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<p>When investigating the underlying mechanisms linking adverse childhood experiences (ACEs) to non-suicidal self-injury (NSSI), few studies have integrated the well-known mediating variables (impulsivity, depressive symptoms, and psychological resilience) into a single path model to examine their interconnections. Therefore, the present study employed a variety of theoretical explanations to address this limitation from an exploratory perspective. This study aimed to investigate the multiple connections between impulsivity, depressive symptoms, and psychological resilience as underlying mechanisms in the association between ACEs and NSSI. A clinical sample of 219 adolescents in Xianyue Hospital, Xiamen, China, was recruited from 2020 to 2022. The structural equation model (SEM) and the bootstrapping method were used to analyze the multiple pathways and indirect effects of the three mediators on ACEs to NSSI. It was found that: 1) Impulsivity and depressive symptoms respectively played mediating roles in the relationship between ACEs and NSSI. 2) There was an indirect association between ACEs and NSSI through psychological resilience to depressive symptoms. 3) There was also an indirect association between ACEs and NSSI through depressive symptoms to impulsivity. The study enhanced our understanding of how ACEs influence NSSI by elucidating the underlying mediators (impulsivity, depressive symptoms, and psychological resilience), which can inform more effective interventions for NSSI among young Chinese patients.</p>

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How do adverse childhood experiences influence non-suicidal self-injury among Chinese adolescent patients? A structural equation modeling approach

  • 期刊论文

  • 发表日期：

    2025年5月7日

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  • Chenyun Zhang,
  • Naiqi Tian,
  • Shunyu Yao,
  • Xinchao Chen,
  • Dali Lu,
  • Qingsong Chang

摘要

When investigating the underlying mechanisms linking adverse childhood experiences (ACEs) to non-suicidal self-injury (NSSI), few studies have integrated the well-known mediating variables (impulsivity, depressive symptoms, and psychological resilience) into a single path model to examine their interconnections. Therefore, the present study employed a variety of theoretical explanations to address this limitation from an exploratory perspective. This study aimed to investigate the multiple connections between impulsivity, depressive symptoms, and psychological resilience as underlying mechanisms in the association between ACEs and NSSI. A clinical sample of 219 adolescents in Xianyue Hospital, Xiamen, China, was recruited from 2020 to 2022. The structural equation model (SEM) and the bootstrapping method were used to analyze the multiple pathways and indirect effects of the three mediators on ACEs to NSSI. It was found that: 1) Impulsivity and depressive symptoms respectively played mediating roles in the relationship between ACEs and NSSI. 2) There was an indirect association between ACEs and NSSI through psychological resilience to depressive symptoms. 3) There was also an indirect association between ACEs and NSSI through depressive symptoms to impulsivity. The study enhanced our understanding of how ACEs influence NSSI by elucidating the underlying mediators (impulsivity, depressive symptoms, and psychological resilience), which can inform more effective interventions for NSSI among young Chinese patients.