大一新生童年创伤对非自杀性自伤行为的影响：抑郁的中介作用和心理弹性的调节作用
The Impact of Childhood Trauma on Non-Suicidal Self-Injury in Freshmen: The Mediating Role of Depression and the Moderating Role of Psychological Resilience
摘要: 目的：探讨童年创伤与非自杀性自伤行为的关系，以及抑郁的中介作用和心理弹性的调节作用。方法：采用方便取样法选取河南某综合性大学1190名大一新生完成《儿童期创伤问卷简表》《病人健康问卷抑郁量表》《心理弹性量表简版》和《青少年非自杀性自伤行为问卷》。结果：(1) 童年创伤可以显著正向影响非自杀性自伤行为；(2) 抑郁在童年创伤和非自杀性自伤行为的关系之间起部分中介作用；(3) 心理弹性在抑郁和非自杀性自伤行为的关系中起调节作用(中介效应的后半段路径)，在低心理弹性水平下，抑郁对非自杀性自伤行为的影响作用更强。结论：大一新生童年创伤和非自杀性自伤行为之间存在有调节的中介效应，抑郁是中介因素，心理弹性削弱了抑郁对非自杀性自伤行为的影响。
Abstract: Objective: To explore the relationship between childhood trauma and non-suicidal self-injury, as well as the mediating role of depression and the moderating role of psychological resilience. Methods: A convenience sampling method was used to select 1190 freshmen from a comprehensive university in Henan Province to complete the Short Form of the Childhood Trauma Questionnaire-Short Form, the Patient Health Questionnaire, the 10-item Connor-Davidson Resilience Scale, and the Adolescent Non-suicidal Self-injury Assessment Questionnaire. Results: (1) Childhood trauma significantly and positively predicted non-suicidal self-injury; (2) Depression partially mediated the relationship between childhood trauma and non-suicidal self-injury; (3) Psychological resilience moderated the relationship between depression and non-suicidal self-injury(the second half of the pathway of the mediating effect), and at low levels of psychological elasticity depression was more strongly predictive of non-suicidal self-injury. Conclusion: There was a moderated mediating effect between childhood trauma and non-suicidal self-injury among freshmen, depression was the mediator, and psychological resilience weakened the effect of depression on non-suicidal self-injury.
文章引用：牛纪帆 (2026). 大一新生童年创伤对非自杀性自伤行为的影响：抑郁的中介作用和心理弹性的调节作用. 心理学进展, 16(6), 134-143. https://doi.org/10.12677/ap.2026.166301

参考文献

[1] 陈宇然, 王瀚彬, 钱铭怡, 罗祥艳, 吴有梅, 王小玲, 陈纯(2024). 童年创伤对中学生问题性网络使用的影响: 社交焦虑症状和表达抑制的链式中介作用. 中国临床心理学杂志, 32(3), 542-548.
[2] 傅文青, 姚树桥, 于宏华, 赵幸福, 李茹, 李英, 张艳青(2005). 儿童期创伤问卷在中国高校大学生中应用的信效度研究. 中国临床心理学杂志, (1), 40-42.
[3] 郭夏玫, 黄靖雯(2022). 大学生童年创伤和校园被欺凌经历与社交焦虑和生活满意度的关系. 中国心理卫生杂志, 36(9), 810-816.
[4] 江光荣, 于丽霞, 郑莺, 冯玉, 凌霄(2011). 自伤行为研究: 现状、问题与建议. 心理科学进展, 19(6), 861-873.
[5] 李金文, 白荣, 王雨萌, 刘霞(2023). 青少年抑郁与自伤行为的发展轨迹及其关系: 基于两年的追踪研究. 心理发展与教育, 39(3), 429-438.
[6] 刘景, 张至贤, 金正格, 万宇辉(2023). 大一年级学生失眠心理弹性与负性情绪症状的关联. 中国学校卫生, 44(8), 1211-1215.
[7] 倪倩钰, 田俊(2013). 心理弹性量表信度和效度评价及应用. 中国公共卫生, 29(10), 1524-1527.
[8] 孙晨哲, 杨玲, 武永勇, 马鹏飞, 杨丽娜, 李倩倩, 曹华(2025). 大学生童年创伤经历与非自杀性自伤: 表达抑制与奖赏敏感性的作用. 应用心理学, 31(5), 449-457.
[9] 万宇辉, 刘婉, 郝加虎, 陶芳标(2018). 青少年非自杀性自伤行为评定问卷的编制及其信效度评价. 中国学校卫生, 39(2), 170-173.
[10] 王倩倩, 杨振斌, 李焰(2014). 心理应激对自杀倾向的影响: 有调节的中介模型. 中国临床心理学杂志, 22(6), 1016-1019+1027.
[11] 王向, 樊洁, 卢京洁, 刘倩, 李佩环, 朱熊兆(2024). 中文版童年期严酷性量表和不可预测性量表在大学生中的信效度. 中国临床心理学杂志, 32(3), 588-594.
