Fu Wenxian, Li Xinyi, Ji Sifan, Yang Tingting, Chen Lu, Guo Yaru, He Kongliang
Affiliated Psychological Hospital of Anhui Medical University, Hefei Fourth People's Hospital, Hefei, 230022, People's Republic of China.
School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230022, People's Republic of China.
Psychol Res Behav Manag. 2024 Apr 6;17:1477-1485. doi: 10.2147/PRBM.S448248. eCollection 2024.
Non-suicidal self-injury (NSSI) behavior is very common in adolescents with depression, and childhood trauma is considered one of the distal risk factors for its exacerbation. Rumination caused by adverse traumatic experiences, which can be transferred through NSSI behavior, can alleviate symptoms of depression in adolescents. The current research focuses on the relationship between the three, further exploring whether rumination is a mediator in the relationship between childhood trauma and NSSI behavior on the basis of previous studies, and provides some suggestions for future early intervention for adolescents with depression.
A total of 833 adolescent patients with depression who met the DSM-5 criteria for depressive episode were recruited from 12 hospitals in China. The Chinese version of the Function Assessment of Self-mutilation, Childhood Trauma Questionnaire, and Rumination Inventory were used as research tools.
The scores of childhood trauma and rumination in adolescents with depression in the NSSI group were higher than those in the non-NSSI group. A Pearson's correlation analysis showed that childhood trauma was positively correlated with rumination (=0.165, <0.01), different types of childhood trauma were significantly positively correlated with rumination and its three factors, and these results were statistically significant. Rumination partially mediated the relationship between childhood trauma and NSSI behavior in depressed adolescent patients (effect size=0.002), and the effect in female participants (effect size=0.003), was greater than that in male participants (effect size=0.002).
Childhood trauma and rumination were key factors for NSSI behavior in adolescents with depression. Childhood trauma not only has a direct effect on NSSI behavior in adolescent depression, but also plays an indirect effect on NSSI behavior through rumination.
非自杀性自伤（NSSI）行为在抑郁青少年中非常普遍，童年创伤被认为是其加重的远端危险因素之一。由不良创伤经历引起的反刍思维可通过NSSI行为传递，能缓解青少年的抑郁症状。当前研究聚焦于三者之间的关系，在以往研究基础上进一步探讨反刍思维是否为童年创伤与NSSI行为关系中的中介变量，并为未来抑郁青少年的早期干预提供一些建议。
从中国12家医院招募了833名符合DSM-5抑郁发作标准的青少年抑郁患者。使用中文版的自残功能评估量表、童年创伤问卷和反刍思维量表作为研究工具。
NSSI组抑郁青少年的童年创伤和反刍思维得分高于非NSSI组。Pearson相关分析显示，童年创伤与反刍思维呈正相关（=0.165，<0.01），不同类型的童年创伤与反刍思维及其三个因子均呈显著正相关，且这些结果具有统计学意义。反刍思维在抑郁青少年患者的童年创伤与NSSI行为关系中起部分中介作用（效应量=0.002），在女性参与者中的效应（效应量=0.003）大于男性参与者（效应量=0.002）。
童年创伤和反刍思维是抑郁青少年NSSI行为的关键因素。童年创伤不仅对青少年抑郁中的NSSI行为有直接影响，并通过反刍思维对NSSI行为产生间接影响。
