Relationship between non-suicidal self-injury behavior, emotional dysregulation, and depressive symptoms among adolescents with childhood trauma experiences

Objective To explore the relationship and underlying mechanisms between childhood trauma and non-suicidal self-injury (NSSI) behavior among adolescents. Methods A cross-sectional survey was conducted among 1, 188 junior high school students from Zhumadian and Xinxiang in Henan Province using a Gener...

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Main Authors: FENG Jing, HAI Fan, QIAO Jing, LI Ximiao, KOU Xuefang, YANG Shichang
Format: Article
Language:zho
Published: Editorial Office of Journal of Guangxi Medical University 2025-02-01
Series:Guangxi Yike Daxue xuebao
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Online Access:https://journal.gxmu.edu.cn/article/doi/10.16190/j.cnki.45-1211/r.2025.01.016
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author FENG Jing
HAI Fan
QIAO Jing
LI Ximiao
KOU Xuefang
YANG Shichang
author_facet FENG Jing
HAI Fan
QIAO Jing
LI Ximiao
KOU Xuefang
YANG Shichang
author_sort FENG Jing
collection DOAJ
description Objective To explore the relationship and underlying mechanisms between childhood trauma and non-suicidal self-injury (NSSI) behavior among adolescents. Methods A cross-sectional survey was conducted among 1, 188 junior high school students from Zhumadian and Xinxiang in Henan Province using a General Information Questionnaire, the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Patient Health Questionnaire-9 (PHQ-9), Brief Vession of the Difficulties in Emotion Regulation Scale-16 (DERS-16), and the Adolescent Non-Suicidal Self-Injury Assessment Questionnaire (ANSAQ). Descriptive statistics and Pearson correlation analysis were conducted using SPSS 27.0, while structural equation modeling was employed using AMOS 24.0 to analyze mediation effects. Results Among 1, 094 junior high school students, the detection rate of childhood trauma was 31.08%, the detection rate of moderate depression and above was 18.01%, and the detection rate of NSSI was 21.94%. ANSAQ scores were significantly positively correlated with PHQ-9 scores, CTQ-SF scores and DERS-16 scores, PHQ-9 scores were significantly positively correlated with CTQ-SF scores and DERS-16 scores, and CTQ-SF scores were significantly positively correlated with DERS-16 scores. Emotional dysregulation and depressive symptoms served as both separate and chained mediators between childhood trauma and adolescent NSSI behavior. Conclusion Childhood trauma can predict adolescent NSSI behavior through the mediating roles of emotional dysregulation and depressive symptoms, as well as through a chained mediation effect involving both emotional dysregulation and depressive symptoms.
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spelling doaj-art-d4a45c6541784af6af1d2aecc047e9f02025-08-20T03:48:56ZzhoEditorial Office of Journal of Guangxi Medical UniversityGuangxi Yike Daxue xuebao1005-930X2025-02-0142112412910.16190/j.cnki.45-1211/r.2025.01.016gxykdxxb-42-1-124Relationship between non-suicidal self-injury behavior, emotional dysregulation, and depressive symptoms among adolescents with childhood trauma experiencesFENG Jing0HAI Fan1QIAO Jing2LI Ximiao3KOU Xuefang4YANG Shichang5The Second Affiliated Hospital of Xinxiang Medical University, Xinxiang 453002, ChinaPsychology Department, the Eighth Hospital of Zhengzhou City, Zhengzhou 450006, ChinaWard Eight, the Eighth Hospital of Zhengzhou City, Zhengzhou 450006, ChinaThe Second Affiliated Hospital of Xinxiang Medical University, Xinxiang 453002, ChinaThe Second Affiliated Hospital of Xinxiang Medical University, Xinxiang 453002, ChinaThe Second Affiliated Hospital of Xinxiang Medical University, Xinxiang 453002, ChinaObjective To explore the relationship and underlying mechanisms between childhood trauma and non-suicidal self-injury (NSSI) behavior among adolescents. Methods A cross-sectional survey was conducted among 1, 188 junior high school students from Zhumadian and Xinxiang in Henan Province using a General Information Questionnaire, the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Patient Health Questionnaire-9 (PHQ-9), Brief Vession of the Difficulties in Emotion Regulation Scale-16 (DERS-16), and the Adolescent Non-Suicidal Self-Injury Assessment Questionnaire (ANSAQ). Descriptive statistics and Pearson correlation analysis were conducted using SPSS 27.0, while structural equation modeling was employed using AMOS 24.0 to analyze mediation effects. Results Among 1, 094 junior high school students, the detection rate of childhood trauma was 31.08%, the detection rate of moderate depression and above was 18.01%, and the detection rate of NSSI was 21.94%. ANSAQ scores were significantly positively correlated with PHQ-9 scores, CTQ-SF scores and DERS-16 scores, PHQ-9 scores were significantly positively correlated with CTQ-SF scores and DERS-16 scores, and CTQ-SF scores were significantly positively correlated with DERS-16 scores. Emotional dysregulation and depressive symptoms served as both separate and chained mediators between childhood trauma and adolescent NSSI behavior. Conclusion Childhood trauma can predict adolescent NSSI behavior through the mediating roles of emotional dysregulation and depressive symptoms, as well as through a chained mediation effect involving both emotional dysregulation and depressive symptoms.https://journal.gxmu.edu.cn/article/doi/10.16190/j.cnki.45-1211/r.2025.01.016childhood traumaemotional dysregulationdepressive symptomsnon-suicidal self-injury
spellingShingle FENG Jing
HAI Fan
QIAO Jing
LI Ximiao
KOU Xuefang
YANG Shichang
Relationship between non-suicidal self-injury behavior, emotional dysregulation, and depressive symptoms among adolescents with childhood trauma experiences
Guangxi Yike Daxue xuebao
childhood trauma
emotional dysregulation
depressive symptoms
non-suicidal self-injury
title Relationship between non-suicidal self-injury behavior, emotional dysregulation, and depressive symptoms among adolescents with childhood trauma experiences
title_full Relationship between non-suicidal self-injury behavior, emotional dysregulation, and depressive symptoms among adolescents with childhood trauma experiences
title_fullStr Relationship between non-suicidal self-injury behavior, emotional dysregulation, and depressive symptoms among adolescents with childhood trauma experiences
title_full_unstemmed Relationship between non-suicidal self-injury behavior, emotional dysregulation, and depressive symptoms among adolescents with childhood trauma experiences
title_short Relationship between non-suicidal self-injury behavior, emotional dysregulation, and depressive symptoms among adolescents with childhood trauma experiences
title_sort relationship between non suicidal self injury behavior emotional dysregulation and depressive symptoms among adolescents with childhood trauma experiences
topic childhood trauma
emotional dysregulation
depressive symptoms
non-suicidal self-injury
url https://journal.gxmu.edu.cn/article/doi/10.16190/j.cnki.45-1211/r.2025.01.016
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