Theeffect of childhood maltreatment on depression in college students-with moderated mediation modeling
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English keywords:Childhood abuse  Emotion regulation difficulties  Depression  Psychological resilience  Family socioeconomic status
Fund projects: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)
Author NameAffiliationAddress
Lai Xinghua School of Mental Health,Qiqihar Medical University,Qiqihar 卜奎北大街333号齐齐哈尔医学院
Zhao Huitong School of Mental Health,Qiqihar Medical University,Qiqihar 
Xiao Ruofan School of Mental Health,Qiqihar Medical University,Qiqihar 
Cui Can School of Mental Health,Qiqihar Medical University,Qiqihar 
Zhao Ameng School of Mental Health,Qiqihar Medical University,Qiqihar 
Fu Wei School of Mental Health,Qiqihar Medical University,Qiqihar 
Jiang Jing School of Mental Health,Qiqihar Medical University,Qiqihar 
Shang Tinghuizi School of Mental Health,Qiqihar Medical University,Qiqihar 
LI Honglong School of Mental Health,Qiqihar Medical University,Qiqihar 
Yu Zengyan School of Mental Health,Qiqihar Medical University,Qiqihar 卜奎北大街333号齐齐哈尔医学院
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      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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