Childhood trauma, peer victimization, and non-suicidal self-injury among Chinese adolescents: a latent variable mediation analysis

Zhao, Ke; Tong, Siyu; Hong, Lan; Shang, Yang; Yang, Wenyun; Xu, Yao; Fan, Zilin; Zheng, Jiaqi; Yao, Keqing; Zheng, Tiansheng

doi:10.1186/s12888-023-04848-z

Cited by 14 publications

(10 citation statements)

References 92 publications

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“…By contrast, all subscale scores on the BIS, except for body touch, were lower in the group with NSSI compared to the group without NSSI. Our findings support the first hypothesis and are consistent with previous research indicating that childhood trauma and alexithymia increase the risk of NSSI ( Kautz et al, 2020 ; Zhao et al, 2023 ), while bodily investment serves as a protective factor against NSSI ( Pérez et al, 2018 ). In the final prediction model, childhood trauma and body investment were significant predictors of NSSI behavior, which consistent with previous research ( Cipriano et al, 2020 ; Kautz et al, 2020 ).…”

Section: Discussionsupporting

confidence: 92%

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Cao,

Peng,

Yuan

et al. 2024

Front. Psychol.

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PurposeThis study analyzes the relationship of alexithymia, childhood trauma, and body investment to non-suicidal self-injury (NSSI) behaviors in adolescents with depressive disorder and whether they have predictive and diagnostic value for non-suicidal self-injury (NSSI) behaviors in adolescents with depressive disorder.Patients and methodsA total of 225 patients with a diagnosis of adolescent depressive disorder were included in the study and were divided into two groups according to the DSM-5 criteria: 98 cases without NSSI and 127 cases with NSSI. Compare the demographic data, 24-item Hamilton Depression Scale (HAMD-24), 20-item Toronto Alexithymia Scale (TAS-20), Childhood Trauma Questionnaire-Short Form (CTQ-SF), and Body Investment Scale (BIS) scores between two groups. Binary logistic regression was used to analyze the independent risk factors contributing to NSSI behaviors in adolescents with depression, and establish four predictive models. Based on the models’ predictive probability, the ROC curves were plotted to calculate the value of the predictive diagnostic effect.ResultsThe group without NSSI had lower scores than the group with NSSI on HAMD-24 total score, TAS-20 total score, difficulty identifying feelings, difficulty describing feelings, and externally focused thinking, as well as lower scores on CTQ-SF total score, physical neglect, emotional neglect, physical abuse, and emotional abuse. In contrast, the BIS total score, body image feelings and attitudes, body care, and body protection factor scores were higher for the group without NSSI. The BIS body care factor score and the CTQ-SF emotional abuse factor score were significantly linked with adolescents diagnosed with depressive disorder who exhibited NSSI behaviors. These results provide a good diagnostic model for adolescents with depressive disorder.ConclusionLow levels of body care and childhood emotional abuse may independently contribute to the implementation of NSSI in adolescents with depressive disorder. Body investment and childhood trauma are valuable in diagnosing and predicting NSSI behaviors and should be considered as potentially important factors in clinical treatment.

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Section: Discussionsupporting

confidence: 92%

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Cao,

Peng,

Yuan

et al. 2024

Front. Psychol.

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“…Besides, consistent with the findings of prior evidence, adolescents who experienced bullying victimization were more prone to engage in NSSI behavior. 19 , 20 , 37 As the vulnerability-stress theory proposed, 81 the emergence of individual internalizing and externalizing behavior problems is caused by a combination of preexisting cognitive weakness and environmental hardships, stresses, or adversities. Bullying victimization, as a negative and stressful life event, could predict a series of subsequent adverse psychosocial consequences and behavior disorders among adolescents.…”

Section: Discussionmentioning

confidence: 99%

“… 36 Several empirical studies also demonstrate that NSSI is more common among adolescents with experiences of bullying victimization compared to adolescents without such experiences. 19 , 20 , 37 …”

