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| 心理虐待与忽视和留守青少年自杀意念的关系：消极情绪的中介作用及青春期不同阶段的调节作用 |
| The Impact of Psychological Abuse and Neglect on Suicidal Ideation Among Left-Behind Adolescents: The Pathways of Negative Affect and Age |
| 投稿时间：2025-03-24 修订日期：2025-06-13 |
| DOI： |
| 中文关键词: 心理忽视 心理虐待 自杀意念 青春期早期与晚期 消极情绪 |
| 英文关键词:Psychological neglect psychological abuse suicidal ideation early and late adolescence negative emotions |
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| 中文摘要: |
| 背景 心理忽视与虐待、消极情绪、青春期不同阶段和自杀意念之间关系密切，但目前心理虐待与忽视对留守青少年自杀意念影响的作用机制尚不清楚，且缺乏相应的作用路径研究。目的 探讨留守青少年心理忽视与虐待和自杀意念的关系以及消极情绪的中介作用和不同青春期阶段的调节作用，为预防和干预留守青少年自杀意念提供参考。方法 于2021年11月-2022年5月，采用整群随机抽样法，选取中国西部地区2 119名留守青少年为研究对象。采用儿童心理虐待与忽视量表（CPANS）、青少年自杀意念量表（PANSI）及中文版儿童积极-消极情感量（PANAS-C）进行评定。采用Spearman相关分析检验各量表评分之间的相关性，采用Process 4.1分析消极情绪在留守青少年心理虐待与忽视和自杀意念之间的中介作用和青春期不同阶段的调节作用。结果 本研究纳入2 119名留守青少年，其中男生1 088人（51.30%），女生1 031人（48.70%），年龄(14.94±1.20)岁。留守青少年CPANS心理忽视评分与心理虐待评分和PANAS-C评分均呈正相关（r=0.446、0.496，P均＜0.01），CPANS心理忽视评分与心理虐待评分和PANSI评分均呈正相关（r=0.487、0.508，P均＜0.01），PANAS-C评分与PANSI评分呈正相关（r=0.499，P＜0.01）；消极情绪在留守青少年心理虐待与忽视和自杀意念之间起部分中介作用，效应值分别为0.166（95% CI：0.141~0.191）、0.131（95% CI：0.112~0.152）。青春期不同阶段在中介效应的后半段路径（消极情绪→自杀意念）起调节作用（β=-0.066，95% CI：-0.054~0.000，P＜0.01）。结论 心理虐待与忽视和自杀意念有关，心理忽视与虐待可能通过消极情绪影响自杀意念，且青春期阶段可能对这种影响存在一定的调节作用。 |
| 英文摘要: |
| Background Psychological neglect and abuse，negative affect，different stages of adolescence，and suicidal ideation are closely interrelated. However，the mechanisms underlying the impact of psychological abuse and neglect on suicidal ideation among left-behind adolescents remain unclear，and research on relevant pathways is lacking.?Objective This study aimed to explore the relationship between psychological neglect/abuse and suicidal ideation among left-behind adolescents，as well as the potential mediating role of negative affect and the moderating effect of different adolescent stages，to provide insights for preventing and intervening in suicidal ideation in this population.?Methods From November 2021 to May 2022，a cluster random sampling method was used to select 2 119 left-behind adolescents in Western China. Assessments were conducted using the Child Psychological Abuse and Neglect Scale (CPANS)，the Adolescent Suicidal Ideation Scale (PANSI)，and the Chinese version of the Positive and Negative Affect Schedule for Children (PANAS-C). Spearman correlation analysis was employed to examine associations among scale scores, and Process 4.1 was used to analyze the mediating role of negative affect and the moderating role of adolescent stages in the pathway linking psychological abuse/neglect to suicidal ideation.?Results The study included 2 119 left-behind adolescents (51.30% male，48.70% female)，with a mean age of?(14.94±1.20)years. Among left-behind adolescents，CPANS psychological neglect scores showed positive correlations with both psychological abuse scores and PANAS-C scores (r = 0.446，0.496，P < 0.01). CPANS psychological neglect scores were also positively correlated with psychological abuse scores and PANSI scores (r = 0.487，0.508，P < 0.01). PANAS-C scores demonstrated a positive correlation with PANSI scores (r = 0.499，P < 0.01). Negative affect partially mediated the relationship between psychological abuse/neglect and suicidal ideation, with effect sizes of 0.166 (95% CI: 0.141~0.191) and 0.131 (95% CI: 0.112~0.152). Different stages of adolescence moderated the latter half of the mediating pathway (negative affect → suicidal ideation) (β = -0.066，95% CI: -0.054~0.000，P < 0.01).?Conclusion Psychological abuse and neglect are associated with suicidal ideation. Such abuse and neglect may influence suicidal ideation through negative affect，and adolescent developmental stages may moderate this relationship. These findings provide empirical evidence for targeted interventions in high-risk populations. |
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