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Validation and Psychometric Properties of the Chinese Version of the Binge Eating Scale in Young Adults 青少年暴食量表中文版的验证与心理测量学特性
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S456275
Wan-Sen Yan, Su-Jiao Liu, Meng-Meng Liu
Background Although structured clinical interviews are considered the gold standard for assessing binge eating disorder (BED), the self-administered Binge Eating Scale (BES) has been widely used as a screening tool for BED in clinical research. However, the psychometric properties of the BES among Chinese young adults remain unclear. This study aimed to examine the validity of a Chinese version of the BES with a large sample. Methods A total of 2182 young adult college students were tested using the Simplified Chinese version of BES (SCBES), the 7-Item Binge-Eating Disorder Screener (BEDS-7), the Zung Self-Rating Depression Scale (SDS), the Generalized Anxiety Disorder Scale (GAD-7), and the Dual-Modes of Self-Control Scale (DMSC). The frequency of objective binge-eating episodes was used as a measure of severity. Validity and reliability of the SCBES were assessed through multiple analyses, along with the item analysis. Results The data revealed that the SCBES demonstrated reasonable reliability and validity. The Cronbach’s α value was 0.813, with a one-month test–retest reliability of 0.835. The exploratory factor analysis (EFA) extracted three first-order factors, which explained a total of 53.82% of the variance. The confirmatory factor analysis (CFA) confirmed the three-factor model (ie, Binge-eating behaviors, Lack of control, Negative affects related to overeating), with a good model fit. The SCBES also demonstrated excellent concurrent and criterion validity, significantly correlating with the BEDS-7 and frequency of objective binge-eating episodes (r=0.760–0.782, p<0.001). Gender, body mass index, depression, anxiety, impulsivity, and self-control were significantly associated with the total score of SCBES. Conclusion The SCBES demonstrated sound psychometric properties and exhibited good cross-cultural adaptability in Chinese young adults, with a novel three-factor model fitting the data best. This scale could serve as a useful screening tool for identifying the severity of binge eating behaviors among Chinese youths.
背景 虽然结构化临床访谈被认为是评估暴饮暴食症(BED)的黄金标准,但在临床研究中,自编的暴饮暴食量表(BES)已被广泛用作暴饮暴食症的筛查工具。然而,自编暴食量表在中国青少年中的心理测量特性仍不明确。本研究旨在通过大样本研究中文版暴食量表的有效性。方法 使用简体中文版 BES(SCBES)、7 项暴食症筛查量表(BEDS-7)、Zung 抑郁自评量表(SDS)、广泛性焦虑症量表(GAD-7)和双模态自控量表(DMSC)对 2182 名青年大学生进行了测试。客观暴饮暴食发作的频率被用来衡量严重程度。通过多重分析和项目分析对 SCBES 的有效性和可靠性进行了评估。结果 数据显示 SCBES 具有合理的信度和效度。Cronbach's α 值为 0.813,一个月测试-再测信度为 0.835。探索性因子分析(EFA)提取了三个一阶因子,共解释了 53.82% 的方差。确认性因子分析(CFA)证实了三因子模型(即暴饮暴食行为、缺乏控制、与暴饮暴食相关的负面情绪),模型拟合度良好。SCBES 还表现出极好的并发效度和标准效度,与 BEDS-7 和客观暴食发作频率有显著相关性(r=0.760-0.782,p<0.001)。性别、体重指数、抑郁、焦虑、冲动和自控力与 SCBES 的总分显著相关。结论 SCBES 具有良好的心理测量学特性,在中国青壮年中表现出良好的跨文化适应性,新的三因素模型与数据的拟合效果最佳。该量表可作为识别中国青少年暴食行为严重程度的有用筛查工具。
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引用次数: 0
Exploring Stigma Experience and Coping Strategies Among Women Living with HIV/AIDS in China: A Phenomenological Study 探索中国女性艾滋病感染者的污名化体验和应对策略:现象学研究
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S456850
Zhongfang Yang, Hongli Yang, Beibei Gong, Lin Zhang, Yanfen Fu, Yan Hu
Purpose As of the end of 2022, over 20 million women worldwide, aged 15 and above, are living with HIV. Stigma remains a formidable barrier for women living with HIV/AIDS, hindering their access to healthcare and exacerbating health disparities. Indeed, some women living with HIV/AIDS can successfully confront and overcome stigma. There remains a paucity of qualitative research exploring the stigma coping strategies of women living with HIV/AIDS in China. This study was aimed to gain the deeper understanding of stigma experienced by women living with HIV/AIDS and coping strategies. Patients