中国青少年童年虐待、自杀意念和心理症状关系的网络研究

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-06-13 DOI:10.1016/j.chiabu.2025.107546

Siying Li , Yunhan He , Huiting Zhou , Jingqiu Zhang , Yonglong Tang

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引用次数: 0

摘要

童年时期的虐待对青少年的心理健康构成严重威胁，导致自杀意念和各种心理症状。本研究旨在通过网络分析探讨不同类型的儿童虐待、自杀意念和青少年心理症状之间的复杂关系，并重点研究不同类型虐待的影响。方法本研究于2020年6月至9月在中国通过方便抽样的方式收集数据，包括20,055名遭受过虐待的初高中青少年。使用网络分析揭示儿童虐待、自杀概率（包括自杀意念）和心理症状之间的关系。该分析在2021年收集的另一个样本中得到了重复，以评估网络随时间的稳定性。结果网络分析结果显示，儿童虐待的五种亚型与青少年自杀概率、心理症状之间存在较强的相关性。焦虑、抑郁和偏执是网络中心性最高的节点，而消极自我评价、情绪忽视和情绪虐待具有最高的桥接中心性。情感虐待表现出与自杀意念以及与绝望的强烈联系。情绪忽视与自杀意念的关联第二强，且与消极自我评价密切相关。随着时间的推移，网络表现出良好的稳定性。结论该研究结果强调了情绪虐待和情绪忽视在青少年自杀意念中的重要性，建议在自杀预防工作中应优先考虑这两种亚型。焦虑、抑郁和偏执的核心作用表明，这些症状可能是青少年心理健康干预的关键目标。

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A network approach to understanding the relationship between childhood maltreatment, suicidal ideation and psychological symptoms among Chinese adolescents

Background

Childhood maltreatment poses a significant threat to adolescents' mental health, leading to suicidal ideation and various psychological symptoms. This study aims to explore the complex relationships between different types of childhood maltreatment, suicidal ideation and psychological symptoms in Chinese adolescents using network analysis, with a focus on the effects of different maltreatment subtypes.

Methods

This study collected data through a convenience samplings in China from June to September 2020, and included 20,055 adolescents in middle and high school who had experienced maltreatment. Network analysis was used to reveal relationships between childhood maltreatment, suicide probability (including suicidal ideation), and psychological symptoms. The analysis was replicated in another sample collected in 2021 to assess the stability of the network over time.

Results

Network analysis revealed strong correlations between the five subtypes of childhood maltreatment, suicide probability, and psychological symptoms among adolescents. Anxiety, depression, and paranoia emerged as nodes with the highest network centrality, while negative self-evaluation, emotional neglect, and emotional abuse had the highest bridge centrality. Emotional abuse exhibited the strongest association with suicidal ideation, as well as a strong connection with hopelessness. Emotional neglect had the second strongest association with suicidal ideation, and was closely related to negative self-evaluation. The network demonstrated good stability over time.

Conclusions

The findings highlight the distinct importance of emotional abuse and emotional neglect in adolescent suicidal ideation, suggesting the two subtypes should be prioritized in suicide prevention efforts. The central roles of anxiety, depression, and paranoia indicate that these symptoms may be key targets for adolescent mental health interventions.

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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.