儿童情感虐待影响心境障碍青少年的抑郁：非自杀性自伤功能的中介作用。

Childhood emotional maltreatment affects depression of adolescents with mood disorders: the mediating role of functions of non-suicidal self-injury.

机构信息

Mental Health Center of West China Hospital, Sichuan University, Chengdu, China.

School of Nursing, The University of Hong Kong, Hong Kong, China.

出版信息

BMC Psychiatry. 2024 Oct 29;24(1):748. doi: 10.1186/s12888-024-06185-1.

DOI:10.1186/s12888-024-06185-1

PMID:39472844

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11520776/

Abstract

BACKGROUND

Childhood emotional maltreatment, non-suicidal self-injury and depression are prevalent among adolescents with mood disorders. While existing model indicated that childhood emotional maltreatment, functions of non-suicidal self-injury and depression are interrelated, not much is understood about the interplay of functions of non-suicidal self-injury in the relationship between childhood emotional maltreatment and depression. Thus, the goal of this research was to ascertain how functions of non-suicidal self-injury relate to childhood emotional maltreatment and depression.

METHODS

The participants were adolescents with mood disorders from three hospitals in Sichuan Province, data was collected using self-administered questionnaires, including the Childhood Trauma Questionnaire, Ottawa Self-injury Inventory-Functions, and Childhood Depression Inventory. SPSS26.0 software and PROCESS v3.3 model 4 were used for analysis.

RESULTS

In all, 235 adolescents (M=14.8, SD = 1.62) participated in the research. The functions of non-suicidal self-injury (r = 0.289, P < 0.01) and depression (r = 0.475, P < 0.01) were considerably positively connected with childhood emotional maltreatment, and the functions of non-suicidal self-injury were strongly positively correlated with depression (r = 0.364, P < 0.01). The direct impact of childhood emotional maltreatment on depression in adolescents was found to be significant (95% CI 0.434, 0.828) in the mediated effects model. Additionally, the indirect effect of childhood emotional maltreatment on depression through functions of non-suicidal self-injury was found to be significant (95% CI 0.055, 0.236), with a mediating effect value of 17.58%.

CONCLUSION

Childhood emotional maltreatment has a direct impact on depression, but it also has an indirect influence through mediation roles of functions of non-suicidal self-injury. Medical staff should take care of the mental health of adolescents hospitalized for mood disorders so that they can clarify the role of functions of NSSI in lowering depressive symptoms and improving quality of life and create more targeted and effective intervention plans.

摘要

背景

童年情绪虐待、非自杀性自伤和抑郁在患有心境障碍的青少年中很常见。虽然现有模型表明童年情绪虐待、非自杀性自伤的功能与抑郁相互关联，但对于非自杀性自伤的功能在童年情绪虐待和抑郁之间的关系中的相互作用知之甚少。因此，本研究的目的是确定非自杀性自伤的功能如何与童年情绪虐待和抑郁相关。

方法

参与者为来自四川省三所医院的心境障碍青少年，使用自填式问卷收集数据，包括童年创伤问卷、渥太华自伤清单-功能和儿童抑郁量表。使用 SPSS26.0 软件和 PROCESS v3.3 模型 4 进行分析。

结果

共有 235 名青少年（M=14.8，SD=1.62）参与了研究。非自杀性自伤的功能（r=0.289，P<0.01）和抑郁（r=0.475，P<0.01）与童年情绪虐待有相当显著的正相关，非自杀性自伤的功能与抑郁有强烈的正相关（r=0.364，P<0.01）。在中介效应模型中，发现童年情绪虐待对青少年抑郁的直接影响是显著的（95%CI 0.434，0.828）。此外，还发现童年情绪虐待通过非自杀性自伤的功能对抑郁的间接影响是显著的（95%CI 0.055，0.236），中介效应值为 17.58%。