and Methods We recruited diverse participants using snowball sampling and purposive sampling. Semi-structured personal in-depth interviews were conducted with 30 women living with HIV/AIDS from December 2022 to June 2023. The samples were from four HIV/AIDS designated hospitals. The data were analyzed using the Colaizzi seven-step model. Results The experiences of stigma among women living with HIV/AIDS included family role (wife/mother/grandmother) collapse and disgusted by family, resignation in being shunned by others, helplessness due to social exclusion, grief at being devaluated, and resentment for experiencing injustice. The coping strategies used to deal with stigma included concealing their conditions, avoiding socialization, and attempting to retaliate against society. Conclusion Healthcare professionals are recommended to offer women living with HIV/AIDS effective emotional support and guidance to cope with stigma. The study highlights the stigma they face, providing valuable evidence for policymakers. Recommendations emphasize the importance of developing services addressing both physical and psychological needs of women living with HIV/AIDS.
目的 截至 2022 年底,全世界 15 岁及以上的女性艾滋病毒感染者超过 2 000 万。对于感染艾滋病毒/艾滋病的妇女来说,污名化仍然是一个巨大的障碍,阻碍了她们获得医疗服务,加剧了健康差距。事实上,一些感染艾滋病毒/艾滋病的妇女能够成功地面对并克服耻辱感。目前,有关中国女性艾滋病感染者应对污名化策略的定性研究仍然很少。本研究旨在深入了解女性艾滋病感染者所经历的耻辱感以及应对策略。患者和方法 我们采用滚雪球抽样和目的性抽样的方法招募不同的参与者。在 2022 年 12 月至 2023 年 6 月期间,我们对 30 名女性艾滋病感染者进行了半结构化个人深度访谈。样本来自四家艾滋病定点医院。采用科莱兹七步模型对数据进行了分析。结果 感染艾滋病病毒/艾滋病的妇女的污名化经历包括家庭角色(妻子/母亲/祖母)崩溃和对家庭的厌恶、被他人回避的不甘、被社会排斥的无助、被贬低的悲伤以及遭遇不公正的怨恨。应对耻辱的策略包括隐瞒病情、避免社交和试图报复社会。结论 建议医护人员为感染艾滋病毒/艾滋病的妇女提供有效的情感支持和指导,帮助她们应对污名化。本研究强调了她们所面临的耻辱感,为政策制定者提供了宝贵的证据。建议强调了为感染艾滋病毒/艾滋病的妇女提供满足生理和心理需求的服务的重要性。
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引用次数: 0
The Effect of Leader Perfectionism on Employee Deviance: An Interpersonal Relationship Perspective 领导者的完美主义对员工偏差的影响:人际关系视角
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S454596
H. Wang, Xin Jiang, Dan Li, Xin Jin, Jie Zhang
Purpose Despite growing evidence of significant role of leader perfectionism in the workplace, few theoretical accounts have delved into intricate dynamics of interpersonal relationships impacted by leader perfectionism, nor have they explored the extent to which these interactions might stimulate employee unethical behavior. From an interpersonal relationship perspective, based on interpersonal complementarity theory, this study proposes a link between leader perfectionism and employee deviant behavior while assessing the mediating impact of supervisor-subordinate relationship conflict, and the moderating influence of employee narcissism. Methods This study employed three-wave surveys, with 335 employees (female 55.8%, 26–35 years old 67.4%, bachelor’s degree 61.5%, worked 3–10 years 67.4%, worked with their current leader 1–5 years 66.3%) across 11 enterprises in Chinato reduce the risk of common method bias. On this basis, MPLUS 7.4 was used to test the confirmatory factor analysis of data, and SPSS 24.0 was used to test the hypotheses. Results (1) Leader perfectionism has a positive effect on supervisor-subordinate relationship conflict. (2) Leader perfectionism has a significantly positive effect on employee deviant behavior via supervisor-subordinate relationship conflict. (3) Employee narcissism positively moderates the relationship between leader perfectionism and supervisor-subordinate relationship conflict, and further positively moderates the indirect effect of leader perfectionism on employee deviant behavior via supervisor-subordinate relationship conflict. Conclusion This study reveals the mechanism of how employee through deviant behavior as a opposition to leader perfectionism from an interpersonal relationship perspective, which provides theoretical and practical implications for reducing the negative impact of leader perfectionism and employee deviant behavior.
