童年创伤与网络成瘾障碍的关系：以抑郁为中介，心理弹性为调节变量的中介调节分析。

Association between childhood trauma and Internet gaming disorder: a moderated mediation analysis with depression as a mediator and psychological resilience as a moderator.

机构信息

Department of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.

Hunan Key Laboratory of Psychiatry and Mental Health, China National Technology Institute on Mental Disorders, Institute of Mental Health, Hunan Medical Center for Mental Health, Changsha, Hunan, 410011, China.

出版信息

BMC Psychiatry. 2024 Jun 4;24(1):412. doi: 10.1186/s12888-024-05863-4.

DOI:10.1186/s12888-024-05863-4

PMID:38834952

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11151498/

Abstract

BACKGROUND

The effect of childhood trauma on Internet gaming disorder remains unclear. In this study, we examined this association in Chinese students and explored the possible associated roles of psychological resilience and depression.

METHODS

In total, 8,579 students from Hunan Province, China, provided information regarding their sociodemographic factors, history of childhood trauma, any symptoms of depression, psychological resilience, and characteristics of Internet gaming disorder for this cross-sectional study. The impact of childhood trauma on Internet gaming disorder, as well as the extent to which it was mediated by depression and moderated by psychological resilience was evaluated.

RESULTS

The influence of childhood trauma on Internet gaming disorder was partially mediated by depression (B = 0.07, 95% CI [0.04, 0.05], p < 0.001), with psychological resilience acting as a mitigating factor (B = -0.002, 95% CI [13.74, 21.72], p < 0.001). Psychological resilience also moderated the association between childhood trauma and depression (B = - 0.003, 95% CI [22.17, 28.10], p < 0.001). Our moderated mediation model elucidated psychosocial mechanisms, revealing the underlying link between childhood trauma and Internet gaming disorder. It also demonstrated the partial mediating role of depression and modulating role of psychological resilience among Chinese students.

CONCLUSIONS

Education and interventions, along with effective social support, should be provided to enhance students' psychological resilience and prevent childhood trauma and depression.

摘要

背景

儿童期创伤对网络成瘾的影响仍不清楚。本研究在中国学生中检验了这种关联，并探讨了心理弹性和抑郁可能的相关作用。

方法

共有 8579 名来自中国湖南省的学生提供了他们的社会人口因素、儿童期创伤史、任何抑郁症状、心理弹性和网络成瘾特征的信息，用于这项横断面研究。评估了儿童期创伤对网络成瘾的影响，以及抑郁的中介作用程度和心理弹性的调节作用。

结果

儿童期创伤对网络成瘾的影响部分通过抑郁来介导（B=0.07，95%置信区间[0.04，0.05]，p<0.001），心理弹性起到了缓解因素的作用（B=-0.002，95%置信区间[13.74，21.72]，p<0.001）。心理弹性也调节了儿童期创伤与抑郁之间的关联（B=-0.003，95%置信区间[22.17，28.10]，p<0.001）。我们的调节中介模型阐明了心理社会机制，揭示了儿童期创伤与网络成瘾之间的潜在联系。它还表明了抑郁的部分中介作用和心理弹性的调节作用在中国学生中。