Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
J Affect Disord. 2023 Jul 15;333:240-248. doi: 10.1016/j.jad.2023.04.046. Epub 2023 Apr 19.
Maltreatment is a significant predictive factor for self-harm in adolescents. Internalizing and externalizing problems are both common psychopathological issues in adolescents. This study aimed to look into the link between maltreatment and self-harm in a large sample of adolescents in the UK, as well as the mediating effects that internalizing and externalizing problems play in this link.
Data were pulled from the UK Millennium Cohort Study, and a total of 8894 adolescents were included in this analysis. All variables were assessed by Questionnaires. Path analysis was performed to assess the mediating effects of internalizing and externalizing problems in the link between maltreatment and self-harm.
23.4 % of samples reported self-harm incidents during the preceding 12 months. Emotional abuse and physical abuse were significantly related to self-harm, and adolescents who had experienced multiple forms of maltreatment were more prone to self-harm. Mediation analysis revealed that internalizing problems were the primary mediator in the link between emotional abuse and self-harm, with the mediation effect size being 0.29. Internalizing and externalizing problems performed similarly in the link between physical abuse and self-harm, with mediation effect sizes of 0.23 and 0.19, respectively.
The majority of the data was gathered through self-reporting.
Emotional abuse and physical abuse were significant predictors of self-harm, and their links with self-harm were partially mediated via internalizing and externalizing problems. Better supervision of maltreatment, and timely intervention for both internalizing and externalizing problems, are critical in preventing self-harm among adolescents.
虐待是青少年自残的一个重要预测因素。内化和外化问题都是青少年常见的心理病理问题。本研究旨在英国的一个大样本青少年中调查虐待与自残之间的联系，以及内化和外化问题在这种联系中所起的中介作用。
数据来自英国千禧年队列研究，共有 8894 名青少年纳入本分析。所有变量均通过问卷进行评估。路径分析用于评估内化和外化问题在虐待与自残之间的联系中的中介作用。
23.4%的样本报告在过去 12 个月内有自残事件。情感虐待和身体虐待与自残显著相关，经历过多种形式虐待的青少年更容易自残。中介分析显示，内化问题是情感虐待与自残之间联系的主要中介，中介效应大小为 0.29。内化和外化问题在身体虐待与自残之间的联系中表现相似，中介效应大小分别为 0.23 和 0.19。
大部分数据是通过自我报告收集的。
情感虐待和身体虐待是自残的重要预测因素，它们与自残的关系部分通过内化和外化问题中介。更好地监督虐待行为，以及及时干预内化和外化问题，对于预防青少年自残至关重要。
