孤独,内化和外化问题,以及中国青少年的自杀想法:一个纵向调解分析
Jingyi Wang1, Yuting Yang1, Yun Chen2
1School of Public Health, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China.
概括
孤独和情绪/行为问题显著增加了青少年自杀念头的风险. 孤独直接预测内部化和外部化问题,然后加剧自杀念头.
科学领域:
- 青少年心理学 青少年心理学
- 心理健康研究 心理健康研究
- 公共卫生 公共卫生
背景情况:
- 青少年的自杀念头是一个越来越令人担忧的问题.
- 孤独和情绪/行为问题是已知的危险因素.
- 将这些因素与自杀念头联系起来的明显途径需要进一步调查.
研究的目的:
- 区分孤独,内化问题和外化问题的具体贡献,对中国青少年的自杀念头.
- 阐明孤独与自杀念头之间的关系中,内化和外化问题的调解作用.
主要方法:
- 纵向调解分析使用了来自3个时间点的2,190名高中学生的数据.
- 使用的验证尺度:UCLA 3项孤独度量,儿童抑郁症清单 (自杀项目) 和强度和困难问卷.
- 用于分析完整的纵向路径模型的结构方程建模.
主要成果:
- 孤独感,内化问题和外化问题都是增加自杀念头的独立预测因素.
- 孤独显著预测了随后的内部化 (β=0.279) 和外部化问题 (β=0.159).
- 反过来,内部化和外部化问题预测了更严重的自杀念头 (分别为β=0.019和β=0.018).
结论:
- 孤独,内化/外化问题和青少年自杀念头之间存在着复杂的相互作用.
- 针对孤独和情绪/行为问题的干预措施对于预防自杀念头至关重要.
- 解决这些相互关联的因素可以帮助打破不断升级的心理健康挑战的循环.
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