儿童虐待,认知重新评估,负面应对方式和未自杀性自我伤害在患有严重抑郁症的青少年之间的关联
Yinglin Li1, Zhiying Wan2, Xuan Gong2
1Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
BMC psychiatry
|September 2, 2024
概括
虐待儿童 (CM) 在患有严重抑郁症 (MDD) 的青少年中显著预测非自杀性自我伤害 (NSSI). 这种关系是由认知重新评估 (CR) 和负面应对方式 (NC) 介导的,突出了干预的途径.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 心理健康研究 心理健康研究
背景情况:
- 非自杀性自我伤害 (NSSI) 是患有严重抑郁症 (MDD) 的青少年的一个关键公共卫生问题.
- 虐待儿童 (CM) 与NSSI有关,但潜在的机制需要进一步阐明.
- 了解这些途径对于开发有效的干预措施至关重要.
研究的目的:
- 调查儿童虐待 (CM),认知重新评估 (CR) 和与NSSI相关的负面应对方式 (NC) 在患有MDD的青少年之间的关联.
- 通过隐性变量理论和精神障碍网络理论来探索这些关系.
- 确定CM-NSSI链接中的潜在调解和调节因素.
主要方法:
- 招募了651名被诊断为MDD的青少年的样本.
- 数据采集使用基于纸质的自我报告问卷来评估CM,CR,NC和NSSI.
- 结构方程建模和网络分析用于数据分析.
主要成果:
- 在研究的青少年MDD人群中,NSSI的患病率为48.2%.
- 虐待儿童 (CM) 与NSSI有显著的正相关性.
- 通过CR,NC的调解作用以及它们的联合链调解,NSSI受到CM的影响. 情绪虐待成为网络中的一个中心节点.
结论:
- 这项研究独特地整合了结构方程建模和网络分析,以检查MDD青少年的CM,CR,NC和NSSI.
- 研究结果为早期预防策略和针对这一弱势群体的有针对性的干预提供了理论基础.
- 确定情绪虐待作为一个中心节点为临床关注提供了具体的目标.
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