Wang Aiping, Xu Zhaojuan, Liu Caifeng, Cao Lingxia, Wang Feifei
Department of Clinical Psychology, Shandong Mental Health Center, Shandong University, Jinan, Shandong, China.
The Second Hospital of Shandong University, Jinan, Shandong, China.
Brain Behav. 2025 May;15(5):e70554. doi: 10.1002/brb3.70554.
There exists a prevalence of insomnia in depressed adolescents. Childhood maltreatment is a major life event which may intensify its severity. However, studies on the relationship between insomnia and childhood maltreatment and the mediating role of rumination are scarce.
The study utilized a cross-sectional study design with 88 adolescents diagnosed with major depressive disorder. Childhood maltreatment, rumination, and insomnia were measured by self-reported questionnaires which included Child Psychological Abuse and Neglect Scale, Rumination Response Scale, and Insomnia Severity Index. Multiple linear regressions were employed for data analysis after controlling for confounders.
Adolescents with severe childhood neglect reported higher levels of insomnia. Childhood abuse was positively associated with insomnia, but their association was insignificant. Symptom rumination and reflective pondering could indirectly mediate the association between neglect and insomnia.
The association between childhood maltreatment and insomnia symptoms in depressed adolescents was mediated by rumination. Collaboration with psychotherapists who are experts in psychotherapies, like cognition or mindfulness-based intervention, may be an effective way of releasing the adverse effects of childhood maltreatment on insomnia.
抑郁青少年中失眠现象普遍存在。童年期虐待是可能加剧其严重程度的重大生活事件。然而，关于失眠与童年期虐待之间的关系以及反刍思维的中介作用的研究较少。
本研究采用横断面研究设计，纳入88名被诊断为重度抑郁症的青少年。童年期虐待、反刍思维和失眠通过自我报告问卷进行测量，这些问卷包括儿童心理虐待与忽视量表、反刍反应量表和失眠严重程度指数。在控制混杂因素后，采用多元线性回归进行数据分析。
童年期严重被忽视的青少年报告的失眠水平更高。童年期虐待与失眠呈正相关，但其关联不显著。症状反刍和反思性沉思可间接介导忽视与失眠之间的关联。
抑郁青少年中童年期虐待与失眠症状之间的关联由反刍思维介导。与认知或正念疗法等心理治疗方面的专家心理治疗师合作，可能是减轻童年期虐待对失眠的不良影响的有效方法。