研究目的 尽管越来越多的证据表明领导者完美主义在工作场所发挥着重要作用,但很少有理论研究深入探讨受领导者完美主义影响的错综复杂的人际关系动态,也很少有理论研究探讨这些互动在多大程度上可能会激发员工的不道德行为。本研究基于人际互补理论,从人际关系的角度出发,提出了领导者完美主义与员工偏差行为之间的联系,同时评估了上司与下属关系冲突的中介影响,以及员工自恋的调节影响。方法 本研究采用三波调查法,对中国 11 家企业的 335 名员工(女性占 55.8%,26-35 岁占 67.4%,本科学历占 61.5%,工作 3-10 年占 67.4%,与现任领导共事 1-5 年占 66.3%)进行调查,以减少常见方法偏差的风险。在此基础上,使用 MPLUS 7.4 对数据进行确证性因素分析,并使用 SPSS 24.0 对假设进行检验。结果 (1) 领导者完美主义对上下级关系冲突有积极影响。(2) 领导完美主义通过上下级关系冲突对员工偏差行为有显著的正向影响。(3) 员工自恋对领导完美主义与上下级关系冲突之间的关系有正向调节作用,并进一步正向调节领导完美主义通过上下级关系冲突对员工偏差行为的间接影响。结论 本研究从人际关系角度揭示了员工如何通过偏差行为与领导完美主义形成对立的机制,为减少领导完美主义与员工偏差行为的负面影响提供了理论和实践启示。
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引用次数: 0
The Healthy Context Paradox Between Bullying and Emotional Adaptation: A Moderated Mediating Effect 欺凌与情绪适应之间的健康情境悖论:调节中介效应
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S444400
Junwei Pu, X. Gan, Zaiming Pu, Xin Jin, Xiaowei Zhu, Chunxia Wei
Introduction Bullying is a significant concern for young people, with studies consistently showing a link between bullying and negative emotional consequences. However, the mechanisms that underlie this association remain unclear, particularly in terms of the classroom environment. This study aimed to explore the paradoxical phenomenon between bullying victimization and emotional adaptation among junior high school students in China, using the hypothesis of the healthy context paradox. Methods The study involved 880 students (565 girls; Mage=14.69; SD=1.407 years), and data were collected using self-reported surveys. The findings of the study, utilizing multilevel structural equation modeling (MSEM) techniques, demonstrated a cross-level moderated effect of classroom-level bullying victimization on the relationship between individual bullying victimization and emotional adaptation. Results Specifically, the results indicated that in classrooms with higher levels of victimization, the association between individual bullying victimization and increased depressive symptoms and State&Trait anxiety was more pronounced. These findings support the “Healthy context paradox” hypothesis in the Chinese context and provide insight into the mechanisms underlying this phenomenon. Discussion The results suggest that the classroom environment plays a crucial role in shaping the emotional consequences of bullying and that addressing classroom victimization is crucial for promoting emotional health among young people. By understanding the mechanisms that underlie the association between bullying and emotional consequences, interventions can be developed to target the underlying factors that contribute to this paradoxical phenomenon. Overall, the study provides new insights into the complex relationship between bullying and emotional health among young people, highlighting the importance of considering the classroom environment in addressing this issue.
