自我厌恶在童年不良经历与青少年自伤行为间的中介作用  

The mediating role of self-hating between adverse childhood experience and self-injury behavior in adolescents

作　　者：张立刚[1] 林靖宇 魏艳艳 朱会群 荆玉华 陈景旭[1] Zhang Ligang;Lin Jingyu;Wei Yanyan;Zhu Huiqun;Jing Yuhua;Chen Jingxu(Sleep Medicine Center of Beijing HuiLongGuan Hospital,Beijing 100096,China;Shandong Juxian Mental Rehabilitation Hospital,Rizhao 276500,China)

机构地区：[1]北京回龙观医院睡眠医学中心,北京100096 [2]山东省莒县精神康复医院,日照276500

出　　处：《中华行为医学与脑科学杂志》2024年第11期1040-1045,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家重点研究发展计划(2021YFC2501504);北京市医院管理中心"扬帆"计划临床技术创新项目(XMLX202150)。

摘　　要：目的探讨童年不良经历对青少年自伤行为的影响及自我厌恶的中介效应。方法采用自制一般资料问卷、童年不良经历问卷、自我厌恶量表、青少年非自杀性自伤行为评定问卷于2022年8月1日至12月31日在山东省内6所高中和5所初中进行横断面调查,回收问卷7313份,其中有效问卷6948份。采用SPSS 22.0软件进行Spearman相关分析,应用偏差校正的非参数百分位数Bootstrap法检验中介效应的显著性。结果(1)伴有自伤行为的青少年在童年不良经历[4.0(2.0,6.0)分]、自我厌恶[22.0(13.0,29.0)分]和非自杀性自伤[12.0(7.0,19.0)分]的评分均高于不伴自伤行为的青少年[0(0,2.0)分,2.0(0,9.0)分,0(0,1.0)分],均差异有统计学意义(Z=-21.700、-22.654、-29.519,均P<0.001)。(2)童年不良经历与自我厌恶(r=0.46,P<0.01)、自伤行为(r=0.47,P<0.01)均呈正相关;自我厌恶与自伤行为(r=0.51,P<0.01)呈正相关。(3)童年不良经历直接预测自伤行为,直接效应为0.163(95%CI=0.127~0.200,P<0.001),效果量为53.80%(0.163/0.303);童年不良经历通过自我厌恶间接预测自伤行为,间接效应为0.140(95%CI=0.122~0.160,P<0.01),效果量46.20%(0.140/0.303);总效应为0.303(95%CI=0.270~0.336,P<0.001)。结论童年期不良经历、自我厌恶和青少年自伤行为之间存在密切联系。童年不良经历可直接预测自伤行为,也可通过自我厌恶间接影响自伤行为。ObjectiveTo explore the impact of adverse childhood experience on self-injury behavior and the mediating role of self hating in adolescents.MethodsA cross-sectional survey was conducted in 6 high schools and 5 middle schools in Shandong Province from August 1 to December 31,2022,using the adverse childhood experience questionnaire,self-hating scale and non-suicidal self-injury behavior rating questionnaire for adolescents.A total of 7313 questionnaires were collected,of which 6948 were valid.SPSS 22.0 software was used for Spearman correlation analysis,and biased-corrected non-parametric percentile Bootstrap method was used to test the significance of mediating effect.Results(1)The scores of adverse childhood experience(4.0(2.0,6.0)),self-hating(22.0(13.0,29.0))and self-injury behavior(12.0(7.0,19.0))in adolescents with self-injury behavior were higher than those without self-injury behavior(0(0,2.0),2.0(0,9.0),0(0,1.0)),and the differences were statistically significant(Z=-21.700,-22.654,-29.519,all P<0.001).(2)Adverse childhood experience was positively correlated with self-hating(r=0.46,P<0.01)and self-injury behavior(r=0.47,P<0.01).Self-hating was positively correlated with self-injury behavior(r=0.51,P<0.01).(3)Adverse childhood experience directly predicted self-injury behavior with a direct effect of 0.163(95%CI=0.127-0.200,P<0.01)and the effect size of 53.80%(0.163/0.303).Adverse childhood experiences indirectly predicted self-injury behavior through self-hating,with an indirect effect of 0.140(95%CI=0.122-0.160,P<0.001)and the effect size of 46.20%(0.140/0.303).The total effect was 0.303(95%CI=0.270-0.336,P<0.001).ConclusionsThere is a close relationship between adverse childhood experiences,self-hating and self-injury behavior in adolescents.Adverse childhood experiences can directly predict self-injury behavior,and can also indirectly affect self-injury behavior through self-hating.

关 键 词：童年不良经历 自我厌恶 自伤行为 青少年 

分 类 号：G63[文化科学—教育学]