Department of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, Kunming, China.
Psychiatry department, The First Affiliated Hospital, Kunming Medical University, Kunming, China.
BMC Psychiatry. 2022 Nov 4;22(1):680. doi: 10.1186/s12888-022-04336-w.
Childhood maltreatment (CM) has been associated with suicidal ideation (SI) in children and adolescents, yet the mediating role of mindfulness in this association remains unclear. This study aims to test the mediation of mindfulness in CM-SI association among a large sample of Chinese children and adolescents.
A population-based cross-sectional study of 3455 children and adolescents aged 10-17 years from southwest China Yunnan province was conducted. Information from the participants was collected by using a comprehensive self-administered questionnaire. The Chinese version of the Childhood Trauma Questionnaire (CTQ), Five Facet Mindfulness Questionnaire (FFMQ), and the Beck Scale for Suicidal Ideation (BSSI) were used to measure CM, mindfulness and SI. Univariate and multivariate binary logistic regression models were used to estimate the crude and adjusted associations between CM, mindfulness and SI (one-week, one-year, lifetime). Pathway analysis was subsequently performed to test the mediation of mindfulness in CM-SI association.
The findings showed that mindfulness, CM and SI were significantly correlated with each other (p < 0.05). Mindfulness is a significant mediator in CM-SI association, accounted for 7.5, 11.4, and 17.6% of the total associations for one-week SI, one-year SI, and lifetime SI, respectively. For the five types of CM, the highest level of mediation via mindfulness had been found for physical neglect (PN) and one-year SI (34.3%), followed by emotional neglect (EN) and one-year SI (30.2%), sexual abuse (SA) and one-year SI (25.4%).
Our study findings highlight the intervention potential of mindfulness in preventing CM associated suicidal risk. Future longitudinal studies are warranted to corroborate the effectiveness of mindfulness-based intervention for Chinese children and adolescents.
儿童期虐待（CM）与儿童和青少年的自杀意念（SI）有关，但正念在这种关联中的中介作用尚不清楚。本研究旨在检验正念在大量中国儿童和青少年 CM-SI 关联中的中介作用。
本研究采用横断面研究设计，对来自中国云南省的 3455 名 10-17 岁的儿童和青少年进行了研究。使用综合自填式问卷收集参与者的信息。采用中文版儿童创伤问卷（CTQ）、五因素正念量表（FFMQ）和贝克自杀意念量表（BSSI）来测量 CM、正念和 SI。采用单变量和多变量二元逻辑回归模型来估计 CM、正念和 SI（一周、一年、终生）之间的粗关联和调整关联。随后进行路径分析来检验正念在 CM-SI 关联中的中介作用。
研究结果表明，正念、CM 和 SI 之间存在显著相关性（p < 0.05）。正念在 CM-SI 关联中是一个显著的中介因素，分别占一周 SI、一年 SI 和终生 SI 总关联的 7.5%、11.4%和 17.6%。对于五种类型的 CM，通过正念的中介作用最高的是躯体忽视（PN）和一年 SI（34.3%），其次是情感忽视（EN）和一年 SI（30.2%），性虐待（SA）和一年 SI（25.4%）。
本研究结果强调了正念在预防 CM 相关自杀风险中的干预潜力。未来需要进行纵向研究来验证正念为基础的干预对中国儿童和青少年的有效性。
