Early adverse childhood experiences; Perceived control; Depressive symptoms; Junior high school students
早期童年不良经历; 控制感; 抑郁症状; 初中生
Abstract:
Objective: To examine the effect of early adverse childhood experiences on depressive symptoms among junior high school students, and the mediating role of perceived control in this relationship. Methods: A total of 1,667 junior high school students from one middle school in Zhengzhou City were selected using stratified random sampling. All participants completed the Childhood Trauma Questionnaire (CTQ), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Perceived Control Scale. Results: Childhood trauma was significantly positively correlated with depressive symptoms (r=0.431, p<0.01) and significantly negatively correlated with perceived control (r=-0.478, p<0.01); perceived control was significantly negatively correlated with depressive symptoms (r=-0.433, p<0.01). Perceived control played a partial mediating role between childhood trauma and depression, with an indirect effect value of 0.147, accounting for 31.61% of the total effect (95% CI: 0.114–0.183). Conclusion: Early adverse childhood experiences not only directly increase the risk of depression in junior high school students, but also indirectly exacerbate depression by weakening perceived control. Improving perceived control may be an effective approach in the prevention and intervention of adolescent depression.
目的:探讨早期童年不良经历对初中生抑郁症状的影响,以及控制感在其中的中介作用。方法:采用分层随机取样法,选取郑州市一所中学1667名初中生为研究对象,使用儿童期创伤问卷、流调中心抑郁量表和控制感量表进行测量。结果:儿童期创伤与抑郁症状显著正相关(r=0.431,p<0.01),与控制感显著负相关(r=-0.478,p<0.01);控制感与抑郁症状显著负相关(r=-0.433,p<0.01)。控制感在童年创伤与抑郁之间起部分中介作用,间接效应值为0.147,占总效应的31.61%(95%CI:0.114~0.183)。结论:早期童年不良经历既直接增加初中生抑郁风险,也通过削弱控制感间接加剧抑郁。提升控制感可能是预防和干预青少年抑郁的有效途径。