医学生儿童期创伤与成年早期执行功能、负性情绪

doi:10.6040/j.issn.1671-7554.0.2013.768

山东大学学报（医学版） ›› 2014, Vol. 52 ›› Issue (9): 95-98.doi: 10.6040/j.issn.1671-7554.0.2013.768

医学生儿童期创伤与成年早期执行功能、负性情绪

高雯, 曹枫林, 崔乃雪

山东大学护理学院, 山东济南 250012

收稿日期:2013-12-24 修回日期:2014-07-03 出版日期:2014-09-10 发布日期:2014-09-10
基金资助:
教育部人文社会科学研究青年基金 (10YJCXLX001)；山东省自然科学基金(ZR2013HM087)；山东大学自主创新基金(人文社科专项)重点项目(IFW12113)

Association between childhood trauma, early adulthood executive functions and negative emotions in medical students

GAO Wen, CAO Fenglin, CUI Naixue

School of Nursing, Shandong University, Jinan 250012, Shandong, China

Received:2013-12-24 Revised:2014-07-03 Online:2014-09-10 Published:2014-09-10
Contact: 曹枫林。E-mail:caofenglin2008@126.com E-mail:caofenglin2008@126.com

摘要/Abstract

摘要： 目的探讨医学生儿童期创伤、执行功能和负性情绪的关系模型及执行功能的中介作用。方法采用儿童期创伤问卷、执行功能行为评定量表成人版和抑郁-焦虑-压力量表的抑郁焦虑分量表对492名医学生进行问卷调查。结果相关分析显示，性虐待与躯体虐待、情感忽视无显著相关，其余各变量之间均呈正相关（P<0.05）。结构方程模型结果显示，儿童期创伤对成年早期负性情绪有直接效应，且可以通过执行功能间接作用于负性情绪。结论儿童期创伤对医学生执行功能和负性情绪有重要影响，执行功能在儿童期创伤与负性情绪间起部分中介作用。

关键词: 负性情绪, 医学生, 儿童期创伤, 执行功能

Abstract: Objective To explore the association between childhood trauma, executive functions, negative emotions and the mediating effects of executive functions in medical students. Methods Childhood Trauma Questionnaire (CTQ-SF), Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A) and the depression and anxiety subscales of the Depression Anxiety Stress Scale (DASS-21) were distributed among 492 medical students. Results The results of correlative analysis showed that, sex abuse had no significant correlation with physical abuse and emotion neglect, while there was a positive correlation among the other factors. The SEM suggested that childhood trauma had a direct effect on negative emotions and indirect effect through executive functions. Conclusion Childhood trauma has a great impact on early adulthood executive functions and negative emotions. Executive functions play a mediating role between childhood trauma and negative emotions.

Key words: Executive functions, Medical student, Negative emotions, Childhood trauma

中图分类号:

R395

高雯, 曹枫林, 崔乃雪. 医学生儿童期创伤与成年早期执行功能、负性情绪[J]. 山东大学学报（医学版）, 2014, 52(9): 95-98.

GAO Wen, CAO Fenglin, CUI Naixue. Association between childhood trauma, early adulthood executive functions and negative emotions in medical students[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(9): 95-98.

