背景:非自杀性自我伤害(NSSI)是全球青少年人群中的一个严重问题。儿童创伤和欺凌已被确定为NSSI的危险因素。我们探索了童年创伤之间的关系,欺凌受害和NSSI行为的严重程度,并测试欺凌受害在调节儿童创伤与NSSI行为之间的关联中的作用。
方法:共招募123名青少年。他们被诊断出患有抑郁症或双相情感障碍的抑郁发作,并在去年经历了NSSI。他们使用儿童期创伤问卷中文版(CTQ-C)进行评估,修订后的Olweus欺凌受害问卷(OBVQ-R),和青少年自我伤害问卷(ASHQ)。
结果:女性的性虐待和关系欺凌的患病率明显高于男孩。年轻年龄组(10-14岁)的个体表现出更高的情感忽视发生率,言语欺凌,关系欺凌,和完全的欺凌,他们的NSSI评分也高于老年组(15-19岁).独生子女的性虐待发生率高于非独生子女。单亲家庭在情感虐待方面得分更高,情感上的忽视,身体上的忽视和身体上的欺凌比双亲家庭。儿童期创伤的各维度与欺凌的各维度均呈显著正相关,在童年创伤和NSSI之间,在欺凌和NSSI之间。童年创伤不仅可以直接影响NSSI的严重程度,而且可以通过欺凌受害间接加重NSSI的严重程度。欺凌受害对情感虐待的中介作用,身体虐待,情感忽视和身体忽视占14%,21%,20%,13%和20%,分别。
结论:童年创伤与欺凌呈显著正相关,在童年创伤和NSSI之间,在欺凌和NSSI之间。童年创伤不仅可以直接影响NSSI的严重程度,而且可以通过欺凌受害间接加重NSSI的严重程度。欺凌受害在儿童创伤和NSSI之间起部分中介作用。
BACKGROUND: Nonsuicidal self-injury (NSSI) is a serious problem in the adolescent population worldwide. Childhood trauma and bullying have been identified as risk factors for NSSI. We explored the relationships among Childhood trauma, Bullying victimization and the severity of NSSI behaviours, and test the effect of Bullying victimization in mediating the association between Childhood trauma and the NSSI behaviours.
METHODS: A total of 123 adolescents were recruited. They were diagnosed with depression or depressive episodes of bipolar disorder and had experienced NSSI in the last year. They were assessed using the Chinese version of the Childhood Trauma Questionnaire (CTQ-C), the Revised Olweus Bullying Victimization Questionnaire (OBVQ-R), and the Adolescent Self-Harm Questionnaire (ASHQ).
RESULTS: Females presented a significantly greater prevalence of sexual abuse and relationship bullying than boys. Individuals in the younger age group (10-14 years) presented a greater incidence of emotional neglect, verbal bullying, relationship bullying, and total bullying, and their NSSI score was also higher than that of those in the older age group (15-19 years). Only children show a greater prevalence of sexual abuse than nononly children. Single-parent families scored higher on emotional abuse, emotional neglect, physical neglect and physical bullying than two-parent families. There was a significant positive correlation between each dimension of childhood trauma and all the dimensions of bullying, between childhood trauma and NSSI, and between bullying and NSSI. Childhood trauma can not only directly affect the severity of NSSI but also indirectly aggravate the severity of NSSI through bullying victimization. The mediating effects of bullying victimization on emotional abuse, physical abuse, emotional neglect and physical neglect were 14%, 21%, 20%, 13% and 20%, respectively.
CONCLUSIONS: There was a significant positive correlation between childhood trauma and bullying, between childhood trauma and NSSI, and between bullying and NSSI. Childhood trauma can not only directly affect the severity of NSSI but also indirectly aggravate the severity of NSSI through bullying victimization. Bullying victimization played the partial mediating effects between Childhood trauma and NSSI.