羞耻倾向和抑郁症状在青少年家庭失能感与非自杀性自伤关系中的串行中介作用

IF 2 3区 医学 Q2 PSYCHIATRY
On Lon Wong, Huiting Fang, Jie Zhong, Qian Wang, Xiuming Zhang
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引用次数: 0

摘要

非自杀性自伤(NSSI)是全球青少年中一个重要的公共卫生问题。先前的研究已经证实了感知到的家庭失能在促进自伤参与方面的重要性。然而,这种关联背后的机制尚不清楚。目前的研究假设,感知到的家庭无效可能通过一系列的中介途径,通过羞耻倾向和抑郁症状与自伤有关。共3875名12 ~ 18岁的中国青少年(Mage = 14.43, SD = 1.38, 50.8%为女性)完成自述问卷,结果变量为感知家庭无效、羞耻倾向、抑郁症状和自伤。结果显示,终生自伤发生率为13.6%。感知家庭无效、羞耻倾向、抑郁症状均与自伤呈正相关。自伤组各变量平均得分均显著高于非自伤组。感知到的家庭无效与自伤之间的关系不受羞耻倾向的直接介导。尽管如此,它仍然是由抑郁症状介导的,而这种联系也依次由羞耻倾向和抑郁症状介导。研究结果揭示了一种潜在的精神病理机制,揭示了从感知家庭无效到自伤的途径,包括羞耻倾向和抑郁症状。此外,本研究也为未来心理健康服务提供者对家庭无效感和羞耻倾向升高的青少年的具体干预和预防方向提供了经验证据,以降低自伤风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Serial Mediating Role of Shame-Proneness and Depressive Symptoms on the Relationship Between Perceived Family Invalidation and Non-Suicidal Self-Injury Among Adolescents.

Non-suicidal self-injury (NSSI) is a significant global public health concern among adolescents. Prior research has confirmed the importance of perceived family invalidation in contributing to NSSI engagement. However, the mechanism underlying this association remains unclear. The current study hypothesized that perceived family invalidation would be associated with NSSI through a serial mediation pathway via shame-proneness and depressive symptoms. A sample of 3,875 Chinese adolescents from 12 to 18 years old (Mage = 14.43, SD = 1.38, 50.8% females) completed self-report questionnaires with outcome variables of perceived family invalidation, shame-proneness, depressive symptoms, and NSSI. Results showed that the prevalence of lifetime NSSI was 13.6%. Perceived family invalidation, shame-proneness, and depressive symptoms were all positively correlated with NSSI. The mean scores of all variables in the NSSI group were significantly higher than the non-NSSI group. The association between perceived family invalidation and NSSI was not directly mediated by shame-proneness. Still, it was mediated by depressive symptoms, while this link was also serially mediated by shame-proneness and depressive symptoms. Findings demonstrate a potential psychopathological mechanism underlying the pathway from perceived family invalidation to NSSI through shame-proneness and depressive symptoms. Furthermore, it provides empirical evidence for future specific intervention and prevention directions for mental health services providers working with adolescents of elevated perceived family invalidation as well as shame-proneness to reduce the risk of NSSI.

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来源期刊
CiteScore
6.10
自引率
7.10%
发文量
69
期刊介绍: Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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