Network analysis of the association between adverse childhood experiences and mental health status in college students
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摘要:
目的 探究大学生童年期不良经历(ACEs)与心理健康状况之间的关系，为制定有针对性的干预方案提供实证依据。 方法 2023年10—11月，采用ACEs问卷和症状自评量表(SCL-90)，对整群随机抽取的湖北省3所高校1 974名在校大学生进行调查，采用网状分析法构建网络结构分析大学生ACEs与SCL-90症状因子的关联。 结果 大学生SCL-90症状因子和ACEs网络结构稳定，各自形成较为紧密的集群；ACEs与SCL-90症状因子之间存在89条非零边。“情感忽视—抑郁”在连接ACEs和SCL-90症状因子网络中具有重要的通路作用。SCL-90症状因子的“抑郁、焦虑和人际关系敏感”在ACEs和SCL-90症状因子网络中的中心性最高。ACEs中的“情感忽视和身体忽视”和SCL-90症状因子中的“抑郁和精神病性”具有较高的节点桥预期影响，作为“接触点”激活整个网络。 结论 尽早识别和干预情感忽视和身体忽视，并重点关注童年期受忽视者的抑郁、焦虑情绪和人际关系敏感症状，有利于提升大学生的整体心理健康水平。 Abstract:Objective To investigate the relationship between adverse childhood experiences (ACEs) and mental health status through network analysis in college students, so as to provide empirical evidence for the development of targeted intervention programs. Methods From October to November 2023, a survey was conducted on 1 974 college students from three universities in Hubei Province by using ACEs Questionnaire and Symptom Checklist-90 (SCL-90). The network analysis method was used to construct a network structure to analyze the association between ACEs and SCL-90 symptom factors among college students. Results The network structure of SCL-90 symptom factors and ACEs was stable, each forming a relatively tight cluster; there were 89 non-zero edges between ACEs and SCL-90 symptom factors. Emotional neglect-depression played a significant pathway role in connecting the ACEs and SCL-90 symptom factors network. Depression, anxiety, and interpersonal sensitivity of SCL-90 symptom factors had the highest centrality in the ACEs and SCL-90 symptom factors network. Emotional neglect and physical neglect in ACEs and depression and psychoticism in SCL-90 symptom factors had a high node bridge expected influence, acting as Touchpoints to activate the whole network. Conclusion Early identification and intervention of emotional and physical neglect, with a focus on depression, anxiety, and interpersonal sensitivity symptoms of childhood neglected individuals, which is beneficial for improving the overall mental health level of college students. -
Key words:
- Meatal health /
- Child abuse /
- Life change events /
- Students
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图 1 大学生ACEs和SCL-90的网络结构
注：节点间的连线表示症状之间的相关系数，连线的粗细表示相关系数的大小。SCL-90：SOM，躯体化；OC，强迫症状；INT，人际关系敏感；DEP，抑郁；ANX，焦虑；HOS，敌对；PHOB，恐怖；PAR，偏执；PSY，精神病性；ADD，其他。ACEs中10个条目(情感虐待、身体虐待、性虐待、情感忽视、身体忽视、家庭暴力、家人物质滥用、家人精神疾病、父母分居/离异、家庭监禁)分别由ACE1~ACE10表示。
Figure 1. Network structure of ACEs and SCL-90 among college students
图 2 大学生ACEs和SCL-90网络的节点预期影响和节点桥预期影响
注： A和B分别表示网络中选取各节点期望影响力和各节点桥期望影响力(Z分数)。SCL-90：SOM，躯体化；OC，强迫症状；INT，人际关系敏感；DEP，抑郁；ANX，焦虑；HOS，敌对；PHOB，恐怖；PAR，偏执；PSY，精神病性；ADD，其他。ACEs中10个条目(情感虐待、身体虐待、性虐待、情感忽视、身体忽视、家庭暴力、家人物质滥用、家人精神疾病、父母分居/离异、家庭监禁)分别由ACE1~ACE10表示。
Figure 2. Expected influence of node and bridge of node for the ACEs and SCL-90 network among college students
表 1 大学生ACEs问卷与SCL-90各维度的得分情况(x±s，n=1 974)
Table 1. The scores of ACEs Questionnaire and SCL-90 in various dimensions among college studnets (x±s, n=1 974)
量表 分量表/条目 评分 SCL-90 躯体化 1.33±0.38 强迫症状 1.80±0.52 人际关系敏感 1.67±0.55 抑郁 1.46±0.50 焦虑 1.50±0.47 敌对 1.35±0.42 恐怖 1.38±0.44 偏执 1.45±0.45 精神病性 1.43±0.42 其他 1.39±0.42 ACEs 情感虐待 0.05±0.22 身体虐待 0.03±0.16 性虐待 0.04±0.19 情感忽视 0.06±0.24 身体忽视 0.04±0.20 父母分居/离异 0.13±0.33 家庭暴力 0.01±0.12 家人物质滥用 0.01±0.12 家人精神疾病 0.04±0.21 家庭监禁 0.02±0.13 
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