新冠疫情期间青少年的童年不良经历与抑郁症状：睡眠质量差和心理灵活性的中介作用
Adverse childhood experiences and depressive symptoms among adolescents during the COVID-19 pandemic: mediating roles of poor sleep quality and psychological inflexibility.
作者信息
Ye Baojuan, Wang Qipeng, Zhang Yanzhen, Yang Qiang
机构信息
Center of Mental Health Education and Research, School of Psychology, Jiangxi Normal University, Nanchang, China.
Brain Game Center, Department of Psychology, University of California, Riverside, CA, USA.
出版信息
Psychol Health Med. 2023 Jul-Dec;28(8):2095-2107. doi: 10.1080/13548506.2023.2190986. Epub 2023 Mar 15.
Previous studies have found that adverse childhood experiences can lead to depressive symptoms. But the underlying mechanisms have not been determined. Guided by the 3-P model of insomnia and acceptance and commitment therapy, this study examined the mediating role of poor sleep quality and psychological inflexibility in the relationship between adverse childhood experiences and depressive symptoms during the COVID-19 pandemic. A total of 996 senior high school students in China (Mage = 16.57 years; SD = 1.03) completed the self-report measures of adverse childhood experiences, depressive symptoms, poor sleep quality, and psychological inflexibility. Multiple mediation analysis revealed that adverse childhood experiences were related to depressive symptoms through poor sleep quality and psychological inflexibility, serially. These findings point to potential targets in the prevention of and intervention in adolescent depressive symptoms.
以往的研究发现，童年不良经历会导致抑郁症状。但其潜在机制尚未确定。本研究以失眠的三要素模型和接纳与承诺疗法为指导，探讨了在新冠疫情期间，睡眠质量差和心理灵活性不足在童年不良经历与抑郁症状之间的关系中所起的中介作用。共有996名中国高中生（年龄中位数=16.57岁；标准差=1.03）完成了关于童年不良经历、抑郁症状、睡眠质量差和心理灵活性不足的自我报告测量。多重中介分析表明，童年不良经历通过睡眠质量差和心理灵活性不足，依次与抑郁症状相关。这些发现指出了预防和干预青少年抑郁症状的潜在靶点。
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