The mediating role of self-hate between adverse childhood experiences and depression, anxiety, and suicide risk in adolescents
Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 7
Abstract
[Objective] To explore the mediating effect of self-hate between adverse childhood experiences and depression, anxiety, and suicide risk in adolescents. [Methods] In Juxian county, Rizhao, Shangdong Province, a cross-sectional survey was conducted in 5 junior high schools and high schools using questionnaires. A total of 6838 valid questionnaires were collected. The assessment included a self-designed general information questionnaire, patient health questionnaire-9 (PHQ-9), generalized anxiety disorder-7 (GAD-7), the mini-international neuropsychiatric interview 5.0 suicide module, revised adverse childhood experience questionnaire (ACEQ-R), and self-hate scale (SHS) to evaluate relevant content. [Results] The detection rates of depression, anxiety, and suicide risk were significantly higher in girls (P<0.001) and in senior high school students (P<0.001). Adolescents with depression, anxiety, and suicide risk exhibited higher scores for adverse childhood experiences and self-hate compared to those without these conditions (P<0.001). Adverse childhood experiences indirectly predicted depression through self-hate with an indirect effect size of 0.1488, accounting for 60.86% of the total effect (P<0.001). Similarly, adverse childhood experiences indirectly predicted anxiety through self-hate with an indirect effect size of 0.1524, accounting for 62.87% of the total effect (P<0.001). Furthermore, adverse childhood experiences indirectly predicted the risk of suicide through self-hate with an indirect effect size of 0.0485, accounting for 49.44% of the total effect (P<0.001). [Conclusions] Adverse childhood experiences have predictive effects on depression, anxiety and suicide risk in adolescents, and self-hate plays a mediating role on depression, anxiety and suicide risk in adolescents.
Authors and Affiliations
Lingfei CHENG, Leilei WANG, Jingxu. CHEN
Keywords
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- EP ID EP750523
- DOI 10.3969/j.issn.1002-0152.2024.07.002
- Views 27
- Downloads 0
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