自我厌恶在青少年童年不良经历与抑郁焦虑情绪、自杀风险间的中介作用
The mediating role of self-hate between adverse childhood experiences and depression,anxiety,and suicide risk in adolescents
程玲飞 1王蕾蕾 1陈景旭1
作者信息
- 1. 北京回龙观医院,北京大学回龙观临床医学院(北京 100096)
- 折叠
摘要
目的 探讨自我厌恶在青少年童年不良经历与抑郁焦虑情绪、自杀风险之间的中介作用.方法 在山东省日照市莒县5所初中、5所高中以网络问卷调查的形式进行横断面调查,共收集有效问卷6838份,用自制一般资料问卷、患者健康问卷(patient health questionnaire-9,PHQ-9)、7项广泛性焦虑量表(generalized anxiety disorder-7,GAD-7)、简明国际神经精神障碍访谈检查5.0中文版自杀模块、童年不良经历问卷修订版(revised adverse child-hood experience questionnaire,ACEQ-R)、自我厌恶量表(self-hate scale,SHS)进行相关内容的评估.结果 青少年抑郁情绪、焦虑情绪及自杀风险在女性(P<0.001)、高中年级(P<0.001)的检出率更高.有抑郁情绪、有焦虑情绪、有自杀风险的青少年在童年不良经历、自我厌恶的评分分别高于无抑郁情绪、无焦虑情绪、无自杀风险的青少年(P<0.001).童年不良经历通过自我厌恶间接预测抑郁,间接效应为0.1488,效果量为60.86%(P<0.001);童年不良经历通过自我厌恶间接预测焦虑,间接效应为0.1524,效果量为62.87%(P<0.001);童年不良经历通过自我厌恶间接预测自杀风险,间接效应为0.0485,效果量为49.44%(P<0.001).结论 童年不良经历对青少年的抑郁焦虑情绪、自杀风险有预测作用,同时通过自我厌恶的中介作用而对青少年的抑郁焦虑情绪、自杀风险发挥影响.
Abstract
Objective To explore the mediating effect of self-hate between adverse childhood experiences and depression,anxiety,and suicide risk in adolescents.Methods In Juxian county,Rizhao,Shangdong Province,a cross-sectional survey was conducted in 5 junior high schools and high schools using questionnaires.A total of 6838 valid questionnaires were collected.The assessment included a self-designed general information questionnaire,patient health questionnaire-9(PHQ-9),generalized anxiety disorder-7(GAD-7),the mini-international neuropsychiatric interview 5.0 suicide module,revised adverse childhood experience questionnaire(ACEQ-R),and self-hate scale(SHS)to evaluate relevant content.Results The detection rates of depression,anxiety,and suicide risk were significantly higher in girls(P<0.001)and in senior high school students(P<0.001).Adolescents with depression,anxiety,and suicide risk exhibited higher scores for adverse childhood experiences and self-hate compared to those without these conditions(P<0.001).Adverse childhood experiences indirectly predicted depression through self-hate with an indirect effect size of 0.1488,accounting for 60.86% of the total effect(P<0.001).Similarly,adverse childhood experiences indirectly predicted anxiety through self-hate with an indirect effect size of 0.1524,accounting for 62.87% of the total effect(P<0.001).Furthermore,adverse childhood experiences indirectly predicted the risk of suicide through self-hate with an indirect effect size of 0.0485,accounting for 49.44% of the total effect(P<0.001).Conclusions Adverse childhood experiences have predictive effects on depression,anxiety and suicide risk in adolescents,and self-hate plays a mediating role on depression,anxiety and suicide risk in adolescents.
关键词
青少年/童年不良经历/自我厌恶/抑郁情绪/焦虑情绪/自杀风险/中介作用Key words
Adolescent/Adverse childhood experience/Self-hate/Depression/Anxiety/Suicide risk/Mediat-ing effect引用本文复制引用
基金项目
科技部国家重点研究发展计划(2021YFC2501504)
北京市医院管理中心"扬帆"计划临床技术创新项目(XMLX202150)
出版年
2024
NETL
NSTL
万方数据