儿童情绪忽视在儿童邻里关系质量与成人抑郁结局之间的中介作用：一项全国性的纵向分析

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-02-06 DOI:10.1016/j.chiabu.2025.107294

Chen Zhang , Jingsong Chen , Yongzhang Lai

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引用次数: 0

摘要

抑郁症是一种普遍存在的精神健康障碍，具有个人和社会成本。童年经历，包括邻里关系质量和情感忽视，可能会影响成年后患抑郁症的风险。目的探讨儿童邻里关系质量（CNQ）、儿童情绪忽视（CEN）与成人抑郁症状的关系，并探讨CEN的潜在中介作用。参与者和环境：来自中国健康与退休纵向研究（CHARLS）的15730名45岁及以上的中国成年人。方法采用纵向数据，采用加权多元回归、Karlson-Holm-Breen （KHB）中介和Bootstrap中介分析，评估CNQ、CEN与成人抑郁症状和抑郁风险的关系。结果CNQ越高，抑郁症状越轻(β = - 0.316, p <；0.001)和抑郁风险(β = - 0.084, p <；0.001)。较高的CEN与抑郁症状增加相关(β = 0.084, p <；0.01)和抑郁风险(β = 0.020, p >；0.05)。CEN部分介导CNQ与抑郁症状的关系(KHB: β = - 0.010, p <；0.01;Bootstrap: β = - 0.007, p <；0.05)和抑郁风险(KHB: β = - 0.003, p <；0.05;Bootstrap: β = - 0.002, p >；0.05)，对抑郁症状的总效应占3.50% （KHB）和2.36% (bootstrap)，对抑郁风险的总效应占3.82% （KHB）和1.97% （bootstrap）。结论CNQ和CEN对成人抑郁均有独立影响，CEN在CNQ-抑郁之间起部分中介作用。这些发现表明，针对社区条件和家庭环境的干预措施可能对预防成人抑郁症至关重要。

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The mediating role of childhood emotional neglect in the association between childhood neighborhood quality and adult depression outcomes: A nationwide longitudinal analysis

Background

Depression is a prevalent mental health disorder with personal and societal costs. Childhood experiences, including neighborhood quality and emotional neglect, may influence adult depression risk.

Objective

To examine the relationships between childhood neighborhood quality (CNQ), childhood emotional neglect (CEN), and adult depressive symptoms, and investigate the potential mediating role of CEN.

Participants and setting

15,730 Chinese adults aged 45 and above from the China Health and Retirement Longitudinal Study (CHARLS).

Methods

Weighted multiple regression, Karlson-Holm-Breen (KHB) mediation and Bootstrap mediation analyses were conducted to assess the relationships between CNQ, CEN, and adult depressive symptoms and depression risk, using longitudinal data.

Results

Higher CNQ was associated with lower depressive symptoms (β = −0.316, p < 0.001) and depression risk (β = −0.084, p < 0.001). Higher CEN was associated with increased depressive symptoms (β = 0.084, p < 0.01) and depression risk (β = 0.020, p > 0.05). CEN partially mediated the relationship between CNQ and depressive symptoms (KHB: β = −0.010, p < 0.01; Bootstrap: β = −0.007, p < 0.05) and depression risk (KHB: β = −0.003, p < 0.05; Bootstrap: β = −0.002, p > 0.05), accounting for 3.50 % (KHB) and 2.36 % (bootstrap) of the total effects for depressive symptoms, and 3.82 % (KHB) and 1.97 % (bootstrap) for depression risk.

Conclusions

Both CNQ and CEN independently influence adult depression, with CEN partially mediating the CNQ-depression relationship. These findings suggest that interventions targeting both neighborhood conditions and family environments may be crucial for preventing adult depression.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.