自尊在女大学生的儿童期虐待与心理健康间的中介效应研究

Mediation Effect Study of Self-esteem Between Childhood Abuse and Mental Health in Female College Students

目的探讨儿童期虐待通过自尊对女大学生心理健康影响的机理机制,从而为下一步干预奠定基础。方法采取整群抽样法,用儿童期虐待问卷(CTQ-SF)、罗森博格自尊量表(SES)、心理健康诊断测验(MHT)对某大学一年级全部在校女生进行问卷调查。对收集的数据进行相关分析和结构方程模型分析。结果 (1)自尊与儿童期虐待、心理健康诊断测验得分均呈负相关(P<0.01),儿童期虐待与心理健康诊断测验得分呈正相关(P<0.01)。(2)儿童期虐待对心理健康问题产生的直接效应为0.31,通过自尊对心理健康问题产生的间接效应为0.26,自尊产生的中介效应占总效应的45.79%。结论自尊在女大学生儿童期虐待与心理健康间起部分中介作用。提示可以从自尊干预角度切入,对有儿童期虐待经历的女大学生进行以提升自尊为主要目的的干预活动,有助于提高她们的心理健康水平。

Objective To explore the mechanism how childhood abuse influences female college students＇ mental health through self - esteem, and to lay a foundation for further interventions. Methods Adopting cluster sam- piing method, all female freshman in a certain university were questioned with Childhood Trauma Questionnaire （ CTQ - SF）, Self - Esteem Scale （ SES）, and Mental Health Test （MHT）. Correlation analysis and structural equation model analysis were conducted with the collected data. Results （1）The scores of Self- esteem Scale, Childhood Trauma Questionnaire and Mental Health Test were negatively correlated （ P 〈 0. 01 ）, the scores of Childhood Trauma Questionnaire and Mental Health Test were positively correlated （P 〈 0. 01 ）. It showed that mental health problems may be less serious with less childhood abuse and higher self - esteem. （2）The direct effect of childhood abuse on mental health problems was 0. 31, the indirect effect through self- esteem was 0. 26, and the mediation effect of self - esteem in total effect was 45. 79%. Conclusion Self - esteem plays a partial intennediary role between childhood abuse and mental health in female college students. It suggests that we can carry out intervention activities to improve self - esteem for the fe- male college students who have childhood abuse experi- ence, and then increase their mental health level.