不同类型童年创伤影响抑郁的路径机制:非适应性情绪调节与自传体记忆过度概括化的中介作用OA
The Pathway Mechanisms of Different Types of Childhood Trauma on Depression:The Mediating Effect of Maladaptive Emotion Regulation and Overgeneral Autobiographical Memory
目的:探讨非适应性情绪调节与自传体记忆过度概括化(Overgeneral autobiographical memory,OGM)在两种童年创伤(童年期虐待和忽视)与抑郁关系中的作用.方法:203名抑郁症患者和213名健康对照分别完成流调中心用抑郁量表、儿童期创伤问卷、认知情绪调节问卷和自传体记忆测验.在抑郁症组中采用结构方程模型检验变量间路径关系.结果:(1)相比对照组,抑郁症组各量表得分均显著升高(均P＜0.001,|Cohen's d|=1.13～3.44),具体记忆数量显著更少(P＜0.001,|Cohen's d|=0.64);(2)童年期虐待可通过非适应性情绪调节影响抑郁,也可经"非适应性情绪调节→OGM"影响抑郁;而童年期忽视仅通过OGM间接影响抑郁.结论:童年创伤可通过非适应性情绪调节与自传体记忆过度概括化加剧抑郁症状,且童年期虐待与忽视的作用路径存在特异性.
Objective:To explore the effect of maladaptive emotion regulation and overgeneral autobiographical memory(OGM)in the relationship between different types of childhood trauma(childhood abuse and childhood neglect)and depres-sion.Methods:A total of 203 patients diagnosed with major depressive disorder(MDD)and 213 demographically matched healthy controls(HC)were recruited to complete the center for epidemiological studies-depression scale(CES-D),child-hood trauma questionnaire(CTQ),cognitive emotion regulation questionnaire(CERQ)and autobiographic memory test(AMT).Structural equation modeling(SEM)was conducted to examine pathway relationships among these variables in the MDD group.Results:(1)Compared with HC group,the MDD group had significantly higher scores on all psychological measures(all P＜0.001,|Cohen's d|=1.13～3.44)and recalled fewer specific autobiographical memories in the AMT(P＜0.001,|Cohen's d|=0.64);(2)Childhood abuse exerted a positive indirect effect on depression both through maladaptive emo-tion regulation alone and via a sequential pathway involving maladaptive emotion regulation and OGM,whereas childhood neglect influenced depression solely through OGM.Conclusion:Childhood trauma may exacerbate depressive symptoms through a sequential mediation involving maladaptive emotion regulation and OGM,with distinctive pathways identified for abuse and neglect.
唐美倩;顾晓塽;钱丽如;曹乐溢;卢一凡;李楚婷;蚁金瑶
中南大学湘雅二医院医学心理中心,长沙 410011||中南大学医学心理学研究所,长沙 410011中南大学湘雅二医院医学心理中心,长沙 410011||中南大学医学心理学研究所,长沙 410011中南大学湘雅二医院医学心理中心,长沙 410011||中南大学医学心理学研究所,长沙 410011中南大学湘雅二医院医学心理中心,长沙 410011||中南大学医学心理学研究所,长沙 410011中南大学湘雅二医院医学心理中心,长沙 410011||中南大学医学心理学研究所,长沙 410011中南大学湘雅二医院医学心理中心,长沙 410011||中南大学医学心理学研究所,长沙 410011||国家精神心理疾病临床医学研究中心,长沙 410011中南大学湘雅二医院医学心理中心,长沙 410011||中南大学医学心理学研究所,长沙 410011||国家精神心理疾病临床医学研究中心,长沙 410011
医药卫生
抑郁症忽视虐待认知情绪调节自传体记忆过度概括化作用路径
Major depressive disorderNeglectAbuseCognitive emotion regulationOvergeneral autobiographical memoryPathway
《中国临床心理学杂志》 2026 (1)
9-15,7
国家自然科学基金(82271573)中南大学中央高校基本科研业务费专项资金资助(2025ZZTS0173).
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