[12] 王玉龙, 李荣, 陈慧玲, 蔺秀云(2025). 父母冲突对早期青少年自伤的影响: 抑郁的纵向中介作用. 心理发展与教育, 41(2), 276-283.
[13] 温忠麟, 叶宝娟(2014). 有调节的中介模型检验方法: 竞争还是替补? 心理学报, 46(5), 714-726.
[14] 熊庆, 申秀云, 阳红, 王小华, 蚁金瑶, 朱熊兆(2023). 述情障碍与青少年非自杀性自伤: 非适应性情绪调节和抑郁的链式中介作用. 中国临床心理学杂志, 31(3), 574-577+582.
[15] 杨佳欣, 田于胜, 欧建君, 沈屹东, 付熙, 李亚敏(2023). 个体及家庭因素对情绪障碍青少年非自杀性自伤行为的影响. 中华精神科杂志, 56(4), 276-283.
[16] 尹斐, 姜文龙, 周郁秋, 杨金伟, 杨楠(2024). 留守初中生抑郁症状对非自杀性自伤行为影响的纵向研究. 中国健康教育, 40(3), 250-255.
[17] 袁睿, 杨燕贻, 王梓懿, 宋振山, 张凌风, 郭子航, 等(2024). 青少年心理韧性与非自杀性自伤行为的关系: 有调节的中介模型. 中国临床心理学杂志, 32(4), 843-849.
[18] 张溪, 罗均, 潘辰, 王欣琪, 聂飞, 李龙春, 唐秋萍(2024). 青少年非自杀性自伤与自杀未遂的关联: 焦虑、抑郁的调节作用. 中国临床心理学杂志, 32(3), 536-541.
[19] 邹涛, 姚树桥(2006). 抑郁认知易感性应激模式的研究: 起源、发展和整合. 心理科学进展, (5), 762-768.
[20] Bernstein, D., Fink, L., & Bernstein, D. (1998). Childhood Trauma Questionnaire: A Retrospective Self-Report Manual. Psychological Corporation.
[21] Campbell‐Sills, L., & Stein, M. B. (2007). Psychometric Analysis and Refinement of the Connor-Davidson Resilience Scale (CD‐RISC): Validation of a 10‐Item Measure of Resilience. Journal of Traumatic Stress, 20, 1019-1028.[CrossRef] [PubMed]
[22] Egeland, B., Carlson, E., & Sroufe, L. A. (1993). Resilience as process. Development and Psychopathology, 5, 517-528.[CrossRef] 
[23] Fagan, A. A. (2019). Child Maltreatment and Aggressive Behaviors in Early Adolescence: Evidence of Moderation by Parent/Child Relationship Quality. Child Maltreatment, 25, 182-191.[CrossRef] [PubMed]
[24] Fox, K. R., Franklin, J. C., Ribeiro, J. D., Kleiman, E. M., Bentley, K. H., & Nock, M. K. (2015). Meta-Analysis of Risk Factors for Nonsuicidal Self-Injury. Clinical Psychology Review, 42, 156-167.[CrossRef] [PubMed]
[25] Garmezy, N. (1985). Stress-Resistant Children: The Search for Protective Factors. In J. E. Stevenson (Ed.), Recent Research in Developmental Psychopathology: Journal of Child Psychology and Psychiatry Book Supplement, No. 4 (pp. 213-233). Pergamon.
[26] Gonçalves, S., Vieira, A. I., Machado, B. C., & Bessa, C. (2024). Non-Suicidal Self-Injury in Portuguese College Students: Relationship with Emotion Regulation, Resilience and Self-Compassion. Current Psychology, 43, 7877-7886.[CrossRef] 
[27] Hu, H., Chen, C., Xu, B., & Wang, D. (2024). Moderating and Mediating Effects of Resilience between Childhood Trauma and Psychotic-Like Experiences among College Students. BMC Psychiatry, 24, Article No. 273.[CrossRef] [PubMed]
[28] Huang, C., Yuan, Q., Ge, M., Sheng, X., Yang, M., Shi, S. et al. (2022). Childhood Trauma and Non-Suicidal Self-Injury among Chinese Adolescents: The Mediating Role of Psychological Sub-Health. Frontiers in Psychiatry, 13, Article ID: 798369.[CrossRef] [PubMed]
[29] Humphreys, K. L., LeMoult, J., Wear, J. G., Piersiak, H. A., Lee, A., & Gotlib, I. H. (2020). Child Maltreatment and Depression: A Meta-Analysis of Studies Using the Childhood Trauma Questionnaire. Child Abuse & Neglect, 102, Article 104361.[CrossRef] [PubMed]
[30] Kiekens, G., Hasking, P., Bruffaerts, R., Alonso, J., Auerbach, R. P., Bantjes, J. et al. (2023). Non-Suicidal Self-Injury among First-Year College Students and Its Association with Mental Disorders: Results from the World Mental Health International College Student (WMH-ICS) Initiative. Psychological Medicine, 53, 875-886.[CrossRef] [PubMed]
[31] Klonsky, E. D. (2007). The Functions of Deliberate Self-Injury: A Review of the Evidence. Clinical Psychology Review, 27, 226-239.[CrossRef] [PubMed]
[32] Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Journal of General Internal Medicine, 16, 606-613.[CrossRef] [PubMed]
