中国青少年负面评价恐惧、非自杀性自伤和自杀意念的动态关系:一个中介的潜在增长模型。

IF 4.9 2区 医学 Q1 PEDIATRICS European Child & Adolescent Psychiatry Pub Date : 2025-09-01 Epub Date: 2025-03-10 DOI:10.1007/s00787-025-02664-2
Danrui Chen, Xinglin Zhou, Yunhong Shen, Jiefeng Ying, Jiajing Zhang, Shiting Zhan, Ruyun Wu, Nan Kang, Dong Yang, Jianing You
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引用次数: 0

摘要

以往的纵向研究探讨了青少年非自杀性自伤(NSSI)和自杀意念(SI)的发展机制,但主要集中在可变水平上,而不是轨迹上(如截距和斜率)。本研究旨在探讨中国青少年自伤和自伤行为的发展轨迹,并从人际关系的角度探讨负面评价恐惧(FNE)和受挫归属感(TB)在这些发展轨迹中的预测作用。采用潜在增长模型构建FNE、TB、自伤和SI的中介模型。共515名青少年(Mage = 12.309, SD = 0.807;49.3%的女孩)分4次完成问卷,间隔6个月。结果表明:(1)FNE呈曲线型增长轨迹,增长速度逐渐减小;TB、自伤和SI均呈线性下降趋势;(2)在FNE与自伤的关系中,TB的拦截在FNE与自伤的关系中起中介作用;(3)在FNE与SI的关系中,TB截距介导了FNE截距与SI截距以及SI斜率之间的关系。同时,TB的斜率介导了FNE斜率与SI斜率之间的关系。本研究揭示了中国青少年FNE、TB、自伤和自伤的动态发展轨迹。值得注意的是,结核在FNE、自伤和自伤之间发挥了不同的中介作用,突出了其在这些行为发展中的关键作用。针对FNE和增强归属感的早期干预可能有助于预防或减少青少年的自伤和自伤。
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The dynamic relationships between fear of negative evaluations, non-suicidal self-injury, and suicidal ideation among Chinese adolescents: a mediated latent growth model.

Previous longitudinal studies have explored the developmental mechanisms of non-suicidal self-injury (NSSI) and suicidal ideation (SI) in adolescents and primarily focused on variable levels rather than trajectories (e.g., intercepts and slopes). The present study aimed to explore the developmental trajectories of NSSI and SI among Chinese adolescents, emphasizing the predictive roles of fear of negative evaluations (FNE) and thwarted belongingness (TB) on these trajectories from an interpersonal perspective. The latent growth model was incorporated to construct a mediation model of FNE, TB, NSSI, and SI. A total of 515 adolescents (Mage = 12.309, SD = 0.807; 49.3% girls) completed questionnaires on 4 waves, 6 months apart. The results showed that: (1) FNE showed a curvilinear growth trajectory, with a progressively smaller growth rate; TB, NSSI, and SI all showed a linearly decreasing trajectory; (2) in the relationship between FNE and NSSI, TB's intercept mediated the relationship from FNE's intercept to NSSI's; (3) in the relationship between FNE and SI, TB's intercept mediated the relationship from FNE's intercept to SI's intercept, as well as to SI's slope. Meanwhile, TB's slope mediated the relationship from FNE's slope to SI's. This study reveals the dynamic developmental trajectories of FNE, TB, NSSI, and SI in Chinese adolescents. Notably, TB plays a different mediating role between FNE, NSSI, and SI, highlighting its critical role in the development of these behaviors. Early interventions targeting FNE and enhanced belongingness may help prevent or reduce NSSI and SI in adolescents.

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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
期刊最新文献
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