儿童虐待、非自杀性自我伤害和青少年网络成瘾之间的关系：复杂创伤后应激障碍症状的纵向中介作用

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-05-22 DOI:10.1016/j.chiabu.2025.107507

Yiming Liang , Meiping Zeng , Yueling Zhou , Jingbo Gong

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引用次数: 0

摘要

背景非自杀性自伤和网络成瘾是受环境因素影响的行为问题，儿童虐待是其中一个重要的危险因素。复杂创伤后应激障碍（CPTSD）与儿童虐待密切相关。目的探讨儿童虐待、自伤和网络成瘾之间的纵向关系，重点研究网络创伤后应激障碍症状的中介作用。本研究每隔6个月收集454名中国青少年的三波数据。儿童虐待在T1进行评估，而CPTSD症状、自伤和网络成瘾在T2和T3进行评估。方法采用路径分析方法，探讨儿童虐待对自伤和网络成瘾的直接和间接影响，其中两类CPTSD症状：创伤后应激障碍（PTSD）和自组织障碍（DSO）。结果scptsd症状在儿童虐待与两种行为问题的关系中起部分中介作用，其中DSO症状在其中起主要中介作用。其中，情感失调和负性自我概念分别是网络成瘾和自伤的主要中介因素。结论受虐待青少年的CPTSD症状，尤其是DSO症状对行为问题有显著影响。这项研究强调了将CPTSD症状纳入针对受虐待青少年适应不良行为的循证干预措施的必要性。

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查看原文本刊更多论文

Associations among child maltreatment, non-suicidal self-injury and internet addiction in adolescents: Longitudinal mediation of symptoms of complex posttraumatic stress disorder

Backgrounds

Non-suicidal self-injury (NSSI) and internet addiction are behavioral problems influenced by environmental factors, with child maltreatment emerging as an important risk factor. Complex posttraumatic stress disorder (CPTSD) is closely associated with child maltreatment.

Objective

This study aimed to explore the longitudinal associations among child maltreatment, NSSI and internet addiction, focusing on the mediating role of CPTSD symptoms.

Participants and setting

This study collected three-wave data from 454 Chinese adolescents with a six-month interval. Child maltreatment was assessed at T1, while CPTSD symptoms, NSSI and internet addiction were assessed at both T2 and T3.

Methods

Path analysis was utilized to examine both direct and indirect effects of child maltreatment on NSSI and internet addiction, mediated by two clusters of CPTSD symptoms: posttraumatic stress disorder (PTSD) and disturbance in self-organization (DSO).

Results

CPTSD symptoms partially mediated the relationship between child maltreatment and the two behavioral problems, with DSO symptoms being the primary contributors to this mediating effect. Specifically, affective dysregulation and negative self-concept in DSO were key mediators for internet addiction and NSSI respectively.

Conclusions

Among adolescents with child maltreatment, CPTSD symptoms, especially DSO symptoms, exert a significant influence on behavioral problems. This study underscores the need to integrate CPTSD symptoms into evidence-based interventions targeting maladaptive behaviors in maltreated youth.

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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.