Peng Yu, Ishak Zahari
Students Mental Health Education and Counseling Center, Kunming University of Science and Technology, Kunming, 650500, China.
Faculty of Social Sciences and Liberal Arts, UCSI University, 56000, Kuala Lumpur, Malaysia.
Sci Rep. 2025 Jan 4;15(1):786. doi: 10.1038/s41598-024-84947-3.
Given the significant prevalence of adverse childhood experiences (ACEs) and their detrimental impact on mental health, this study examines the relationship between attachment anxiety, attachment avoidance, and complex post-traumatic stress disorder (CPTSD) among college students with ACEs, emphasizing the mediating role of self-compassion (SC). A sample of 32,388 students from Kunming, China completed a survey including the Revised Adverse Childhood Experiences Questionnaire (ACEQ-R), the Adult Attachment Scale (AAS), the International Trauma Questionnaire (ITQ), and the Self-Compassion Scale-Short Form (SCS-SF). Among the participants, 3,896 reported at least one ACE. Data were analyzed using structural equation modeling (SEM) to explore the proposed mediation model. Results revealed that both attachment anxiety and avoidance positively influenced CPTSD symptoms while negatively affecting SC. SC negatively influenced CPTSD symptoms, acting as a significant mediator. The mediating effect of SC was stronger for disturbances in self-organization (DSO) than for post-traumatic stress disorder (PTSD) symptoms. These findings underscore the importance of fostering SC in interventions aimed at mitigating the influence of attachment anxiety and avoidance on CPTSD among college students with ACEs.
鉴于童年不良经历（ACEs）的显著普遍性及其对心理健康的有害影响，本研究考察了有ACEs的大学生中依恋焦虑、依恋回避与复杂性创伤后应激障碍（CPTSD）之间的关系，强调了自我同情（SC）的中介作用。来自中国昆明的32388名学生参与了一项调查，该调查包括修订后的童年不良经历问卷（ACEQ-R）、成人依恋量表（AAS）、国际创伤问卷（ITQ）和自我同情量表简版（SCS-SF）。在参与者中，3896人报告至少有一次ACEs。采用结构方程模型（SEM）对数据进行分析，以探究所提出的中介模型。结果显示，依恋焦虑和回避均对CPTSD症状有正向影响，同时对SC有负向影响。SC对CPTSD症状有负向影响，起到显著的中介作用。SC对自我组织紊乱（DSO）的中介作用比对创伤后应激障碍（PTSD）症状的中介作用更强。这些发现强调了在旨在减轻有ACEs的大学生中依恋焦虑和回避对CPTSD影响的干预措施中培养SC的重要性。
