪弹性是儿童期虐待与抑郁症状之间的链式作用路径,间接效应值为0.087(95% CI:0.071~0.105),效应量为12.89%。结论 初中生儿童期虐待既可以直接影响抑郁症状,也可能通过同伴依恋与情绪弹性的独立作用路径或链式作用路径影响抑郁症状。 |
英文摘要: |
Background Depression as a major mental health condition is commonly found in junior high school students. Peer attachment, emotional resilience and childhood abuse have been found to be associated with depressive symptoms, and it has been hypothesized that peer attachment and emotional resilience may play a chained effecting path in the relationship between childhood abuse and depressive symptoms in junior high school students.Objective To explore the relationship between childhood abuse and depressive symptom in junior high school students, analyze the effecting path of peer attachment and emotional resilience, thus to provide references for improving the mental health of junior high school students.Methods From May to July 2022, a cluster sampling technique was utilized to recruit 1 781 junior high school students from a junior high school in Anhui province. Childhood Trauma Questionnaire Short Form (CTQ-SF), Revised version of Inventory of Parent and Peer Attachment (IPPA-R), Adolescent' Emotional Resilience Questionnaire (AERQ) and Center for Epidemiological Studies Depression Scale (CES-D) were used as the measurement tools. Pearson correlation coefficient was calculated to assess the correlation among above scales. Process4.2 and Bootstrapping method were employed to verify the effecting path of peer attachment and emotional resilience in the relationship between childhood abuse and depressive symptoms.Results CTQ-SF score was negatively correlated with IPPA-R peer attachment subscale score and AERQ score (r=-0.527, -0.495, P<0.01) and positively correlated with CES-D score (r=0.669, P<0.01) in junior high school students. IPPA-R peer attachment subscale score was positively correlated with AERQ score (r=0.556, P<0.01) and negatively correlated with CES-D score (r=-0.599, P<0.01) in junior high school students. AERQ score was negatively correlated with CES-D score (r=-0.698, P<0.01) in junior high school students. Childhood abuse in junior high school students was shown to be a positive predictor of depressive symptoms (β=0.675, P<0.01) and a negative predictor of peer attachment (β=-0.824, P<0.01) and emotional resilience (β=-0.305, P<0.01). Peer attachment and emotional resilience were independent effecting path between childhood abuse and depressive symptoms, with indirect effect size of 0.093 (95% CI: 0.066~0.122) and 0.108 (95% CI: 0.084~0.133), respectively. Peer attachment and emotional resilience affected as a chain effecting path between childhood abuse and depressive symptoms, with indirect effect size of 0.087 (95% CI: 0.071~0.105), accounting for 12.89% of the total effect.Conclusion Childhood abuse in junior high school students can affect the presence of depressive symptom both directly and indirectly through either separate or chained effecting path of peer attachment and emotional resilience. [Funded by 2020 Provincial General Scientific Research Project of West Anhui Health Vocational College (number, KJ2020B006); 2024 Provincial University Natural and Humanities Sciences Research Project of West Anhui Health Vocational College (number, 2024AH053467)] |
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