四川精神卫生2024，Vol.37Issue(6)：526-531,6.DOI:10.11886/scjsws20240224001
儿童期虐待对初中生抑郁症状的影响:同伴依恋和情绪弹性的作用路径
Influence of childhood abuse on the presence of depressive symptom in junior high school students:the effecting path of peer attachment and emotional resilience
摘要
Abstract
Background Depression as a major mental health condition is commonly found in junior high school students.Peer attachment,emotional resilience and childhood abuse have been found to be associated with depressive symptoms,and it has been hypothesized that peer attachment and emotional resilience may play a chained effecting path in the relationship between childhood abuse and depressive symptoms in junior high school students.Objective To explore the relationship between childhood abuse and depressive symptom in junior high school students,analyze the effecting path of peer attachment and emotional resilience,thus to provide references for improving the mental health of junior high school students.Methods From May to July 2022,a cluster sampling technique was utilized to recruit 1 781 junior high school students from a junior high school in Anhui province.Childhood Trauma Questionnaire Short Form(CTQ-SF),Revised version of Inventory of Parent and Peer Attachment(IPPA-R),Adolescent'Emotional Resilience Questionnaire(AERQ)and Center for Epidemiological Studies Depression Scale(CES-D)were used as the measurement tools.Pearson correlation coefficient was calculated to assess the correlation among above scales.Process4.2 and Bootstrapping method were employed to verify the effecting path of peer attachment and emotional resilience in the relationship between childhood abuse and depressive symptoms.Results CTQ-SF score was negatively correlated with IPPA-R peer attachment subscale score and AERQ score(r=-0.527,-0.495,P<0.01)and positively correlated with CES-D score(r=0.669,P<0.01)in junior high school students.IPPA-R peer attachment subscale score was positively correlated with AERQ score(r=0.556,P<0.01)and negatively correlated with CES-D score(r=-0.599,P<0.01)in junior high school students.AERQ score was negatively correlated with CES-D score(r=-0.698,P<0.01)in junior high school students.Childhood abuse in junior high school students was shown to be a positive predictor of depressive symptoms(β=0.675,P<0.01)and a negative predictor of peer attachment(β=-0.824,P<0.01)and emotional resilience(β=-0.305,P<0.01).Peer attachment and emotional resilience were independent effecting path between childhood abuse and depressive symptoms,with indirect effect size of 0.093(95％CI:0.066～0.122)and 0.108(95％CI:0.084～0.133),respectively.Peer attachment and emotional resilience affected as a chain effecting path between childhood abuse and depressive symptoms,with indirect effect size of 0.087(95％CI:0.071～0.105),accounting for 12.89％of the total effect.Conclusion Childhood abuse in junior high school students can affect the presence of depressive symptom both directly and indirectly through either separate or chained effecting path of peer attachment and emotional resilience.关键词
儿童期虐待/同伴依恋/情绪弹性/抑郁症状/中介效应Key words
Childhood abuse/Peer attachment/Emotional resilience/Depressive symptom/Mediating effect分类
临床医学引用本文复制引用
唐新龙,江洋,陆振华,余万庆,宋帆,张俊..儿童期虐待对初中生抑郁症状的影响:同伴依恋和情绪弹性的作用路径[J].四川精神卫生,2024,37(6):526-531,6.基金项目
皖西卫生职业学院2020年度省级一般科研项目(项目名称:青少年非自杀性自我伤害的发病机制、早期识别和防治的基础研究,项目编号:KJ2020B006) （项目名称:青少年非自杀性自我伤害的发病机制、早期识别和防治的基础研究,项目编号:KJ2020B006）
皖西卫生职业学院2024年度省级高校自然和人文科学研究立项项目(项目名称:"家庭-学校"交互作用对中学生焦虑抑郁影响研究,项目编号:2024AH053467) Funded by 2020 Provincial General Scientific Research Project of West Anhui Health Vocational College(number,KJ2020B006) （项目名称:"家庭-学校"交互作用对中学生焦虑抑郁影响研究,项目编号:2024AH053467）
2024 Provincial University Natural and Humanities Sciences Research Project of West Anhui Health Vocational College(number,2024AH053467) （number,2024AH053467）
