Skip to main content
Top
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research article

Childhood maltreatment and self-harm in Chinese adolescents: moderation and mediation via resilience

Authors: Xin Tian, Jin Lu, Yusan Che, Die Fang, Hailiang Ran, Xingting He, Yanjiao Wang, Tianlan Wang, Xiufeng Xu, Guangya Yang, Yuanyuan Xiao

Published in: BMC Public Health | Issue 1/2021

Login to get access

Abstract

Background

Published studies examining the association between childhood maltreatment (CM) and self-harm (SH) among adolescents have been accumulated. It is possible that resilience serves as a moderator or mediator in CM-SH association, nevertheless, this topic has never been thoroughly investigated.

Methods

In this population-based cross-sectional study, we surveyed 3146 students aged 10–17 in southwest China. The Childhood Trauma Questionnaire (CTQ), the Modified version of Adolescents Self-Harm Scale (MASHS), and the Resilience Scale for Chinese Adolescents (RSCA) were used to measure CM, SH, and resilience. Correlational analyses, hierarchical multivariate linear regression, and structural equation modeling (SEM) were performed to test the moderation and mediation of resilience in CM-SH association.

Results

Findings revealed that, resilience with its five dimensions, CM, and SH were significantly correlated with each other. Resilience partially moderated and mediated the association between CM and SH. Besides, among all dimensions of resilience, emotion regulation, interpersonal assistance, and family support presented the strongest mediation in CM-SH association.

Conclusions

Our results highlight the importance of resilience in CM related SH among Chinese teenagers. Resilience-oriented intervention could be considered in SH intervention measures for adolescents who had experienced CM.
Literature
2.
go back to reference Cai Q. Investigation on primary and middle school students’ child abuse status and influence factors in Zhuang nationality area. master. Nanning: Guangxi Med Univ; 2009 (In Chinese). Cai Q. Investigation on primary and middle school students’ child abuse status and influence factors in Zhuang nationality area. master. Nanning: Guangxi Med Univ; 2009 (In Chinese).
4.
go back to reference Nock NK, Joiner TE, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res. 2016;144:65–72.CrossRef Nock NK, Joiner TE, Gordon KH, Lloyd-Richardson E, Prinstein MJ. Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res. 2016;144:65–72.CrossRef
12.
go back to reference Serafini G, Canepa G, Adavastro G, Nebbia J, Belvederi Murri M, et al. The relationship between childhood maltreatment and non-suicidal self-injury: a systematic review. Front Psych. 2017;24:149.CrossRef Serafini G, Canepa G, Adavastro G, Nebbia J, Belvederi Murri M, et al. The relationship between childhood maltreatment and non-suicidal self-injury: a systematic review. Front Psych. 2017;24:149.CrossRef
15.
go back to reference Bolger KE, Patterson CJ. Sequelae of child maltreatment: vulnerability and resilience. Resilience and vulnerability: adaptation in the context of childhood adversities. Cambridge: Cambridge University Press; 2003. p. 156–81.CrossRef Bolger KE, Patterson CJ. Sequelae of child maltreatment: vulnerability and resilience. Resilience and vulnerability: adaptation in the context of childhood adversities. Cambridge: Cambridge University Press; 2003. p. 156–81.CrossRef
19.
go back to reference Feng Y. The relation of adolescents’ self-harm behaviors, individual emotion characteristics and family environment factors. master. Wuhan: Central China Norm Univ; 2008 (In Chinese). Feng Y. The relation of adolescents’ self-harm behaviors, individual emotion characteristics and family environment factors. master. Wuhan: Central China Norm Univ; 2008 (In Chinese).
26.
go back to reference Tian X, Chang W, Meng Q, Chen Y, Yu Z, He L, et al. Resilience and self-harm among left-behind children in Yunnan, China: a community-based survey. BMC Public Health. 2019;19:1728.CrossRef Tian X, Chang W, Meng Q, Chen Y, Yu Z, He L, et al. Resilience and self-harm among left-behind children in Yunnan, China: a community-based survey. BMC Public Health. 2019;19:1728.CrossRef
28.
go back to reference Madden SC. The relationship between psychological maltreatment and deliberate self-harm and the moderating role of resilience in an undergraduate residence hall population. doctor. North Carolina: University of North Carolina; 2007. Madden SC. The relationship between psychological maltreatment and deliberate self-harm and the moderating role of resilience in an undergraduate residence hall population. doctor. North Carolina: University of North Carolina; 2007.
31.
go back to reference Morris AS, Silk JS, Steinberg L, Myers SS, Robinson LR. The role of the family context in the development of emotion regulation. Soc Dev. 2010;16:361–88.CrossRef Morris AS, Silk JS, Steinberg L, Myers SS, Robinson LR. The role of the family context in the development of emotion regulation. Soc Dev. 2010;16:361–88.CrossRef
39.
go back to reference Cassidy J, Shaver PR. Handbook of attachment: Theory, research, , and clinical applications. 3rd ed. New York: Guilford Press; 2016. Cassidy J, Shaver PR. Handbook of attachment: Theory, research, , and clinical applications. 3rd ed. New York: Guilford Press; 2016.
48.
50.
go back to reference Niu Y. An intervention research on the relationship between psychological resilience and perceived social support among left-behind children. master. Nanjing: Nanjing Norm Univ; 2014 (In Chinese). Niu Y. An intervention research on the relationship between psychological resilience and perceived social support among left-behind children. master. Nanjing: Nanjing Norm Univ; 2014 (In Chinese).
Metadata
Title
Childhood maltreatment and self-harm in Chinese adolescents: moderation and mediation via resilience
Authors
Xin Tian
Jin Lu
Yusan Che
Die Fang
Hailiang Ran
Xingting He
Yanjiao Wang
Tianlan Wang
Xiufeng Xu
Guangya Yang
Yuanyuan Xiao
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-11605-y

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue