童年创伤对成年早期抑郁的影响及中介机制：4年追踪研究

陈沼桦; 沈思彤; 谢菲; 孙笑笑; 陈蓓婧; 师培霞; 覃雪梅; 张梦佳; 戴琴

doi:10.16016/j.1000-5404.202011219

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童年创伤对成年早期抑郁的影响及中介机制：4年追踪研究

医学心理学 | 更新时间：2026-01-09

- 童年创伤对成年早期抑郁的影响及中介机制：4年追踪研究
- Impact of childhood trauma on early-adulthood depression and its mediating mechanism: a 4-year longitudinal study
- 第三军医大学学报 2021年43卷第6期页码：567-574
- 作者机构：
- 作者简介：
- 基金信息：
  
  重庆市自然科学基金重点项目(cstc2020jcyj-zdxmX0009);重庆市重点教学课题(162061);军事医学创新工程(18CXZ005);陆军军医大学指令性军事医学预研课题(2019ZLX003)
- DOI：10.16016/j.1000-5404.202011219
  中图分类号：
- 收稿：2020-11-23，
  
  纸质出版：2021-03-30
- 稿件说明：
移动端阅览
陈沼桦, 沈思彤, 谢菲, 等. 童年创伤对成年早期抑郁的影响及中介机制：4年追踪研究[J]. 第三军医大学学报, 2021,43(6):567-574.

Zhaohua CHEN, Sitong SHEN, Fei XIE, et al. Impact of childhood trauma on early-adulthood depression and its mediating mechanism: a 4-year longitudinal study[J]. Journal of Third Military Medical University, 2021, 43(6): 567-574.
陈沼桦, 沈思彤, 谢菲, 等. 童年创伤对成年早期抑郁的影响及中介机制：4年追踪研究[J]. 第三军医大学学报, 2021,43(6):567-574. DOI： 10.16016/j.1000-5404.202011219.

Zhaohua CHEN, Sitong SHEN, Fei XIE, et al. Impact of childhood trauma on early-adulthood depression and its mediating mechanism: a 4-year longitudinal study[J]. Journal of Third Military Medical University, 2021, 43(6): 567-574. DOI： 10.16016/j.1000-5404.202011219.

摘要

Abstract

Objective

To investigate the effects of childhood trauma on early-adulthood depression and the mediating roles of neuroticism

negative self-description

fancy

life-events

social support and resilience in the process based on a vulnerability stress model through a 4-year longitudinal study.

Methods

In October 2016 (T1)

a total of 510 freshmen from a university were recruited and surveyed with Beck depression inventory (BDI-Ⅱ)

Childhood Trauma Questionnaire-28 item Short Form (CTQ-SF)

Eysenck personality questionnaire (EPQ)

Self-description Task (SDT)

Coping Style Questionnaire (CSQ)

Adolescent Self-rating Life Events Checklist (ASLEC)

Social Support Rating Scale (SSRS)

and Connor-Davidson Resilience Scale (CD-RISC). Then in October 2019 (T4)

433 of them were assessed with BDI -Ⅱ

ASLEC

SSRS and CD-RISC. Structural equation model was used to analyze the potential mediating mechanism of childhood trauma on depression.

Results

① Childhood trauma was positively correlated with depression at T1 and T4 (

=0.27

0.15

0.01). ②Stepwise regression analysis showed that childhood trauma

neuroticism

negative self-description

fancy

life-events

and resilience could predict early-adulthood depression

and explained 53% of depression at T1. ③Structural equation modeling indicated that childhood trauma positively predicted early-adulthood depression

and neuroticism

negative self-description

fancy

life-events and resilience partially exerted mediating roles (effect value=0.25

0.01). ④Instant model further suggested that childhood trauma had a direct impact on T1 depression (effect value=0.09

0.05)

and exerted immediate mediating effects through resilience

life-events and social support (effect value=0.13

0.01). What's more

childhood trauma also showed delayed mediating effects on T4 depression through above mentioned variables at T1 and T4 (effect value=0.14

0.01).

Conclusion

Childhood trauma can positively predict early-adulthood depression

and neuroticism

negative self-description

fancy

life-events

and resilience show mediating effects between childhood trauma and depression. And resilience

life-events

and social support exert immediate and delayed mediating roles between them.

关键词

Keywords

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