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有留守经历的大学生儿童期虐待与心理健康状况

潘贵霞,  李兵,  王静,  章功良,  莫茵,  陶欣荣

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文章导航 > 中华疾病控制杂志  > 2019 >  23(7): 840-844
潘贵霞, 李兵, 王静, 章功良, 莫茵, 陶欣荣. 有留守经历的大学生儿童期虐待与心理健康状况[J]. 中华疾病控制杂志, 2019, 23(7): 840-844. doi: 10.16462/j.cnki.zhjbkz.2019.07.019
引用本文: 潘贵霞, 李兵, 王静, 章功良, 莫茵, 陶欣荣. 有留守经历的大学生儿童期虐待与心理健康状况[J]. 中华疾病控制杂志, 2019, 23(7): 840-844. doi: 10.16462/j.cnki.zhjbkz.2019.07.019
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PAN Gui-xia, LI Bing, WANG Jing, ZHANG Gong-liang, MO Yin, TAO Xin-rong. Status of childhood abuse and mental health in college students with left-behind experience[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 840-844. doi: 10.16462/j.cnki.zhjbkz.2019.07.019
Citation: PAN Gui-xia, LI Bing, WANG Jing, ZHANG Gong-liang, MO Yin, TAO Xin-rong. Status of childhood abuse and mental health in college students with left-behind experience[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 840-844. doi: 10.16462/j.cnki.zhjbkz.2019.07.019
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有留守经历的大学生儿童期虐待与心理健康状况

doi: 10.16462/j.cnki.zhjbkz.2019.07.019
  • 1.

    230032 合肥, 安徽医科大学公共卫生学院流行病与卫生统计学系

  • 2.

    232001 淮南, 安徽理工大学医学院

  • 3.

    230032 合肥, 安徽医科大学基础医学院

  • 4.

    650032 昆明, 昆明医科大学第一附属医院

基金项目: 

安徽医科大学博士启动基金 XJ201414

安徽省博士后基金 2017B237

详细信息
    通讯作者:

    莫茵, E-mail: 13888905910@163.com

    陶欣荣, E-mail: xrtao1116@hotmail.com

  • 中图分类号: R181

Status of childhood abuse and mental health in college students with left-behind experience

  • 1.

    Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, China

  • 2.

    Anhui University of Science & Technology, School of Medicine, Huainan 232001, China

  • 3.

    Basic Medical Sciences, Anhui Medical University, Hefei 230032, China

  • 4.

    First Affiliated Hospital of Kunming Medical University, Kunming 650032, China

Funds: 