Section: Introductionmentioning

confidence: 99%

“…After being bullied at school, adolescents may utilize NSSI to help them regain a sense of control and then lessen the adverse emotions caused by being bullied. 39 Some research has been conducted to investigate the impacts of bullying victimization on NSSI, 19 , 20 , 37 but the underlying linkages remain unknown. As a result, the purpose of this study was to develop a prospective structural model to analyze how bullying victimization affects NSSI in Chinese adolescents.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Bullying Victimization on Adolescent Non-Suicidal Self-Injury: The Mediating Roles of Alexithymia and Self-Esteem

Guo,

Wu,

Dong

et al. 2024

PRBM

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Background & Aim Non-suicidal self-injury (NSSI) in adolescents is a serious public health issue influenced by the interaction of multiple factors. The purpose of this study was to investigate the multiple mediating roles of alexithymia and self-esteem in the association between bullying victimization and NSSI in a sample of Chinese adolescents. Methods A survey of 1299 adolescents from two public middle schools in Henan Province, China, was undertaken. Data were collected using the Chinese version of the Delaware bullying victimization scale-student (DBVS-S), the Toronto Alexithymia-20 Scale (TAS-20-C), the Rosenberg self-esteem scale (RSES), and the adolescent self-injury questionnaire. Besides, we performed a structural equation modeling (SEM) with latent variables using AMOS 26.0 to examine the relationship between variables and the mediating effects. Results The SEM analysis found that not only can bullying victimization directly impact NSSI, but that alexithymia and self-esteem have a chain mediating effect in the association between bullying victimization and NSSI. This mediating effect contributed 22.47% to the total effect. Conclusion These findings validate bullying victimization, alexithymia, and low self-esteem are important variables that affect NSSI among Chinese adolescents. Educators need to implement some prevention and intervention strategies to ameliorate the campus atmosphere and adolescents’ mental health aimed at avoiding NSSI behavior in adolescence.

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“…The multidimensional Peer-Victimization Scale (MPVS) measures peer bullying suitable for adolescents aged 11–16 [ 30 , 31 ]. It has 16 items, each asking individuals how often they experienced each event over the past year, with response options ranging from 0 (not at all), 1 (once), to 2 (more than once).…”

Section: Methodsmentioning

confidence: 99%

Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students

Chen

Ren

et al. 2023

BMC Psychiatry

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Background Depressive and anxiety symptoms affect about one-fourth of Chinese secondary school students. However, the prevalence and correlates of mental distress among secondary school students from Western China remain largely unexplored. This study aimed to examine the prevalence and associations of depressive and anxiety symptoms with demographic, family, school, life, and behavior factors in a large, representative sample of secondary school students in Zigong, a city in Western China. Methods Secondary school students were recruited using cluster sampling. The 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder Questionnaire, Multidimensional Peer-Victimization Scale, the Pittsburgh Sleep Quality Index, and Nine-Item Internet Gaming Disorder Scale-Short Form were used. Descriptive statistic was used to describe the sociodemographic characteristics of participants. The clustering effect was adjusted by the “survey” package of R to calculate weighted prevalence. Univariate and multivariate logistic regression were used to explore associated factors of depression and anxiety, respectively. Results A total of 63,205 participants were involved, in which the weighted prevalence of depression in all subjects was 23.0% (95% CI: 19.6- 27.0%), and the weighted prevalence of anxiety was 13.9% (95% CI: 11.2- 17.0%). Logistic regression results showed girls, being single-child, non-nuclear family, peer bullying, sleep disturbance, and internet gaming disorder symptoms were positively associated with depressive and anxiety symptoms. Conclusion Depressive and anxiety symptoms were prevalent among secondary school students in Western China. Our results can guide policy strategies for the assessment, prevention, and intervention of psychological status among Chinese secondary school students.

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Childhood trauma, peer victimization, and non-suicidal self-injury among Chinese adolescents: a latent variable mediation analysis

Cited by 14 publications

References 92 publications

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

Predictors of non-suicidal self-injury in adolescents with depressive disorder: the role of alexithymia, childhood trauma, and body investment

The Effect of Bullying Victimization on Adolescent Non-Suicidal Self-Injury: The Mediating Roles of Alexithymia and Self-Esteem

Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students

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