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大学生童年创伤与抑郁:心理弹性的中介和调节作用。

Childhood trauma and depression in college students: Mediating and moderating effects of psychological resilience.

机构信息

Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei 230032, Anhui, China.

Department of Public Health, Anhui Medical College, No. 632 Furong Road, Hefei 230601, Anhui, China.

出版信息

Asian J Psychiatr. 2021 Nov;65:102824. doi: 10.1016/j.ajp.2021.102824. Epub 2021 Aug 28.

Abstract

PURPOSE

Not all young people who have experienced childhood abuse and neglect will become depressed or have the same degree of depression. Psychological resilience may probably lead to part of the difference according to previous studies. To observe the association between childhood abuse and neglect and depression and analyze whether psychological resilience has mediating and moderating effects on this association.

METHODS

A cross-sectional sampling with a self-report questionnaire used to measure childhood abuse and neglect, psychological resilience, and depression of college students was conducted in four universities in Hefei City, in October 2018. SPSS PROCESS was used to test the hypotheses of mediating and moderating effects.

RESULTS

Among 4034 students, 58.1% were boys and 41.9% were girls, the average age was 20.4 years (SD = 1.4). A positive association between childhood abuse and neglect and depression was found in the population, whereas negative relationships between psychological resilience and depression, and childhood abuse and neglect were observed (r = 0.251, -0.477, and -0.196, respectively, p < 0.001). For the mediating effect of psychological resilience, the 1000-sample bootstrap demonstrated that the indirect effect was statistically significant (β = 0.073, 95% CI: 0.057-0.092). For the moderating effect, R-square increased because the interaction effect was statistically significant (ΔR2 = 0.008, p < 0.001).

CONCLUSIONS

Our study supported the conclusion of previous studies that psychological resilience mediates and moderates the process of depression. Future research can further reveal the role of psychological resilience by examining different types of childhood abuse and neglect.

摘要

目的

并非所有经历过童年期虐待和忽视的年轻人都会抑郁,或抑郁程度相同。根据以往的研究,心理弹性可能是造成部分差异的原因之一。本研究旨在观察童年期虐待和忽视与抑郁的关系,并分析心理弹性是否对这种关系具有中介和调节作用。

方法

采用整群抽样的方法,于 2018 年 10 月在合肥市 4 所高校,使用自陈式问卷对大学生进行童年期虐待和忽视、心理弹性和抑郁的横断面调查。采用 SPSS PROCESS 检验中介和调节效应的假设。

结果

共调查 4034 名学生,其中男生 58.1%,女生 41.9%,平均年龄为 20.4 岁(SD=1.4)。人群中发现童年期虐待和忽视与抑郁呈正相关,而心理弹性与抑郁、童年期虐待和忽视呈负相关(r 分别为 0.251、-0.477 和-0.196,均 P<0.001)。心理弹性的中介效应 1000 次抽样检验显示,间接效应具有统计学意义(β=0.073,95%CI:0.057-0.092)。调节效应检验显示,由于交互效应具有统计学意义,R 方增加(ΔR2=0.008,P<0.001)。

结论

本研究支持以往研究的结论,即心理弹性在抑郁的发生过程中具有中介和调节作用。未来的研究可以通过考察不同类型的童年期虐待和忽视,进一步揭示心理弹性的作用。

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