PhD Research Start-Up Fund of Anhui Medical University XJ201414

Anhui Postdoctoral Science Foundation 2017B237

More Information

    摘要
  • 摘要:   目的  探讨心理韧性在有留守经历的大学生儿童期虐待与心理健康之间的中介作用，为提高留守经历大学生心理健康水平提供参考依据。  方法  采用儿童期虐待问卷、中国心理韧性量表和症状自评量表，对安徽省某理工院校有留守经历大学生350人和无留守经历大学生297人的儿童期虐待水平、心理韧性水平和心理健康状况进行测定，对收集到的数据进行相关分析和中介效应分析。  结果  有留守经历的大学生儿童期受虐待水平高于无留守经历大学生(Z=-2.696，P=0.007)且心理韧性水平低于无留守经历的大学生(Z=-3.267，P=0.001)；心理韧性与儿童期虐待、心理健康水平得分均呈负相关(r=-0.279，P < 0.001，r=-0.247，P < 0.001)，儿童期虐待与心理健康水平得分呈正相关(r=0.280，P < 0.001)；儿童期虐待对心理健康问题产生的直接效应为0.247，通过心理韧性对心理健康问题产生的中介效应占总效应的19.02%。  结论  心理韧性在儿童期虐待与心理健康之间起到部分中介作用，因此，对有留守的儿童期虐待经历的大学生进行以提高心理韧性水平为主要目的干预活动，进而提高他们的总体心理健康水平。
    Abstract:   Objective  To explore the mediating role of mental resilience between childhood abuse and mental health of college students with left-behind experience, so as to provide reference for the improvement of their mental health level of.  Methods  350 college students with left-behind experience and 297 college students who did not have such experience were recruited in some science and technology college in Anhui province and assessed with Childhood Abuse Questionnaire (CTQ-SF), the Chinese Mental Resilience Scale (CMRS) and Symptom Check List 90(SCL-90). Correlation analysis and mediation effect analysis were conducted with the collected data.  Results  The level of childhood abuse of college students with left-behind experience was higher than that of college students without left-behind experience (Z=-2.696, P=0.007), and the level of psychological resilience was lower than that of college students without left-behind experience (Z=-3.267, P=0.001).The scores of the Chinese Mental Resilience Scale, Childhood Abuse Questionnaire and Symptom Check List were negatively correlated(r=-0.279, P < 0.001, r=-0.247, P < 0.001). The scores of Childhood Abuse Questionnaire and Symptom Check List 90 were positively correlated(r=0.280, P < 0.001). The direct effect of childhood abuse on mental health problems was 0.247 and the mediation effect of resilience in total effect was 19.02%.  Conclusions  Resilience is a partial mediator between the relation of childhood abuse and mental health. Therefore, intervention activities can be carried out for the college students who have experienced left-behind childhood abuse to improve their overall mental health level.
    • HTML全文

  • 图  1  心理韧性的部分中介作用模型

    Figure  1.  A partial mediating model of mental resilience

    下载: 全尺寸图片 幻灯片

    表  1  有无留守经历的大学生儿童期虐待水平、心理韧性水平和心理健康状况及各维度得分差异比较[M(P25, P75)]

    Table  1.   Comparison of the levels of childhood abuse, mental resilience and mental health and other dimensions between left-behind experience and non-left-behindexperience college students[M(P25, P75)]

    变量 有留守经历大学生(n=350) 无留守经历大学生(n=297) Z值 P值
    情感虐待 10(9, 12) 10(10, 12) -1.060 0.289
    躯体虐待 5(5, 6) 5(5, 5) -2.161 0.031
    性虐待 5(5, 5) 5 (5, 5) -0.839 0.401
    情感忽视 17(16, 20) 18(15, 20) -0.840 0.401
    躯体忽视 9(8, 11) 8(7, 10) -4.957 < 0.001
    儿童虐待量表总分 48(45, 52) 47(44, 50) -2.696 0.007
      意志力 12(10, 13) 12(10, 13) -0.961 0.336
      社会支持 23(20, 25) 23(21, 26) -2.898 0.004
      乐观自信 27(25, 29) 27(25, 30) -2.338 0.019
      解决问题 14(12, 15) 15(13, 16) -2.955 0.003
      人际关系 17(16, 18) 18(16, 19) -2.793 0.005
    心理韧性量表总分 92(85, 98) 94(88, 101) -3.267 0.001
      躯体化 14(12，18) 14(13，18) -0.642 0.521
      强迫 17(14，21) 16(13，22) -0.785 0.433
      人际关系敏感 13(11，18) 13(10，17) -1.364 0.173
      抑郁 18(15，23) 17(14，22) -2.092 0.036
      焦虑 13(11，17) 13(11，17) -1.022 0.307
      敌对 8(6，10) 7(6，9) -1.702 0.089
      恐怖 9(7，12) 8(7，12) -1.071 0.284
      偏执 8(6，10) 8(6，9) -0.845 0.398
      精神病性 13(11，17) 13(10，16) -1.366 0.172
      其他 9(8，12) 9(8，12) -0.290 0.771
    症状自评量表 126(106，154) 120(103, 153.5) -1.290 0.197
    下载: 导出CSV
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  • 收稿日期:  2019-03-11
  • 修回日期:  2019-06-01
  • 刊出日期:  2019-07-10

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