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高职生童年创伤与非自杀性自伤的关系：安全感的中介作用
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Abstract:
为探讨高职生童年创伤与非自杀性自伤的关系及安全感在其中的作用机制，选取重庆市某高职院校653名学生为研究对象，采用青少年非自杀性自伤问卷、儿童创伤史问卷、16项安全感量表进行调查。并采用SPSS24.0、PROCESS宏程序进行描述性统计、相关分析及中介效应分析。研究发现童年创伤与非自杀性自伤呈正相关(r = 0.37, P < 0.01)；童年创伤与安全感呈负相关(r = ？0.28, P < 0.01)；非自杀性自伤与安全感呈负相关(r = -0.29, P < 0.01)；安全感在童年创伤与非自杀性自伤关系中起部分中介作用，中介效应占总效应的40%，说明高职生童年创伤可直接导致非自杀性自伤，也可通过降低安全感间接作用于非自杀性自伤。
In order to study the relationship between childhood trauma and non-suicidal self-injury and the mechanism of security in vocational students, 653 students from a higher vocational college in Chongqing were selected for non-suicidal self-injury, child trauma history and 16 security scales. Descriptive statistics, correlation analysis and mediation effect analysis were performed using SPSS24.0 and PROCESS macro programs. The study found that: the childhood trauma was positively associated with non-suicidal self-injury (r = 0.37, P < 0.01); childhood trauma was negatively associated with security (r = ？0.28, P < 0.01); non-suicidal self-injury was negatively associated with security (r = ？0.29, P < 0.01); security played a partial mediating role in the relationship between childhood trauma and non-suicidal self-injury, with mediation effect accounting for 40% of the total effect, which shows that the childhood trauma of higher vocational students can directly lead to non-suicidal self-injury, or indirectly act on non-suicidal self-injury by reducing the sense of security.
| [1] | 操小兰, 文丝莹, 刘剑波, 等(2019). 深圳市中学生非自杀性自伤行为检出率及相关危险因素调查. 四川精神卫生, 32(5), 449-452. |
| [2] | 丛中, 安莉娟(2004). 安全感量表的初步编制及信度、效度检验. 中国心理卫生杂志, 18(2), 97-99. |
| [3] | 房莹(2021). 接纳承诺疗法团体辅导对高职生非自杀性自伤的干预效果研究. 硕士学位论文, 武汉: 武汉体育学院. |
| [4] | 胡诗琪, 乔冬冬(2020). 童年创伤与非自杀性自伤相关性的研究现状. 精神医学杂志, 33(5), 397-400. |
| [5] | 胡旺, 殷映群, 邹仪瑄, 等(2019). 江西省初中生与高中生非自杀性自伤行为特征及影响因素比较. 现代预防医学, 46(2), 305-309. |
| [6] | 胡燕, 徐慧琼, 万宇辉, 等(2020). 安徽省中学生非自杀性自伤行为现状及其影响因素. 中华疾病控制杂志, 24(8), 923-928. |
| [7] | 李佳睿, 刘丽婷, 毛绍菊, 等(2017). 儿童期躯体虐待与非自杀性自伤相关性的Meta分析. 中国学校卫生, 38(6), 938-941. |
| [8] | 李强, 鲍国栋(2004). 聋人大学生心理健康状况及相关因素分析. 中国特殊教育, 74(2), 68-71. |
| [9] | 刘婉, 万宇辉, 陶芳标, 等(2017). 社会支持在童年期虐待与青少年非自杀性自伤行为关联中的中介作用. 中国心理卫生杂志, 31(3), 230-234. |
| [10] | 邵义萍, 娄星明(2018). 听觉障碍大学生自伤行为与安全感焦虑的相关性. 中国学校卫生, 39(10), 1550-1552. |
| [11] | 苏静, 陈静, 万宇辉, 等(2015). 童年期虐待经历与中学生自伤行为的关联性. 中国学校卫生, 36(9), 1326-1329. |
| [12] | 孙琦, 闫静怡, 姚晶, 等(2022). 童年期创伤对高中生抑郁的影响: 压力知觉的中介作用. 中国临床心理学杂志, 30(1), 81-84. |
| [13] | 万宇辉, 刘婉, 郝加虎, 等(2018). 青少年非自杀性自伤行为评定问卷的编制及其信效度评价. 中国学校卫生, 39(2), 170-173. |