引言 欺凌是青少年关注的一个重要问题,研究不断表明欺凌与负面情绪后果之间存在联系。然而,导致这种关联的机制仍不清楚,尤其是在课堂环境方面。本研究旨在以健康情境悖论为假设,探讨中国初中生遭受欺凌与情绪适应之间的悖论现象。方法 本研究涉及 880 名学生(565 名女生;年龄=14.69;SD=1.407 岁),通过自我报告调查收集数据。研究采用多层次结构方程模型(MSEM)技术,结果表明班级欺凌受害情况对个人欺凌受害情况与情绪适应之间的关系具有跨层次的调节作用。结果 具体而言,研究结果表明,在受害程度较高的班级中,个体欺凌受害与抑郁症状和状态与创伤焦虑增加之间的关联更为明显。这些研究结果支持了中国背景下的 "健康情境悖论 "假说,并为这一现象的内在机制提供了启示。讨论 研究结果表明,课堂环境在形成欺凌的情绪后果方面起着至关重要的作用,解决课堂受害问题对于促进青少年的情绪健康至关重要。通过了解欺凌与情绪后果之间的关联机制,可以针对造成这一矛盾现象的潜在因素制定干预措施。总之,这项研究为了解欺凌与青少年情绪健康之间的复杂关系提供了新的视角,突出了在解决这一问题时考虑课堂环境的重要性。
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引用次数: 0
Path of Physical Exercise’s Impact on Deviant Behavior Among Chinese Adolescents 体育锻炼对中国青少年偏差行为的影响路径
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S452606
B. Zhang, Xiao Fang Qian
Purpose Physical exercise is an important predictor of deviant behavior in adolescents; however, the paths and mechanisms underlying this relationship remain understudied. Patients and Methods This cross-sectional study used education tracking data of 8725 Chinese adolescents (4453 males, 4240 females, average age 14 ± 0.73) to construct a chain mediation model to explore whether sleep quality and mental health mediated the relationship between physical exercise and adolescent deviant behavior. Results The results show that physical exercise cannot directly predict adolescent deviant behavior; however, it can indirectly affect deviant behavior through the mediating effect of sleep quality and mental health as well as the chain mediating benefit of “sleep quality–mental health”. Conclusion Sleep quality and mental health are important internal factors of physical exercise that inhibit deviant adolescent behavior. The lack of physical activity and poor sleep quality should be prioritized in interventions regarding deviant behavior among Chinese adolescents.
目的 体育锻炼是预测青少年偏差行为的一个重要因素;然而,这种关系的路径和机制仍未得到充分研究。研究对象和方法 本横断面研究利用8725名中国青少年(男4453人,女4240人,平均年龄14±0.73岁)的教育追踪数据构建了一个链式中介模型,以探讨睡眠质量和心理健康是否对体育锻炼与青少年偏差行为之间的关系起中介作用。结果 结果表明,体育锻炼不能直接预测青少年的偏差行为,但体育锻炼可以通过睡眠质量和心理健康的中介效应以及 "睡眠质量-心理健康 "的链式中介效应间接影响青少年的偏差行为。结论 睡眠质量和心理健康是体育锻炼抑制青少年偏差行为的重要内因。在对中国青少年的偏差行为进行干预时,应优先考虑缺乏体育锻炼和睡眠质量差的问题。
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引用次数: 0
The Closed Loop Between Parental Upbringing and Online Game Addiction: A Narrative Study of Rural Children’s Growth in China 父母教养与网络游戏成瘾之间的闭环:中国农村儿童成长叙事研究
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S457068
Kaixin Bao, Xiaobin Zhang, Lianyu Cai
Purpose With the rapid development of information, digital networks, and artificial intelligence technologies, the new generation of children growing up with electronic products faces the dilemma of addiction to online games. There is a significant correlation between the addiction of rural children to online games and the lack of proper parental upbringing. Patients and Methods Based on purposive sampling, the research selected 41 sixth-grade rural children, 20 parents, and 14 teachers from three cities in Zhejiang Province, China. Three rounds of semi-structured, in-depth interviews were conducted. Results The research portrayed that the parental upbringing styles of rural children addicted to online games could be categorized into four types: conflict and chaos type, indulgent and permissive type, disciplinary neglect type, and coercive and brutal type. All four parenting styles were related to emotional involvement and value guidance. Discussion Both the parenting styles of rural parents and the children’s addiction to online games were difficult to self-update and change, and they mutually “affirmed” and even reinforced each other. Insufficient cultural capital was found in rural families, resulting in a closed loop between parental upbringing and online game addiction. Introducing professional expertise, increasing cultural capital, and promoting improvement in rural parenting styles are crucial.