参考文献

[1] 涂阳军, 郭永玉. 生活事件对负性情绪的影响:社会支持的调节效应与应对方式的中介效应[J]. 中国临床心理学杂志, 2011, 19(5):652-655.
[2] 翟德春, 潘秀丹, 韩素玲, 等. 医学生抑郁、焦虑症状的流行学特征及相关因素分析[J]. 中国学校卫生, 2006(3):217-219.
[3] Thornberry T P, Henry K L, Ireland T O, et al. The causal impact of childhood-limited maltreatment and ado-lescent maltreatment on early adult adjustment[J]. J Adolesc Health, 2010, 46(4): 359-365.
[4] Diamond A. Executive Functions[J]. Annu Rev Psychol, 2013, 64: 135-168.
[5] 李阳, 曹枫林, 崔乃雪, 等. 儿童期虐待、执行功能与农村青少年情绪行为问题的结构方程模型[J]. 中国临床心理学杂志, 2012, (6): 813-815.
[6] De Prince A P, Weinzierl K M, Combs M D. Executive function performance and trauma exposure in a community sample of children[J]. Child Abuse Negl, 2009, 33(6): 353-361.
[7] Everaert J, Koster E H, Derakshan N. The combined cognitive bias hypothesis in depression[J]. Clin Psychol Rev, 2012, 32(5): 413-424.
[8] Hovens J G, Giltay E J, Wiersma J E, et al. Impact of childhood life events and trauma on the course of depressive and anxiety disorders[J]. Acta Psychiatr Scand, 2012, 126(3): 198-207.
[9] Bernstein D P, Stein J A, Newcomb M D, et al. Devel-opment and validation of a brief screening version of the Childhood Trauma Questionnaire[J]. Child Abuse Negl, 2003, 27(2): 169-190.
[10] 赵幸福, 张亚林, 李龙飞, 等. 中文版儿童期虐待问卷的信度和效度[J]. 中国临床康复, 2005, 9(20): 105-107.
[11] 傅文青, 姚树桥, 于宏华, 等. 儿童期创伤问卷在中国高校大学生中应用的信效度研究[J]. 中国临床心理学杂志, 2005, 13(1): 40-42.
[12] Roth Robert M, Insquith Peter K, Giora Gerard A. Be-havior Rating Inventory of Executive Function-Adult Version[M]. Lutz, FL: Psychological Assessment Resources, 2005:2-5.
[13] 杜巧新, 钱英, 王玉凤. 执行功能行为评定量表成人版自评问卷的信效度[J]. 中国心理卫生杂志, 2010, 24(9): 674-679.
[14] Lovibond P F, Lovibond S H. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories[J]. Behav Res Ther, 1995, 33(3): 335-343.
[15] 龚栩, 谢熹瑶, 徐蕊, 等. 抑郁-焦虑-压力量表简体中文版(DASS-21)在中国大学生中的测试报告[J]. 中国临床心理学杂志, 2010, 18(4): 443-446.
[16] Hovens J G, Wiersma J E, Giltay E J, et al. Childhood life events and childhood trauma in adult patients with depressive, anxiety and comorbid disorders vs. Controls[J]. Acta Psychiatr Scand, 2010, 122(1): 66-74.
[17] Penza K M, Heim C, Nemeroff C B. Neurobiological effects of childhood abuse: implications for the pathophysiology of depression and anxiety[J]. Arch Womens Ment Health, 2003, 6(1): 15-22.
[18] Clark D A, Beck A T. Cognitive theory and therapy of anxiety and depression: convergence with neurobiological findings[J]. Trends Cogn Sci, 2010, 14(9): 418-424.
[19] Pechtel P, Pizzagalli D A. Effects of early life stress on cognitive and affective function: an integrated review of human literature[J]. Psychopharmacology (Berl), 2011, 214(1): 55-70.
[20] Heim C, Nemeroff C B. The role of childhood trauma in the neurobiology of mood and anxiety disorders: preclinical and clinical studies[J]. Biol Psychiatry, 2001, 49(12): 1023-1039.
[21] 王一牛, 罗跃嘉. 前额叶皮质损伤患者的情绪异常[J]. 心理科学进展, 2004(2): 161-167.
[22] Myers-Schulz B, Koenigs M. Functional anatomy of ventromedial prefrontal cortex: implications for mood and anxiety disorders[J]. Mol Psychiatry, 2012, 17(2): 132-141.
[23] Murray E A, Wise S P, Drevets W C. Localization of dysfunction in major depressive disorder: prefrontal cortex and amygdala[J]. Biol Psychiatry, 2011, 69(12): 43-54.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

医学生儿童期创伤与成年早期执行功能、负性情绪

Association between childhood trauma, early adulthood executive functions and negative emotions in medical students

PDF (PC)

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 3

多维度评价

本文评价

推荐阅读 0

[1]	李阳, 曹枫林, 钟耕坤, 林萍珍, 梁鑫浩. 精神分裂症患者青少年亲属生态学执行功能特征及其与侵害的关系[J]. 山东大学学报（医学版）, 2014, 52(11): 86-91.
[2]	石海英1，刘倩倩2，吴少怡2. 某高校医学生人格特征与学业拖延的关系[J]. 山东大学学报(医学版), 2013, 51(12): 103-106.
[3]	杜鹃,张红静,李韵,牛娟 . 医学生应对、情绪调节方式与心理创伤后应激反应的相关研究[J]. 山东大学学报(医学版), 2008, 46(2): 167-170.