Childhood Abuse and Suicidal Behaviors Among Chinese Migrant Workers: The Mediating Role of Alexithymia and Social Support

Chen, Li; Ngoubene-Atioky, Arlette J.; Zanardelli, Gina; Yuan-ping, Deng; Yu, Linwei

doi:10.1080/13811118.2019.1658142

Cited by 11 publications

(6 citation statements)

References 56 publications

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“…Among individuals who experience childhood abuse or neglect, alexithymia may develop from their efforts to cope with the traumatic event and from experiences that hinder normative development of emotion skills, including exposure to nonprototypical models of emotion expression (Pollak et al., 2000), higher‐than‐average exposure to certain kinds of emotion (Pollak & Sinha, 2002), and lack of validation, discouragement, or punishment for expressing certain kinds of emotions (Hahn, Simons, & Simons, 2016; Shipman et al., 2007; Shipman, Zeman, Penza, & Champion, 2000). Many studies support the role of alexithymia as a mediator between the experience of childhood maltreatment and various psychological disorders including addictive disorders, eating disorders, anxiety, depression, PTSD, and personality disorders (Brown, Fite, Stone, & Bortolato, 2016; Chen, Ngoubene‐Atioky, Zanardelli, Yuanping, & Yu, 2019; Zlotnick, Mattia, & Zimmerman, 2001).…”

Section: Introductionmentioning

confidence: 99%

Alexithymia in individuals maltreated as children and adolescents: a meta‐analysis

Khan

Jaffee

2022

Child Psychology Psychiatry

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Background: Children who are maltreated show deficits in emotion recognition, expression, and understanding. The goal of the current meta-analysis was to determine the degree to which maltreatment is associated with deficits in the ability to recognize one's own emotionsa phenomenon known as alexithymia. Alexithymia may be a mechanism explaining the association between childhood maltreatment and various psychological disorders. Methods: This meta-analytic review (88 studies, n = 43,076) examined the association between the experience of childhood maltreatment and alexithymia, mainly in adulthood. Additional meta-analyses were run to examine if the strength of the association between maltreatment as a child and alexithymia varied as a function of the type of maltreatment individuals reported and other moderators. Results: We found significant small effect sizes for all models, indicating higher levels of maltreatment in childhood or adolescence were associated with higher levels of alexithymia. Alexithymia was more strongly associated with forms of neglect than with physical or sexual abuse. The effect sizes also increased as the percentages of females in the sample increased. Conclusions: Results suggest that researchers should examine whether alexithymia is a transdiagnostic mechanism in the association between childhood maltreatment and psychopathology and whether targeting alexithymia in treatment could reduce a wide range of symptoms.

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Section: Introductionmentioning

confidence: 99%

Alexithymia in individuals maltreated as children and adolescents: a meta‐analysis

Khan

Jaffee

2022

Child Psychology Psychiatry

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“…Childhood maltreatment, understood as abuse or neglect which afflicts the child's health or dignity ( Butchart et al, 2006 ), is a well-established risk factor for suicidality and self-harm ( Angst et al, 2014 ; Chen et al, 2019 ; Lee, 2015 ; Yates et al, 2008 ). Meta-analyses have shown that survivors of childhood maltreatment are two to three times more likely to engage in those behaviors ( Angelakis et al, 2019 ; Liu et al, 2017 ; Liu et al, 2018 ; Zatti et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

The mediating role of attachment and mentalising in the relationship between childhood maltreatment, self-harm and suicidality

Stagaki

Nolte

Feigenbaum

et al. 2022

Child Abuse & Neglect

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“…An individual who had expressed suicidal ideation has a higher risk of subsequent completed suicide than people who had not [ 11 ]. The lifetime prevalence of suicidal ideation among Chinese migrant workers was up to 12.8% [ 12 ], which was about three times higher than the prevalence in the general population (3.9%) [ 9 ]. Chen et al considered migration status as a reason for the high prevalence [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…The lifetime prevalence of suicidal ideation among Chinese migrant workers was up to 12.8% [ 12 ], which was about three times higher than the prevalence in the general population (3.9%) [ 9 ]. Chen et al considered migration status as a reason for the high prevalence [ 12 ]. In order to reduce suicide risk among Chinese migrant workers, early identification of individuals experiencing suicidal ideation is important.…”

Section: Introductionmentioning

confidence: 99%

The Mental Health and Syndemic Effect on Suicidal Ideation among Migrant Workers in China: A Cross-Sectional Study

Zhang

et al. 2021

IJERPH

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Background: Migrant workers are in a socially disadvantaged position and thus suffer from more stress and mental health disorders, resulting in a high risk of suicidal ideation. This study aimed to explore the association between psychosocial problems and suicidal ideation, and the syndemic effect of concurrent psychosocial problems on suicidal ideation among migrant workers. Methods: We conducted a cross-sectional study and recruited 1805 migrant workers in Shenzhen, China. Each participant completed a self-administered questionnaire to report sociodemographic information and mental health status. Univariate and multivariate logistic regression were used to explore the association between psychosocial variables and suicidal ideation, and their syndemic effect on suicidal ideation. Results: The prevalence of suicidal ideation among migrant workers was 7.5%. All selected psychosocial variables were independently associated with suicidal ideation. Multivariate logistic regression analysis showed that three psychosocial variables were associated with suicidal ideation: anxiety (ORm: 1783, 95% CI: 1.089–2.920), entrapment (ORm: 2.064, 95% CI: 1.257–3.388), and defeat (ORm: 2.572, 95% CI: 1.612–4.103). Various mental health issues can exist simultaneously to increase the risk of suicidal ideation (AOR: 5.762, 95% CI: 3.773–8.802). Workers with more psychosocial problems were more likely to have suicidal ideation. Conclusions: The association between poor mental health and suicidal ideation should not be overlooked among migrant workers. The co-occurring or syndemic effect of psychosocial problems may increase the risk of suicidal ideation.

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Childhood Abuse and Suicidal Behaviors Among Chinese Migrant Workers: The Mediating Role of Alexithymia and Social Support

Cited by 11 publications

References 56 publications

Alexithymia in individuals maltreated as children and adolescents: a meta‐analysis

Alexithymia in individuals maltreated as children and adolescents: a meta‐analysis

The mediating role of attachment and mentalising in the relationship between childhood maltreatment, self-harm and suicidality

The Mental Health and Syndemic Effect on Suicidal Ideation among Migrant Workers in China: A Cross-Sectional Study

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