Sleep problems mediate the influence of childhood emotional maltreatment on adolescent non-suicidal self-injury: The moderating effect of rumination

IF 3.4 2区心理学 Q1 FAMILY STUDIES Child Abuse & Neglect Pub Date : 2023-06-01 DOI:10.1016/j.chiabu.2023.106161

Xiaoyu Zheng , Yuanyuan Chen , Jianjun Zhu

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引用次数: 1

Abstract

Background

Non-suicidal self-injury (NSSI) is a highly serious public health problem among adolescents in China, and childhood emotional maltreatment has been found to be a risk factor for NSSI.

Objective

Little is known about the longitudinal association between childhood emotional maltreatment and NSSI as well as its underlying mediating and moderating mechanisms. Thus, we hypothesized whether sleep problems mediated the association between childhood emotional maltreatment and NSSI, and whether this indirect effect was moderated by rumination.

Participants and setting

A total of 1987 Chinese adolescents (56.1 % males; ages 10 to 14, M = 12.32, SD = 0.53) completed self-report questionnaires regarding childhood emotional maltreatment, sleep problems, rumination non-suicidal self-injury (NSSI) in three waves.

Methods

Structural equation model was used to test a moderated mediation model, with gender, age and socioeconomic status and baseline measures as covariates.

Results

Childhood emotional maltreatment was significantly associated with NSSI, and this association was mediated by sleep problems. Moderated mediation analyses revealed that rumination intensified the relation between childhood emotional maltreatment and sleep problems as well as the relation between sleep problems and NSSI.

Conclusions

Findings of this study demonstrate a relationship among childhood emotional maltreatment, sleep problems, rumination and NSSI. Interventions that target sleep problems and rumination may be beneficial for reducing NSSI for at-risk adolescents.

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睡眠问题介导童年情绪虐待对青少年非自杀性自伤的影响：沉思的调节作用

背景非自杀性自伤（NSSI）是我国青少年中一个非常严重的公共卫生问题，儿童期情感虐待已被发现是NSSI的一个危险因素。因此，我们假设睡眠问题是否介导了儿童情绪虐待和NSSI之间的联系，以及这种间接影响是否由沉思调节。参与者和设置1987名中国青少年（56.1%为男性；10-14岁，M=12.32，SD=0.53）分三波完成了关于童年情绪虐待、睡眠问题、沉思非自杀性自伤（NSSI）的自我报告问卷。方法采用结构方程模型，以性别、年龄、社会经济地位和基线指标为协变量，检验一个适度中介模型。结果儿童期情感虐待与NSSI显著相关，睡眠问题介导了这种相关性。适度中介分析显示，沉思强化了儿童情绪虐待与睡眠问题之间的关系，以及睡眠问题与NSSI之间的关系。结论本研究的研究结果表明，儿童情绪虐待、睡眠问题、沉思与NSSI存在关系。针对睡眠问题和沉思的干预措施可能有利于降低高危青少年的NSSI。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.