CAJ | 학술논문

目的研究儿童期虐待对新兵自杀意念的影响及相关因素.方法采取整群抽样法,对南京军区某部505名入伍新兵进行儿童受虐问卷、简易应对方式问卷、青少年社会支持量表、自杀意念量表和贝克绝望量表评定.结果 ①儿童期经历虐待的新兵自杀意念和绝望程度得分[(5.56±4.58)分、(5.93±3.01)分]明显高于无虐待的新兵[(2.11±2.79)分、(3.10±2.27)分],差异有统计学意义(P＜0.01).②儿童期经历虐待的新兵积极应对得分[(18.98±6.16)分]明显低于无虐待的新兵[(23.27±7.45)分],差异有统计学意义(P＜0.05);儿童期经历虐待的新兵消极应对得分[(9.27±5.04)分]明显高于无虐待的新兵[(6.93±4.98)分],差异有统计学意义(P＜0.01).③儿童期经历虐待的新兵社会支持总分及各维度得分[依次(69.38±10.43)分、(20.16±3.97)分、(25.73±3.68)分、(22.82±5.52)分]均明显低于无虐待组的新兵[依次(75.55±9.67)分、(23.25±2.50)分、(27.56±3.51)分、(24.67±5.33)分],差异有统计学意义(P＜0.05).④儿童期虐待与自杀意念、绝望程度、消极应对正相关(r=0.379,0.402,0.228),相关均达到显著性(P＜0.01);儿童期虐待与积极应对方式、社会支持负相关(r=-0.285,-0.302),相关均达到显著性(P＜0.01).结论儿童期遭受虐待的新兵有更明显的自杀意念;儿童期虐待导致不良的应对方式和社会支持的缺乏可能是产生自杀意念的主要因素.
목적 연구인동기학대대신병자살의념적영향급상관인소.방법 채취정군추양법,대남경군구모부505명입오신병진행인동수학문권、간역응대방식문권、청소년사회지지량표、자살의념량표화패극절망량표평정.결과 ①인동기경력학대적신병자살의념화절망정도득분[(5.56±4.58)분、(5.93±3.01)분]명현고우무학대적신병[(2.11±2.79)분、(3.10±2.27)분],차이유통계학의의(P＜0.01).②인동기경력학대적신병적겁응대득분[(18.98±6.16)분]명현저우무학대적신병[(23.27±7.45)분],차이유통계학의의(P＜0.05);인동기경력학대적신병소겁응대득분[(9.27±5.04)분]명현고우무학대적신병[(6.93±4.98)분],차이유통계학의의(P＜0.01).③인동기경력학대적신병사회지지총분급각유도득분[의차(69.38±10.43)분、(20.16±3.97)분、(25.73±3.68)분、(22.82±5.52)분]균명현저우무학대조적신병[의차(75.55±9.67)분、(23.25±2.50)분、(27.56±3.51)분、(24.67±5.33)분],차이유통계학의의(P＜0.05).④인동기학대여자살의념、절망정도、소겁응대정상관(r=0.379,0.402,0.228),상관균체도현저성(P＜0.01);인동기학대여적겁응대방식、사회지지부상관(r=-0.285,-0.302),상관균체도현저성(P＜0.01).결론 인동기조수학대적신병유경명현적자살의념;인동기학대도치불량적응대방식화사회지지적결핍가능시산생자살의념적주요인소.
Objective To explore the effect of childhood abuse on suicidal ideation and the influencing factors among recruits.Methods Through stratified sampling,505 recruits in Nanjing were tested by childhood Trauma Questionnaire (CTQ),Simplified Coping Style Questionnaire (SCSQ),Social Support Rating Scale (SSRS),Self-rating Idea of Suicide Scale(SIOSS) and Beck Hopelessness Scale (BHS).Results 1.The scores of suicidal ideation and hopelessness in recruits who had childhood abuse were significantly higher than those in control group ((5.56±4.58) vs (2.11±2.79),(5.93±3.01)vs (3.10±2.27),P＜0.01).2.The score of positive coping in recruits who had childhood abuse was significantly lower than that in control group(18.98±6.16 vs 23.27±7.45; P＜0.05).The score of negative coping in recruits who had childhood abuse was significantly higher than that in control group(9.27±5.04 vs 23.27±7.45; P＜0.01).3.The scores of social support in recruits who had childhood abuse were significantly lower than that in control group ((69.38± 10.43),(20.16±3.97),(25.73±3.68),(22.82±5.52) vs(75.55±9.67),(23.25±2.50),(27.56±3.51),(24.67±5.33) ; P＜0.05).4.The score of total CTQ was positively correlated with suicidal ideation,hopelessness,negative coping(r=0.379,0.402,0.228; P＜0.01),but negatively correlated with active coping style,social support(r=-0.285,-0.302; P＜0.01).Conclusion The recruits who had childhood abuse are susceptible to suicidal ideation.The negative coping style and lacking of social support may be the main factors to the suicidal ideation.