首页|童年创伤对青少年非自杀性自伤行为的影响:人际关系与经验回避的链式中介作用

童年创伤对青少年非自杀性自伤行为的影响:人际关系与经验回避的链式中介作用

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目的 探究童年创伤和青少年非自杀性自伤行为两者之间的关系,以及人际关系与经验回避在两者之间的链式中介作用.方法 采用童年创伤问卷(CTQ-SF)、人际关系量表(IRS)、接纳与行动问卷(AQQ-Ⅱ)以及青少年自伤行为问卷(ANSAQ)对山东省某中学395名初中生进行问卷调查.结果 相关分析结果显示,CTQ-SF评分与AQQ-Ⅱ、ANSAQ评分均呈正相关(P<0.001),IRS评分与CTQ-SF、AQQ-11、ANSAQ评分均呈负相关(P<0.001),AQQ-Ⅱ评分与ANSAQ评分呈正相关(P<0.001).中介模型分析表明,童年创伤对青少年非自杀性自伤行为有直接效应,人际关系、经验回避在童年创伤和青少年非自杀性自伤行为两者间有单独中介作用,人际关系-经验回避有链式中介作用,中介效应分别占总效应的19.811%、7.547%、20.755%.结论 人际关系和经验回避在童年创伤与青少年非自杀性自伤行为之间存在链式中介作用.
The impact of childhood trauma on non-suicidal self-injury behavior of adolescents:The chain mediating role of interpersonal relationships and experience avoidance
Objective To explore the relationship between childhood trauma and non-suicidal self-injury(NSSI)behavior in adolescents,as well as the chain mediating effect of interpersonal relationships and experience avoidance on the relationship between them.Methods The questionnaire survey was conducted among 395 middle school students in Shandong province using Childhood Trauma Questionnaire(CTQ-SF),Interpersonal Relationship Scale(IRS),Acceptance and Action Questionnaire(AAQ-Ⅱ)and Adolescent Self Injury Behavior Questionnaire(ANSAQ).Results CTQ-SF was positively correlated with AAQ-Ⅱand ANSAQ(P<0.001);IRS was negatively correlated with CTQ-SF,AAQ-Ⅱ,and ANSAQ(P<0.001);AAQ-Ⅱ was positively correlated with ANSAQ(P<0.001).Mediation model showed that the direct effect of CTQ-SF on ANSAQ was significant;the separate mediating effects of IRS and AAQ-Ⅱ between CTQ-SF and ANSAQ,the chain mediating effect of IRS and AAQ-Ⅱ were also significant,accounting for 19.811%,7.547%,20.755%of the total effects respectively.Conclusion Interpersonal relationships and experience avoidance have a chain mediating effect between childhood trauma and NSSI behavior in adolescents.

Childhood traumaInterpersonal relationshipsExperience avoidanceAdolescentsNon-suicidal self-injury behavior

贾鹏、王维勋

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250355 山东济南,山东中医药大学

童年创伤 人际关系 经验回避 青少年 非自杀性自伤行为

2024

精神医学杂志
山东省精神卫生中心

精神医学杂志

CSTPCD
影响因子:1.45
ISSN:1009-7201
年,卷(期):2024.37(4)