Li Wan, Han Yingchun, Hu Zhizhong, Zhang Yanyan
School of marxism, Nanchang University, Nanchang, Jiangxi Province, 330031, China.
School of marxism, Nanchang University, Nanchang, Jiangxi Province, 330031, China.
Acta Psychol (Amst). 2024 Nov;251:104634. doi: 10.1016/j.actpsy.2024.104634. Epub 2024 Dec 1.
Non-suicidal self-injury (NSSI) refers to the deliberate harm inflicted upon one's own body without any suicidal intent. Adolescence is a period of heightened incidence of self-injurious behavior, often accompanied by anxiety and depression, topics of significant interest to researchers. Upon reviewing and synthesizing existing literature, it becomes evident that childhood trauma serves as a crucial influencing factor in NSSI. Such behavior not only detrimentally impacts the individual's physical and mental well-being but also exerts negative repercussions on their family and society at large. Despite this, there remains a scarcity of intervention studies focusing on individuals with a history of childhood trauma who engage in NSSI. The aim of this study is to investigate the impact of childhood trauma on adolescent NSSI and to elucidate the underlying mechanism of NSSI formation.
In accordance with the specified inclusion and exclusion criteria, a total of 158 subjects who met the eligibility criteria were surveyed through a questionnaire. The participants underwent assessment using a range of questionnaires, including general demographic information, the Adolescent Non-suicidal Self-injury Assessment Questionnaire (ANSAQ), the Toronto Alexithymia Scale (TAS-20), the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA), and the Acceptance and Action Questionnaire Second Edition (AAQ-II).
The impact of childhood trauma on NSSI is found to be influenced by two mediators: direct mediation through experiential avoidance and indirect mediation through a chain involving alexithymia and experiential avoidance.
Alexithymia and experiential avoidance are identified as playing a sequential intermediary role in the relationship between childhood trauma and NSSI.
非自杀性自伤（NSSI）是指在没有任何自杀意图的情况下故意对自己身体造成的伤害。青少年时期是自伤行为发生率较高的阶段，常伴有焦虑和抑郁，这是研究人员非常感兴趣的话题。在回顾和综合现有文献后，很明显童年创伤是NSSI的一个关键影响因素。这种行为不仅对个体的身心健康产生不利影响，也会对其家庭和整个社会产生负面影响。尽管如此，针对有童年创伤史且存在NSSI行为个体的干预研究仍然匮乏。本研究的目的是调查童年创伤对青少年NSSI的影响，并阐明NSSI形成的潜在机制。
按照指定的纳入和排除标准，通过问卷调查对总共158名符合资格标准的受试者进行了调查。参与者使用一系列问卷进行评估，包括一般人口统计学信息、青少年非自杀性自伤评估问卷（ANSAQ）、多伦多述情障碍量表（TAS-20）、汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）以及接受与行动问卷第二版（AAQ-II）。
发现童年创伤对NSSI的影响受两个中介因素影响：通过经验性回避的直接中介以及通过涉及述情障碍和经验性回避的链条的间接中介。
述情障碍和经验性回避在童年创伤与NSSI的关系中被确定为起连续的中介作用。
