Yang Tingyu, He Yuqiong, Wu Shuxian, Cui Xilong, Luo Xuerong, Liu Jianbo
National Clinical Research Center for Mental Disorders, and Department of Psychiatry, Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, School of Mental Health, Shenzhen University, Shenzhen, 518003, China.
Ann Gen Psychiatry. 2021 Dec 3;20(1):51. doi: 10.1186/s12991-021-00371-1.
This study investigated an association between schizoid tendencies and aggressive behaviors in Chinese adolescents, and explored the underlying mechanism.
The data of 3094 adolescents aged 12 to 16 years were collected from an epidemiological survey in China. All the subjects or their parents completed the Achenbach's Child Behavior Checklist, the Childhood Trauma Questionnaire-Short Form, and the Adolescent Self-rating Life Event Checklist (ASLEC).
Relative to the non-schizoid group, adolescents with schizoid tendencies (male or female) showed significantly higher scores for aggressive behaviors, emotional abuse, and ASLEC. Regarding females only, those with schizoid tendencies had significantly higher (lower) scores for physical abuse and emotional neglect (physical neglect). The aggressive behaviors score was predicted by scores for schizoid tendencies (β = 0.620, β = 0.638, both P < 0.001) and ASLEC (β = 0.125, β = 0.061, both P < 0.01), and by childhood trauma score (males: emotional neglect [β = 0.045, P = 0.021]; females: emotional abuse and sexual abuse [β = 0.118 and - 0.062, both P < 0.01]). The ASLEC and childhood trauma scores mediated the association between scores for schizoid tendencies and aggressive behaviors, specifically, emotional neglect (emotional abuse and sexual abuse) in males (females). In females, the interaction between scores for childhood trauma and ASLEC affected the aggressive behaviors score (P = 0.023).
Schizoid tendencies are associated with aggressive behaviors among Chinese adolescents. Recent life events and childhood trauma mediated an association between schizoid tendencies and aggressive behaviors. The interaction between childhood trauma and recent life events affected aggressive behaviors in females. Aggressive behaviors in adolescents may be ameliorated by reducing childhood trauma and life events.
本研究调查了中国青少年的分裂样倾向与攻击行为之间的关联，并探讨了其潜在机制。
从中国的一项流行病学调查中收集了3094名12至16岁青少年的数据。所有受试者或其父母完成了阿肯巴克儿童行为量表、儿童创伤问卷简表和青少年自评生活事件量表（ASLEC）。
相对于非分裂样组，有分裂样倾向的青少年（男性或女性）在攻击行为、情感虐待和ASLEC上的得分显著更高。仅就女性而言，有分裂样倾向的人在身体虐待和情感忽视（身体忽视）方面得分显著更高（更低）。攻击行为得分由分裂样倾向得分（β = 0.620，β = 0.638，均P < 0.001）和ASLEC得分（β = 0.125，β = 0.061，均P < 0.01）以及儿童创伤得分预测（男性：情感忽视[β = 0.045，P = 0.021]；女性：情感虐待和性虐待[β = 0.118和 - 0.062，均P < 0.01]）。ASLEC和儿童创伤得分介导了分裂样倾向得分与攻击行为之间的关联，具体而言，男性（女性）的情感忽视（情感虐待和性虐待）。在女性中，儿童创伤得分与ASLEC之间的相互作用影响了攻击行为得分（P = 0.023）。
分裂样倾向与中国青少年的攻击行为有关。近期生活事件和儿童创伤介导了分裂样倾向与攻击行为之间的关联。儿童创伤与近期生活事件之间的相互作用影响了女性的攻击行为。减少儿童创伤和生活事件可能会改善青少年的攻击行为。
