Influence of childhood abuse on non-suicidal self-injury in adolescents with depressive disorder:the chain mediation roles of psychological resili-ence and depression
Aim:To explore the relationship between childhood abuse and non-suicidal self-injury(NSSI)in adoles-cents with depressive disorder.Methods:A total of 213 adolescents with depressive disorder were investigated by Hamilton Depression Scale-24,Non-Suicidal Self-Injury Questionnaire,the Connor-Davidson Resilience Scale and Childhood Trauma Questionnaire in Yunnan Psychiatric Hospital.Results:Childhood abuse had positive predictive effect on NSSI behavior[β(95%CI)=0.112(0.076-0.148),P<0.001],negative predictive effect on resilience[β(95%CI)=-0.459(-0.629--0.289),P<0.001]and positive predictive effect on depression[β(95%CI)=0.100(0.027-0.172),P<0.001];childhood abuse,resilience and depression had predictive effect on NSSI behavior[β(95%CI)=0.047(0.012-0.082),P =0.010;β(95%CI)=-0.064(-0.093--0.034),P<0.001;β(95%CI)=0.201(0.127-0.275),P<0.001].The mediating effect value of resilience between childhood abuse and NSSI behavior was 0.029(95%CI:0.015-0.051),accounting for 25.89%of the total effect;the mediating effect value of depression between childhood abuse and NSSI behav-ior was 0.020(95%CI:0.006-0.040),accounting for 17.86%of the total effect;the chain mediating effect value of re-silience and depression between childhood abuse and NSSI behavior was 0.016(95%CI:0.009-0.028),accounting for 14.29%of the total effect.Conclusion:Resilience and depression play a chain mediating role in the effect of childhood a-buse on NSSI in adolescents with depressive disorder.
万方数据
维普