目的 随着信息、数字网络和人工智能技术的飞速发展,伴随着电子产品成长起来的新一代儿童面临着沉迷网络游戏的困境。农村儿童沉迷网络游戏与父母缺乏正确的教养方式有很大的相关性。患者与方法 基于目的性抽样,本研究选取了浙江省三个城市的41名六年级农村儿童、20名家长和14名教师。进行了三轮半结构式深度访谈。结果 研究发现,沉迷于网络游戏的农村儿童的父母教养方式可分为四种类型:冲突混乱型、溺爱放任型、忽视管教型和强制粗暴型。这四种教养方式都与情感参与和价值引导有关。讨论 农村父母的教养方式与孩子沉迷网络游戏的行为都难以自我更新和改变,两者相互 "肯定 "甚至相互强化。农村家庭文化资本不足,导致父母教养方式与网络游戏成瘾之间形成闭环。引入专业知识、增加文化资本、促进农村父母教养方式的改善至关重要。
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引用次数: 0
Longitudinal Relationships Between Bullying Victimization and Dual Social Behaviors: The Roles of Self-Compassion and Trauma-Related Shame 欺凌受害者与双重社会行为之间的纵向关系:自我同情和与创伤有关的羞耻感的作用
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S450013
Xiaofang Xu, Yang Li, Shuyuan Liu, Wenchao Wang
Purpose Bullying victimization is a serious issue among college students, which might affect the development of their social behaviors. Based on the theory of stress and coping and emotion regulation theory, the present study examined the mediating role of self-compassion and trauma-related shame between bullying victimization and cyber aggression/prosocial behavior. Patients and Methods We gathered self-reporting data on bullying victimization, self-compassion, trauma-related shame, cyber aggression, and prosocial behavior from 634 college students in China using a three-wave longitudinal design survey. Structural equation modeling was used to test temporal mediation. Results The results showed that bullying victimization predicted cyber aggression and prosocial behavior via trauma-related shame and the chain effect of self-compassion and trauma-related shame. Moreover, self-compassion also mediated the relationship between bullying victimization and prosocial behavior. Conclusion The study revealed the different emotional processes that underlie both bullying victimization and different social behaviors. It also contributes to more effective prevention and intervention measures for the social adaptation of bullied students.
