McLafferty Margaret, Armour Cherie, Bunting Brendan, Ennis Edel, Lapsley Coral, Murray Elaine, O'Neill Siobhan
Psychology Research Institute, Ulster University, Coleraine, UK.
Northern Ireland Centre for Stratified Medicine, Biomedical Sciences Research Institute, Ulster University, Clinical Translational Research and Innovation Centre, Altnagelvin Hospital Site, Londonderry, UK.
Psych J. 2019 Sep;8(3):293-306. doi: 10.1002/pchj.301. Epub 2019 Jun 25.
Early life experiences, such as childhood adversities or poor parenting practices, can impact on the ability to cope with stressors across the lifespan. Furthermore, poor coping skills can lead to the development of mental illnesses, self-harm, and suicidal behavior. This study aimed to examine demographic differences in stress levels and to determine if those who had endured negative childhood experiences would be more likely to develop psychological problems and display suicidal behavior when current stress levels were accounted for. The study also explored the link between coping and mental health problems. Finally, it aimed to predict risk and protective factors related to good coping skills. The study utilized data obtained from the Ulster University Student Wellbeing Study, conducted across four university campuses in Northern Ireland in 2015 (n = 716) as part of the World Health Organization World Mental Health (WMH) International College Student Initiative. Mental health problems and early childhood experiences were examined using questions adapted from the WMH Composite International Diagnostic Interview, with self-harm and suicidal behavior measured using the Self-Injurious Thoughts and Behaviors Interview (SITBI). Females, non-heterosexuals, and older students experienced more current stress. When current stress levels were high, childhood adversities and parental overcontrol and overindulgence were related to higher rates of mental health problems, self-harm, and suicidal behavior. Poor coping skills were associated with negative mental health outcomes. Social support and good emotion-regulation strategies were related to effective coping, while parental overcontrol and overindulgence, female gender, and younger age were related to poorer coping. The study highlights the importance of developing good coping skills to deal with life stressors, thereby minimizing the risk of psychological problems and suicidal behavior. The findings provide support for initiatives to help parents improve their parenting skills and other programs to help young people cope with stress, and to develop social networks and adaptive emotion-regulation strategies.
早年经历,如童年逆境或不良养育方式,会影响个体在整个生命周期中应对压力源的能力。此外,不良的应对技巧会导致精神疾病、自我伤害和自杀行为的发生。本研究旨在调查压力水平的人口统计学差异,并确定在考虑当前压力水平的情况下,那些曾经历负面童年经历的人是否更有可能出现心理问题并表现出自杀行为。该研究还探讨了应对方式与心理健康问题之间的联系。最后,其旨在预测与良好应对技巧相关的风险因素和保护因素。该研究使用了从阿尔斯特大学学生幸福感研究中获得的数据,该研究于2015年在北爱尔兰的四个大学校园进行(n = 716),是世界卫生组织世界心理健康(WMH)国际大学生倡议的一部分。心理健康问题和童年早期经历通过改编自WMH综合国际诊断访谈的问题进行调查,自我伤害和自杀行为通过自我伤害想法和行为访谈(SITBI)进行测量。女性、非异性恋者和年龄较大的学生经历的当前压力更大。当当前压力水平较高时,童年逆境以及父母的过度控制和溺爱与更高的心理健康问题、自我伤害和自杀行为发生率相关。不良的应对技巧与负面心理健康结果相关。社会支持和良好的情绪调节策略与有效的应对方式相关,而父母的过度控制和溺爱、女性性别以及较年轻的年龄与较差的应对方式相关。该研究强调了培养良好应对技巧以应对生活压力源的重要性,从而将心理问题和自杀行为的风险降至最低。研究结果为帮助父母提高养育技巧的倡议以及其他帮助年轻人应对压力、发展社交网络和适应性情绪调节策略的项目提供了支持。