医学新知2026，Vol.36Issue(7)：734-742,中插3,10.DOI:10.12173/j.issn.1004-5511.202603183
童年创伤影响青少年抑郁患者自杀意念的路径:归因风格与心理弹性的链式中介作用
The pathways of childhood trauma affecting suicidal ideation in adolescent patients with depression:the chain mediating role of attributional style and psychological resilience
敖江莎 1吴博 2雷驰 3何佩 3李相利4
作者信息
- 1. 广元市精神卫生中心心理咨询与治疗中心(四川 广元 628000)
- 2. 广元市精神卫生中心精神科(四川 广元 628000)
- 3. 广元市精神卫生中心儿少精神科(四川 广元 628000)
- 4. 咸阳市中心医院精神科(陕西 咸阳 712000)
- 折叠
摘要
Abstract
Objective To investigate the impact of childhood trauma on suicidal ideation in adolescent patients with depression,and analyze the chain mediating roles of psychological resilience and attributional style.Methods Adolescent patients with depression who visited Guangyuan Mental Health Center from December 2023 to July 2025 were enrolled as the depressive disorder group,and healthy adolescents were recruited during the same period as the control group.Baseline data and scores from the Childhood Trauma Questionnaire(CTQ),Positive and Negative Suicide Ideation Inventory(PANSI),Connor-Davidson Resilience Scale(CD-RISC),and Attributional Style Questionnaire(ASQ)were compared.Pearson correlation analysis was used to explore the correlations among CTQ score,CD-RISC score,ASQ score,and PANSI score.Process macro was used to construct a model,verifying the mediating role of the chain pathway between psychological resilience and attributional style in the influence of childhood trauma on suicidal ideation.Results A total of 250 subjects were included,consisting of 143 in the depressive disorder group and 107 in the control group.The CTQ,PANSI,and negative attribution scores in the depressive disorder group were significantly higher than those in the control group(P<0.05).The CTQ score was positively correlated with PANSI score(r=0.523)and ASQ negative attribution score(r=0.457),and negatively correlated with ASQ positive attribution score(r=-0.421)and CD-RISC score(r=-0.404)(P<0.05).Chain mediation model analysis revealed that the total effect of childhood trauma on suicidal ideation was 0.523(P<0.001).Psychological resilience and attributional style exerted significant partial mediating effects,with a total indirect effect of 0.340,accounting for 65.01%of the total effect.Among these,the chain-mediated pathway from CTQ to CD-RISC to ASQ negative attribution and ultimately to PANSI was statistically significant(effect size=0.027,accounting for 5.16%of the total effect).Conclusion Childhood trauma influences suicidal ideation in adolescents with depression,with psychological resilience and attributional style playing a chain-like mediating role.Clinically,enhancing patients'psychological resilience and improving negative and pessimistic attributional styles can alleviate the depressive stress caused by childhood trauma,thereby reducing risk of suicidal ideation and behaviour.关键词
童年创伤/抑郁/自杀意念/心理弹性/归因风格/链式中介/青少年Key words
Childhood trauma/Depression/Suicidal ideation/Psychological resilience/Attributional style/Chain mediation/Adolescent分类
医药卫生引用本文复制引用
敖江莎,吴博,雷驰,何佩,李相利..童年创伤影响青少年抑郁患者自杀意念的路径:归因风格与心理弹性的链式中介作用[J].医学新知,2026,36(7):734-742,中插3,10.
