儿童期创伤应对方式自动思维与大学生抑郁特质间的关系  

Relationship between childhood trauma and depressive traits in college students and the influence of coping style and automatic thinking

作　　者：刘剑波 龚靖波[2] 杨听雨 卢建平[4] LIU Jianbo;GONG Jingbo;YANG Tingyu;LU Jianping(Peking University Shenzhen Graduate School,Shenzhen(518055),Guangdong Province,China)

机构地区：[1]北京大学深圳研究生院,广东518055 [2]湖南中医药大学人文社科学院应用心理学系 [3]中南大学湘雅二医院精神卫生研究所 [4]深圳市康宁医院儿少精神科/深圳市精神卫生中心

出　　处：《中国学校卫生》2020年第4期547-550,共4页Chinese Journal of School Health

基　　金：中国博士后科学基金面上项目(2019M650358);广东省医学科学技术研究基金(A2019155);深圳市医疗卫生三名工程项目(SZSM201612079)。

摘　　要：目的探讨儿童期创伤与抑郁特质之间的中介和调节机制,为开展相关研究和干预提供参考。方法2017-2018年采用整群抽样的方法,抽取湖南某高校大一年级2 786名学生完成儿童期创伤问卷、状态特质抑郁问卷、自动思维问卷和特质应对方式问卷的调查。结果儿童期创伤、自动思维和消极应对对抑郁特质起正向的预测作用,积极应对对抑郁特质起负向的预测作用(β值分别为0.12,0.43,0.14,-0.33,P值均<0.05)。自动思维中介儿童期创伤与抑郁特质之间的关系(Bootstrapping法的95%CI为0.03~0.06)。消极应对分别调节了儿童期创伤与自动思维和儿童期创伤与抑郁特质之间的关系(P值均<0.05)。结论儿童期创伤影响抑郁特质,其关系受到应对方式和自动思维的影响。Objective To explore the moderated and mediating mechanism between childhood trauma and depressive traits, and to provide a reference for conducting the related research and intervention. Methods From 2017 to 2018, a cluster sampling method was adopted to select 2 786 freshman. Childhood trauma questionnaire, state-trait depression Scale, the automatic thought questionnaire and trait coping style questionnaire was administered. Results Regression analysis showed that childhood trauma, automatic thinking and negative coping was positively associated with depressive traits, and positive coping was negatively associated with depressive traits( β = 0.12, 0.40, 0.14,-0.33, P< 0.05). The mediation analysis showed that automatic thinking mediated the relationship between childhood trauma and depressive traits( 95% CI = 0.03-0.06). The results of moderation effect showed that negative coping moderated the relationship between childhood trauma and automatic thinking and the relationship between childhood trauma and depressive traits, respectively( P<0.05). Conclusion Childhood trauma affects depressive traits,and its relationship is influenced by boping styles and automatic thinking.

关 键 词：创伤和损伤 适应 心理学 精神卫生 抑郁 学生 

分 类 号：B844.2[哲学宗教—发展与教育心理学] G444[哲学宗教—心理学]