目的 欺凌是大学生中的一个严重问题,可能会影响其社会行为的发展。本研究以压力与应对理论和情绪调节理论为基础,探讨了自我同情和创伤相关羞耻感在欺凌受害与网络侵犯/前社会行为之间的中介作用。患者与方法 我们通过三波纵向设计调查收集了中国 634 名大学生关于欺凌受害、自我同情、创伤相关羞耻感、网络侵犯和亲社会行为的自我报告数据。采用结构方程模型检验时间中介作用。结果表明,通过创伤相关羞耻感以及自我同情和创伤相关羞耻感的连锁效应,欺凌受害预测了网络侵犯和亲社会行为。此外,自我同情还能调节欺凌受害与亲社会行为之间的关系。结论 本研究揭示了导致欺凌受害和不同社会行为的不同情绪过程。它还有助于采取更有效的预防和干预措施,帮助受欺凌学生适应社会。
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引用次数: 0
Burnout among Nurses: A Bibliometric Analysis of the Global Publications 护士的职业倦怠:对全球出版物的文献计量分析
Pub Date : 2024-04-01 DOI: 10.2147/prbm.s458199
Zihan Yang, Miaomiao Zhang, Yan Guo, Rui Wang, Fei Xie
Objective: To investigate the current situation, trending subjects, and future directions in the field of burnout among nurses, and to serve as a resource for researchers conducting related research. Methods: The bibliometric analysis was carried out using R package “bibliometrix”, bibliometric online analysis platform (https:// bibliometric.com/) and VOSviewer (1.6.18). Results: The leading countries that had a significant impact on this field were the USA and China. University of Pennsylvania was the most influential institution. Journal of Nursing Management was the top productive journal. Critical care, oncology care, acute care, and infectious disease care were more likely to lead to symptoms of burnout among nurses. “Mental health”, “job satisfaction”, “stress”, and “COVID-19” were the current hot topics in this field. Conclusion: Our study not only provides a thorough outline to assist researchers in understanding the leading countries, institutions, journals, and potential collaborators, but it also examines the current and upcoming trends in this field and inspires researchers to select research directions.
目的调查护士职业倦怠领域的现状、趋势主题和未来方向,并为开展相关研究的研究人员提供资源。方法使用 R 软件包 "bibliometrix"、文献计量在线分析平台(https:// bibliometric.com/)和 VOSviewer(1.6.18)进行文献计量分析。结果:对该领域产生重大影响的主要国家是美国和中国。宾夕法尼亚大学是最有影响力的机构。护理管理杂志》是高产期刊。重症护理、肿瘤护理、急症护理和传染病护理更容易导致护士出现职业倦怠症状。"心理健康"、"工作满意度"、"压力 "和 "COVID-19 "是当前该领域的热门话题。结论我们的研究不仅提供了一份详尽的纲要,帮助研究人员了解领先的国家、机构、期刊和潜在的合作者,还研究了该领域当前和即将出现的趋势,启发研究人员选择研究方向。
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引用次数: 0
The Relationship Between Negotiable Fate and Life Satisfaction: The Serial Mediation by Self-Esteem and Positive Psychological Capital 可协商的命运与生活满意度之间的关系:自尊与积极心理资本的序列中介作用
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S450973
Yuwen Li, Dapeng Zhu
Purpose Negotiable fate as a belief in coping with the difficulties and uncertainties of life has an impact on people’s mental health. This study aims to understand the influence of negotiate fate on college students’ life satisfaction and its underlying mechanism. Methods A cross-sectional study was conducted with the participation of 1523 students from six universities across China. The study aimed to measure the variables of negotiable fate, self-esteem, positive psychological capital, and life satisfaction of all participants. To investigate the effect of negotiable fate on college students’ life satisfaction and the mediating roles of self-esteem and positive psychological capital in this relationship, a serial mediation effects model using Hayes’ PROCESS was employed. Results The results suggest that negotiable fate has a positive predictive effect on college students’ life satisfaction. The impact of negotiable fate on college students’ life satisfaction was mediated by self-esteem and positive psychological capital, and the chained mediation of self-esteem and positive psychological capital. Conclusion To summarize, the belief of negotiable fate has practical significance for the enhancement of college student’s mental health and quality of life, and the cultivation of college students’ belief of negotiable fate can be actively promoted in the future to help them better cope with the uncertainties and challenges in their lives to improve their life satisfaction.
目的 可协商命运作为一种应对生活困难和不确定性的信念,对人们的心理健康有影响。本研究旨在了解协商命运对大学生生活满意度的影响及其内在机制。方法 对来自全国六所高校的 1523 名大学生进行横断面研究。研究旨在测量所有参与者的可协商命运、自尊、积极心理资本和生活满意度等变量。为了探究可协商命运对大学生生活满意度的影响以及自尊和积极心理资本在这一关系中的中介作用,研究采用了 Hayes'PROCESS 的序列中介效应模型。结果 结果表明,可协商的命运对大学生的生活满意度有积极的预测作用。可协商命运对大学生生活满意度的影响由自尊和积极心理资本中介,自尊和积极心理资本的连锁中介。结论 综上所述,可协商命运信念对提高大学生心理健康水平和生活质量具有现实意义,今后可积极推进大学生可协商命运信念的培养,帮助大学生更好地应对生活中的不确定性和挑战,提高其生活满意度。
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引用次数: 0
The Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Behavior in Adolescents with Depression: The Mediating Role of Rumination 抑郁症青少年童年创伤与非自杀性自伤行为之间的关系:反刍的中介作用
Pub Date : 2024-04-01 DOI: 10.2147/PRBM.S448248
Wenxian Fu, Xinyi Li, Sifan Ji, Tingting Yang, Lu Chen, Yaru Guo, Kongliang He
Objective Non-suicidal self-injury (NSSI) behavior is very common in adolescents with depression, and childhood trauma is considered one of the distal risk factors for its exacerbation. Rumination caused by adverse traumatic experiences, which can be transferred through NSSI behavior, can alleviate symptoms of depression in adolescents. The current research focuses on the relationship between the three, further exploring whether rumination is a mediator in the relationship between childhood trauma and NSSI behavior on the basis of previous studies, and provides some suggestions for future early intervention for adolescents with depression. Methods A total of 833 adolescent patients with depression who met the DSM-5 criteria for depressive episode were recruited from 12 hospitals in China. The Chinese version of the Function Assessment of Self-mutilation, Childhood Trauma Questionnaire, and Rumination Inventory were used as research tools. Results The scores of childhood trauma and rumination in adolescents with depression in the NSSI group were higher than those in the non-NSSI group. A Pearson’s correlation analysis showed that childhood trauma was positively correlated with rumination (r=0.165, P<0.01), different types of childhood trauma were significantly positively correlated with rumination and its three factors, and these results were statistically significant. Rumination partially mediated the relationship between childhood trauma and NSSI behavior in depressed adolescent patients (effect size=0.002), and the effect in female participants (effect size=0.003), was greater than that in male participants (effect size=0.002). Conclusion Childhood trauma and rumination were key factors for NSSI behavior in adolescents with depression. Childhood trauma not only has a direct effect on NSSI behavior in adolescent depression, but also plays an indirect effect on NSSI behavior through rumination.
非自杀性自伤(NSSI)行为在患有抑郁症的青少年中非常常见,而童年创伤被认为是导致抑郁症恶化的远端风险因素之一。不良创伤经历引起的反思可通过 NSSI 行为转移,从而缓解青少年的抑郁症状。本研究主要关注三者之间的关系,在以往研究的基础上进一步探讨反刍是否是童年创伤与NSSI行为之间关系的中介因素,并为今后对青少年抑郁症患者的早期干预提供一些建议。方法 从国内12家医院共招募了833名符合DSM-5抑郁发作标准的青少年抑郁症患者。采用中文版自残功能评估、童年创伤问卷和反刍量表作为研究工具。结果 NSSI组抑郁症青少年的童年创伤和反刍得分均高于非NSSI组。皮尔逊相关分析表明,童年创伤与反刍呈正相关(r=0.165,P<0.01),不同类型的童年创伤与反刍及其三个因子呈显著正相关,这些结果均有统计学意义。反刍在一定程度上介导了青少年抑郁症患者的童年创伤与 NSSI 行为之间的关系(效应大小=0.002),且女性参与者的效应(效应大小=0.003)大于男性参与者(效应大小=0.002)。结论 童年创伤和反刍是抑郁症青少年 NSSI 行为的关键因素。童年创伤不仅直接影响青少年抑郁症患者的 NSSI 行为,还通过反刍间接影响 NSSI 行为。
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Psychology Research and Behavior Management
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