Rumination, loneliness, and non-suicidal self-injury among adolescents with major depressive disorder: The moderating role of resilience

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2024-11-15 DOI:10.1016/j.socscimed.2024.117512

Hong Wang , Sili Wen , Yang Wang , Yongjie Zhou , Ben Niu

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引用次数: 0

Abstract

Adolescents often experience negative emotions, such as depression and anxiety, due to rapid biological, cognitive, and social changes during this developmental stage. In recent years, the non-suicidal self-injury (NSSI) among adolescents with Major Depressive Disorder (MDD) has garnered increasing attention, with rumination identified as a significant risk factor for its occurrence. This study established a moderated mediation model to examine the impact of rumination on NSSI among adolescents with MDD and its underlying mechanisms. The final research sample consisted of 1,601 adolescents with MDD (18.2% males, mean age = 14.85 years, SD = 1.65) from 14 psychiatric/general hospitals across nine provinces in China. Participants completed self-report questionnaires assessing NSSI, rumination, loneliness, and resilience. Results indicated that rumination contribute to NSSI via loneliness during adolescence, whereas resilience may buffer the adverse effects of rumination on NSSI, implying the potential effectiveness of reducing loneliness and promoting resilience in the intervention and prevention of NSSI. These findings further illuminate the mechanisms underlying the development of NSSI, aiding in its prediction and prevention among adolescents, thereby assisting them in better coping with emotional and behavioral developmental challenges during adolescence.

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患有重度抑郁障碍的青少年的反刍、孤独和非自杀性自伤：复原力的调节作用

青少年在这一成长阶段由于生理、认知和社会方面的快速变化，经常会出现抑郁和焦虑等负面情绪。近年来，重度抑郁障碍（MDD）青少年中的非自杀性自伤（NSSI）越来越受到关注，而反刍被认为是其发生的一个重要风险因素。本研究建立了一个调节中介模型来研究反刍对患有 MDD 的青少年 NSSI 的影响及其内在机制。最终研究样本包括来自中国9个省14家精神科/综合医院的1,601名患有MDD的青少年（18.2%为男性，平均年龄=14.85岁，SD=1.65）。参与者填写了自我报告问卷，评估NSSI、反刍、孤独感和复原力。结果表明，反刍会通过青少年时期的孤独感导致NSSI，而抗逆力可以缓冲反刍对NSSI的不利影响，这意味着减少孤独感和提高抗逆力在干预和预防NSSI方面具有潜在的有效性。这些发现进一步阐明了NSSI的发展机制，有助于预测和预防青少年NSSI，从而帮助他们更好地应对青春期情绪和行为发展的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.