母亲抑郁症状与青少年自杀意念的关系：童年创伤与无效感的链式中介作用

钟莹彦; 李雨婷; 陈剑华; 陈如梦; 从恩朝; 徐一峰

doi:10.7499/j.issn.1008-8830.2505041

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中国当代儿科杂志 ›› 2025, Vol. 27 ›› Issue (11) : 1317-1325. DOI: 10.7499/j.issn.1008-8830.2505041

儿童青少年心理健康专栏

母亲抑郁症状与青少年自杀意念的关系：童年创伤与无效感的链式中介作用

钟莹彦 ¹ ,
李雨婷 ¹ ,
陈剑华 ¹ ,
陈如梦 ¹ ,
从恩朝 ¹^,² ,
徐一峰 ¹

作者信息 +

Maternal depressive symptoms and adolescent suicidal ideation: the chain mediating roles of childhood trauma and ineffectiveness

Author information +

文章历史 +

摘要

目的研究母亲抑郁症状与青少年自杀意念之间的关系，以及童年创伤与无效感的链式中介作用。方法采用横断面研究方法，通过学校心理教师进行线上调研，对上海市及河南省的4 157对中学生及其母亲进行问卷调查。研究工具包括流调中心抑郁量表、童年创伤问卷及儿童抑郁量表，使用Bootstrap法检验童年创伤与无效感在母亲抑郁症状与青少年自杀意念间的链式中介作用。结果母亲抑郁症状的检出率为17.68%（735/4 157），青少年抑郁症状的检出率为15.49%（644/4 157），青少年自杀意念的检出率为28.19%（1 172/4 157）。青少年抑郁症状得分及自杀意念得分与母亲抑郁症状得分、童年创伤得分及无效感得分均呈显著正相关（均P<0.01）。童年创伤在母亲抑郁症状与青少年抑郁症状间的中介作用显著（95%CI：0.046 9~0.077 2）。童年创伤与无效感在母亲抑郁症状与青少年自杀意念间的链式中介作用显著（95%CI：0.000 7~0.001 3）。结论母亲抑郁症状水平越高，青少年经历更多童年创伤的可能性越大，这会增加青少年的无效感，从而产生自杀意念，该链式作用对青少年抑郁的社会学干预有重要价值。

Abstract

Objective To investigate the association between maternal depressive symptoms and adolescent suicidal ideation, and to examine the chain mediating roles of childhood trauma and ineffectiveness. Methods A cross-sectional online survey was administered by school psychologists to 4 157 mother-adolescent pairs from middle schools in Shanghai and Henan, China. Measures included the Center for Epidemiological Studies Depression Scale, the Childhood Trauma Questionnaire, and the Children's Depression Inventory. Using Bootstrap method to examine the chain mediating effect of childhood trauma and ineffectiveness on the relationship between maternal depression symptoms and adolescent suicidal ideation. Results The prevalence of maternal depressive symptoms was 17.68% (735/4 157); among adolescents, the prevalence of depressive symptoms was 15.49% (644/4 157), and suicidal ideation was 28.19% (1 172/4 157). Adolescent depressive symptoms and suicidal ideation were positively correlated with maternal depressive symptoms, childhood trauma, and ineffectiveness (all P<0.01). Childhood trauma significantly mediated the association between maternal and adolescent depressive symptoms (95%CI: 0.046 9-0.077 2). The chain mediation of childhood trauma and ineffectiveness in the association between maternal depressive symptoms and adolescent suicidal ideation was also significant (95%CI: 0.000 7-0.001 3). Conclusions Higher maternal depressive symptom levels are associated with a greater likelihood of adolescents' exposure to childhood trauma, which increases adolescents' ineffectiveness and, in turn, is associated with suicidal ideation. This chain effect has important implications for social interventions targeting adolescent depression.

导出引用

钟莹彦, 李雨婷, 陈剑华, 等. 母亲抑郁症状与青少年自杀意念的关系：童年创伤与无效感的链式中介作用[J]. 中国当代儿科杂志. 2025, 27(11): 1317-1325 https://doi.org/10.7499/j.issn.1008-8830.2505041

Ying-Yan ZHONG, Yu-Ting LI, Jian-Hua CHEN, et al. Maternal depressive symptoms and adolescent suicidal ideation: the chain mediating roles of childhood trauma and ineffectiveness[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(11): 1317-1325 https://doi.org/10.7499/j.issn.1008-8830.2505041

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