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Journal Article

Citation

张, 柳, 王, 周, 滕, 张, 张. J. Clin. Psychol. Med. 2017; 2017(01): 19-21.

Vernacular Title

边缘型人格障碍患者儿童期虐待、冲动及与自杀意念的关系

Copyright

(Copyright © 2017, 臨床精神醫學雜誌編輯部)

DOI

unavailable

PMID

unavailable

Abstract

OBJECTIVE To explore relationship between stressful life events and suicidal ideation of left-behind children and mediating effect of negative cognitive emotion regulation.

METHODS From July to August in 2015,500 left-behind children from 5 middle schools in Debao Country and Napo Country in Guangxi were selected by convenience sampling method. They were investigated by Adolescent Self-rating Life Event Checklist(ASLEC), Cognitive Emotion Regulation Questionnaire(CERQ),and Positive and Negative Suicide Ideation(PANSI). A total of 500 questionnaires were sent out,454 valid questionnaires were collected and the effective response rate was 90. 8%. By constructing structural equation model,mediating effect analysis was performed by using AMOS 21. 0 statistical software.

RESULTS The scores of stressful life events,negative cognitive emotion regulation and suicide ideation of the 454 left-behind children were(1. 6 ± 0. 7),(2. 6 ± 0. 5),and(1. 9 ± 0. 6) respectively. The score of stressful life events of male left-behind children(1. 6 ± 0. 7) was significantly higher than that of female left-behind children(1. 5 ± 0. 6)(P < 0. 05); the score of stressful life events of high-school left-behind children(1. 6 ± 0. 7) was significantly higher than that of middle-school left-behind children(1. 4 ± 0. 7)(P <0. 05). The stressful life events scores were linearly positively correlated with negative cognitive emotion regulation and suicidal ideation scores among left-behind children(P < 0. 001); there was also a positive linear correlation between negative cognitive emotion regulation scores and suicidal ideation scores(P < 0. 001). The score of suicidal ideation of left-behind children could be predicted by the score of stressful life events(β = 0. 31,P < 0. 001); however,after adding the mediating variable negative emotion regulation,the score of suicidal ideation could not be predicted by stressful life event score(β = 0. 01,P = 0. 894).

CONCLUSION Negative cognitive regulation has a complete mediating effect on stressful life events and suicidal ideation. The stressful life events indirectly affect the suicidal ideation of the left-behind children through negative cognitive emotion regulation.


Language: zh

Vernacular Abstract

目的:探讨边缘型人格障碍(BPD)患者儿童期虐待、冲动与自杀意念的关系。方法:对1 864名服刑人员应用人格障碍诊断问卷第4版(PDQ-4)进行评估,对筛选出的BPD患者应用儿童期虐待问卷(CTQ-SF)、Barratt冲动性量表第11版(BIS-11)和自杀意念自评量表(SIOSS)进行问卷调查。结果:共有163名服刑人员符合BPD;其中90人有自杀意念(SIOSS≥12分)。结构方程模型显示,儿童期情感忽视对自杀意念具有直接效应,并通过无计划冲动对自杀意念产生间接效应;儿童期情感虐待通过注意力冲动对自杀意念产生间接效应。结论:BPD患者自杀意念的形成与儿童期虐待、冲动性的部分因子相关。

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