[33] Kumpfer, K. L. (1999). Factors and Processes Contributing to Resilience: The Resilience Framework. In M. D. Glantz, & J. L. Johnson (Eds.), Longitudinal Research in the Social and Behavioral Sciences: An Interdisciplinary Series (pp. 179-224). Kluwer Academic Publishers.[CrossRef] 
[34] Li, F., Luo, S., Mu, W., Li, Y., Ye, L., Zheng, X. et al. (2021). Effects of Sources of Social Support and Resilience on the Mental Health of Different Age Groups during the COVID-19 Pandemic. BMC Psychiatry, 21, Article No. 16.[CrossRef] [PubMed]
[35] Li, Z., Zha, J., Zhang, P., Shangguan, C., Wang, X., Lu, J. et al. (2020). Negative Life Events and Mood States: Emotional Resilience as Mediator and Moderator. Social Behavior and Personality: an international journal, 48, 1-12.[CrossRef] 
[36] Nock, M. K. (2010). Self-Injury. Annual Review of Clinical Psychology, 6, 339-363.[CrossRef] [PubMed]
[37] Nock, M. K., & Prinstein, M. J. (2004). A Functional Approach to the Assessment of Self-Mutilative Behavior. Journal of Consulting and Clinical Psychology, 72, 885-890.[CrossRef] [PubMed]
[38] Ong, A. D., Bergeman, C. S., Bisconti, T. L., & Wallace, K. A. (2006). Psychological Resilience, Positive Emotions, and Successful Adaptation to Stress in Later Life. Journal of Personality and Social Psychology, 91, 730-749.[CrossRef] [PubMed]
[39] Qu, D., Wen, X., Liu, B., Zhang, X., He, Y., Chen, D. et al. (2023). Non-Suicidal Self-Injury in Chinese Population: A Scoping Review of Prevalence, Method, Risk Factors and Preventive Interventions. The Lancet Regional Health-Western Pacific, 37, Article 100794.[CrossRef] [PubMed]
[40] Rose, D. T., & Abramson, L. Y. (1992). Developmental Predictors of Depressive Cognitive Style: Research and Theory. University of Rochester Press.
[41] Wang, L., Shi, Z., Zhang, Y., & Zhang, Z. (2010). Psychometric Properties of the 10‐Item Connor-Davidson Resilience Scale in Chinese Earthquake Victims. Psychiatry and Clinical Neurosciences, 64, 499-504.[CrossRef] [PubMed]
[42] Weng, X., Tang, R., Chen, L., Weng, X., Wang, D., Wu, Z. et al. (2024). Pathway from Childhood Trauma to Nonsuicidal Self-Injury in Adolescents with Major Depressive Disorder: The Chain-Mediated Role of Psychological Resilience and Depressive Severity. European Archives of Psychiatry and Clinical Neuroscience, 274, 1565-1573.[CrossRef] [PubMed]
[43] Wilcox, H. C., Arria, A. M., Caldeira, K. M., Vincent, K. B., Pinchevsky, G. M., & O’Grady, K. E. (2012). Longitudinal Predictors of Past-Year Non-Suicidal Self-Injury and Motives among College Students. Psychological Medicine, 42, 717-726.[CrossRef] [PubMed]
[44] Wu, Y. L., Zhao, X., Ding, X. X., Yang, H. Y., Qian, Z. Z., Feng, F. et al. (2015). A Prospective Study of Psychological Resilience and Depression among Left-Behind Children in China. Journal of Health Psychology, 22, 627-636.[CrossRef] [PubMed]
[45] Yates, T. M. (2004). The Developmental Psychopathology of Self-Injurious Behavior: Compensatory Regulation in Posttraumatic Adaptation. Clinical Psychology Review, 24, 35-74.[CrossRef] [PubMed]
[46] Yin, W., Pan, Y., Zhou, L., Wei, Q., Zhang, S., Hu, H. et al. (2022). The Relationship between Childhood Trauma and Depressive Symptom among Zhuang Adolescents: Mediating and Moderating Effects of Cognitive Emotion Regulation Strategies. Frontiers in Psychiatry, 13, Article ID: 994065.[CrossRef] [PubMed]
[47] Zhang, L., Wang, P., Liu, L., Wu, X., & Wang, W. (2023). Childhood Maltreatment Affects College Students’ Nonsuicidal Self-Injury: Dual Effects via Trauma-Related Guilt, Trauma-Related Shame, and Prosocial Behaviors. Child Abuse & Neglect, 141, Article 106205.[CrossRef] [PubMed]