Department of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, Kunming, 650500, Yunnan, China.
The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
BMC Public Health. 2021 Aug 17;21(1):1561. doi: 10.1186/s12889-021-11605-y.
Published studies examining the association between childhood maltreatment (CM) and self-harm (SH) among adolescents have been accumulated. It is possible that resilience serves as a moderator or mediator in CM-SH association, nevertheless, this topic has never been thoroughly investigated.
In this population-based cross-sectional study, we surveyed 3146 students aged 10-17 in southwest China. The Childhood Trauma Questionnaire (CTQ), the Modified version of Adolescents Self-Harm Scale (MASHS), and the Resilience Scale for Chinese Adolescents (RSCA) were used to measure CM, SH, and resilience. Correlational analyses, hierarchical multivariate linear regression, and structural equation modeling (SEM) were performed to test the moderation and mediation of resilience in CM-SH association.
Findings revealed that, resilience with its five dimensions, CM, and SH were significantly correlated with each other. Resilience partially moderated and mediated the association between CM and SH. Besides, among all dimensions of resilience, emotion regulation, interpersonal assistance, and family support presented the strongest mediation in CM-SH association.
Our results highlight the importance of resilience in CM related SH among Chinese teenagers. Resilience-oriented intervention could be considered in SH intervention measures for adolescents who had experienced CM.
已有大量研究探讨了儿童期虐待（CM）与青少年自伤（SH）之间的关联。韧性可能在 CM-SH 关联中起到调节或中介作用，但这一主题从未得到过彻底的研究。
本研究采用基于人群的横断面设计，在中国西南部调查了 3146 名 10-17 岁的学生。使用儿童期创伤问卷（CTQ）、青少年自伤量表修订版（MASHS）和中国青少年韧性量表（RSCA）来测量 CM、SH 和韧性。进行相关性分析、分层多元线性回归和结构方程模型（SEM），以检验韧性在 CM-SH 关联中的调节和中介作用。
结果表明，韧性及其五个维度、CM 和 SH 之间均存在显著相关性。韧性部分调节和中介了 CM 和 SH 之间的关联。此外，在所有韧性维度中，情绪调节、人际帮助和家庭支持在 CM-SH 关联中具有最强的中介作用。
我们的研究结果强调了韧性在中国青少年 CM 相关 SH 中的重要性。对于经历过 CM 的青少年，韧性导向的干预措施可考虑用于 SH 干预措施中。
