Yuan Guangzhe F, Lu Yanping, Tao Yuan, Shi Wei
Sichuan Rural Education Development Research Center, School of Education Science, Leshan Normal University, Leshan, People's Republic of China.
Mental Health Education Center, Leshan Normal University, Leshan, People's Republic of China.
Eur J Psychotraumatol. 2025 Dec;16(1):2521917. doi: 10.1080/20008066.2025.2521917. Epub 2025 Jun 30.
Prior research has indicated that adverse childhood experiences (e.g. emotional abuse and emotional neglect) may be a contributing factor in the development of non-suicidal self-injury (NSSI) in emerging adulthood. Yet, the data on the potential psychological mechanism underlying adverse childhood experiences and NSSI are limited. The objective of this study was to examine the serial mediating roles of mindfulness and depressive symptoms on the relation between emotional abuse and neglect and NSSI. A cross-sectional design was used in the current study. A sample of 10,839 Chinese youth ( = 19.75, SD = 1.26, age range: 15-30 years; 74.9% women) completed online self-report measures assessing childhood emotional trauma, mindfulness, depressive symptoms, and NSSI behaviours. Structural equation modelling results showed that emotional abuse was negatively related to mindfulness and positively related to depressive symptoms and NSSI. Emotional neglect was negatively related to mindfulness and positively related to depressive symptoms. Mindfulness and depressive symptoms serially mediated the association between emotional abuse and emotional neglect and NSSI. These findings highlight the complex interplay among childhood emotional trauma, mindfulness, depressive symptoms, and NSSI in adolescents and young adults. While this cross-sectional study identifies potential associations, causal relations cannot be established. Future longitudinal research is needed to determine whether interventions aimed at enhancing mindfulness and reducing depressive symptoms may be effective in reducing the risk of NSSI among individuals with a history of emotional abuse or neglect.
先前的研究表明，童年不良经历（如情感虐待和情感忽视）可能是成年早期非自杀性自伤行为（NSSI）发展的一个促成因素。然而，关于童年不良经历与非自杀性自伤行为潜在心理机制的数据有限。本研究的目的是检验正念和抑郁症状在情感虐待与忽视和非自杀性自伤行为之间关系中的系列中介作用。本研究采用横断面设计。10839名中国青年（平均年龄=19.75岁，标准差=1.26，年龄范围：15至30岁；74.9%为女性）的样本完成了在线自我报告测量，评估童年情感创伤、正念、抑郁症状和非自杀性自伤行为。结构方程模型结果显示，情感虐待与正念呈负相关，与抑郁症状和非自杀性自伤行为呈正相关。情感忽视与正念呈负相关，与抑郁症状呈正相关。正念和抑郁症状在情感虐待与忽视和非自杀性自伤行为之间的关联中起系列中介作用。这些发现突出了青少年和青年中童年情感创伤、正念、抑郁症状和非自杀性自伤行为之间复杂的相互作用。虽然这项横断面研究确定了潜在的关联，但无法建立因果关系。未来需要进行纵向研究，以确定旨在增强正念和减轻抑郁症状的干预措施是否能有效降低有情感虐待或忽视史个体的非自杀性自伤行为风险。
