| Lai Xinghua,Zhao Huitong,Xiao Ruofan,Cui Can,Zhao Ameng,Fu Wei,Jiang Jing,Shang Tinghuizi,Li Honglong,Yu Zengyan,Effect of childhood maltreatment on depression in college students： a moderated mediation model[J].SICHUAN MENTAL HEALTH,2025,(3):247-253 |
| Effect of childhood maltreatment on depression in college students： a moderated mediation model |
DOI：10.11886/scjsws20240911001 |
| English keywords:Childhood maltreatment Difficulties in emotion regulation Depression Psychological resilience Family socioeconomic status |
| Fund projects:齐齐哈尔医学院研究生创新基金项目（项目名称：早期家庭逆境对大学生抑郁的影响机制及其干预，项目编号：QYYCX2023-48）；齐齐哈尔医学科学院青年博士专项科研基金项目（项目名称：心理弹性视角下大学生日常情绪特点、影响因素与促进，项目编号：QMSI2021B-08） |
| Author Name | Affiliation | Postcode | | Lai Xinghua | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Zhao Huitong | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Xiao Ruofan | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Cui Can | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Zhao Ameng | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Fu Wei | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Jiang Jing | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Shang Tinghuizi | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Li Honglong | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 | | Yu Zengyan* | School of Mental Health, Qiqihar Medical University, Qiqihar 161006, China | 161006 |
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| Background Currently， the problem of depressed mood in college students is becoming more prominent. The experience of childhood maltreatment is a significant contributor to depression among college students. Although the association between the two has been confirmed， the specific psychosocial mechanisms underlying how childhood maltreatment affects college students' mental health remain insufficiently evidenced.Objective To explore the mediating role of emotion regulation difficulties in the relationship between childhood maltreatment and depression among college students， and to investigate the moderated effects of psychological resilience and family socioeconomic status， aiming to provide references for improving depressive symptoms in college students.Methods On 14 March 2024， a cluster sampling method was employed to recruit 751 college students from a university in Heilongjiang Province. Participants were assessed with Childhood Trauma Questionnaire （CTQ）， Difficulties in Emotion Regulation Scale （DERS）， Patients' Health Questionnaire Depression Scale-9 item （PHQ-9）， 10-item Connor-Davidson Resilience Scale （CD-RISC-10） and Family Socioeconomic Status Questionnaire. Pearson correlation analysis was adopted to examine the correlation between the scores of scales. Model 4 and model 7 in Process 4.2 were used to test the mediating effects of emotional regulation difficulties and the moderated effects of psychological resilience and family socioeconomic status.Results ① A total of 712 （94.81%） valid questionnaires were collected. ② College students' CTQ score was positively correlated with DERS score and PHQ-9 score （r=0.296， 0.507， P<0.01）， and negatively correlated with CD-RISC-10 score and Family Socioeconomic Status Questionnaire score （r=-0.148， -0.229， P<0.01）. ③ The indirect effect value of difficulties in emotion regulation on the relationship between childhood maltreatment and depression was 0.091 （95% CI： 0.018~0.046）， accounting for 17.95% of the total effect. ④ The first half of the mediation model "childhood maltreatment → difficulties in emotion regulation → depression" （childhood maltreatment → difficulties in emotion regulation） was moderated by psychological resilience （β=-0.030， t=-6.147， 95% CI： -0.040~-0.020） and family socioeconomic status （β=-0.051， t=-3.929， 95% CI： -0.077~-0.026）.Conclusion Childhood maltreatment exerts both a direct effect on college students' depression and an indirect effect through emotion regulation difficulties. The childhood maltreatment → emotion regulation difficulties pathway in this mediation model is moderated by psychological resilience and family socioeconomic status. ［Funded by Qiqihar Medical University Graduate Student Innovation Fund Project （number， QYYCX2023-48）； Special Research Fund Project for Young Doctors of Qiqihar Academy of Medical Sciences （number， QMSI2021B-08）］ |
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