| [14] | 王莉(2015). 目前高职学生的特点分析. 知识文库, (18), 91-92. |
| [15] | 熊红星, 张璟, 叶宝娟, 等(2012). 共同方法变异的影响及其统计控制途径的模型分析. 心理科学进展, 20(5), 757-769. |
| [16] | 徐雪芡, 胡珍玉(2022). 童年创伤与青少年非自杀性自伤的心理社会中介因素(综述). 中国心理卫生杂志, 36(12), 1079-1083. |
| [17] | 闫敬, 朱翠珍, 司徒明镜, 等(2012). 四川省1312名中学生非自杀性自 伤行为检出率及其危险因素研究. 中华流行病学杂志, 33(1), 46-49. |
| [18] | 杨佳欣, 田于胜, 付熙, 等(2023). 青少年非自杀性自伤影响因素的研究进展. 中国临床心理学杂志, 31(5), 1145-1149. |
| [19] | 叶浩生(2004). 西方心理学理论与流派(pp. 294-296). 广东高等教育出版社. |
| [20] | 赵幸福, 张亚林, 李龙飞, 等(2005). 中文版儿童期虐待问卷的信度和效度. 中国临床康复, 20(9), 105-107. |
| [21] | Campbell, K. A. (2022). The Neurobiology of Childhood Trauma, from Early Physical Pain Onwards: As Relevant as Ever in Today’s Fractured World. European Journal Psychotraumatology, 13, Article ID: 2131969. https://doi.org/10.1080/20008066.2022.2131969 |
| [22] | Cay, M., Gonzalez-Heydrich, J., Teicher, M. H. et al. (2022). Childhood Maltreatment and Its Role in the Development of Pain and Psychopathology. The Lancet Child & Adolescent Health, 6, 195-206. https://doi.org/10.1016/S2352-4642(21)00339-4 |
| [23] | Fan, Y. Y., Liu, J., Zeng, Y. Y. et al. (2021). Factors Associated with Nonsuicidal Self-Injury in Chinese Adolescents: A Meta-Analysis. Frontiers in Psychiatry, 12, Article ID: 747031. https://doi.org/10.3389/fpsyt.2021.747031 |
| [24] | Kinchin, I., Doran, C. M., Hall, W. D. et al. (2017). Understanding the True Economic Impact of Self-Harming Behaviour. The Lancet Psychiatry, 4, 900-901. https://doi.org/10.1016/S2215-0366(17)30411-X |
| [25] | Lim, K. S., Wong, C. H., Mcintyre, R. S. et al. (2019). Global Lifetime and 12-Month Prevalence of Suicidal Behavior, Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents between 1989 and 2018: A Meta-Analysis. International Journal of Environmental Research and Public Health, 16, 4581. https://doi.org/10.3390/ijerph16224581 |
| [26] | Paul, E., Tsypes, A., Eidlitz, L. et al. (2015). Frequency and Functions of Nonsuicidal Self-Injury: Associations with Suicidal Thoughts and Behaviors. Psychiatry Research, 25, 276-282. https://doi.org/10.1016/j.psychres.2014.12.026 |
| [27] | Stagaki, M., Nolte, T., Feigenbaum, J. et al. (2022). The Mediating Role of Attachment and Mentalising in the Relationship between Childhood Maltreatment, Self-Harm and Suicidality. Child Abuse Neglect, 128, Article ID: 105576. https://doi.org/10.1016/j.chiabu.2022.105576 |
| [28] | Thumfart, K. M., Jawaid, A., Bright, K. et al. (2022). Epigenetics of Childhood Trauma: Long-Term Sequelae and Potential for Treatment. Neuroscience and Biobehavioral Reviews, 132, 1049-1066. https://doi.org/10.1016/j.neubiorev.2021.10.042 |
