青少年身体不满意与自杀意念的关系:一个有调节的中介模型

doi:10.16187/j.cnki.issn1001-4918.2019.04.12

摘要/Abstract

摘要： 为考察青少年对身体的满意度和自杀意念的关系，探讨自尊是否在青少年身体不满意和自杀意念的关系中起中介作用，以及这个过程是否受到友谊质量的调节作用。采用身体不满意量表、自杀意念量表、自尊量表和友谊质量量表对来自湖北、安徽、河南、吉林四省六所高中的802名高一学生进行调查，结果显示：（1）身体不满意对自杀意念具有显著的正向预测作用；（2）自尊在身体不满意和自杀意念的关系中起部分中介作用；（3）友谊质量在身体不满意通过自尊影响自杀意念的中介模型后半段起调节作用，即在友谊质量较低的青少年中，自尊对自杀意念的影响更大。因此，青少年身体不满意和自杀意念之间存在有调节的中介效应。

关键词: 身体不满意, 自杀意念, 自尊, 友谊质量, 青少年

Abstract: The present study explored the relationship between adolescents' body dissatisfaction and suicidal ideation, as well as the mediating role of self-esteem and the moderating role of friendship quality. 802 ten-grade students from six high schools in Hubei, Anhui, Henan and Jilin provinces in China completed anonymous questionnaires regarding body dissatisfaction, suicidal ideation, self-esteem and friendship quality. This study indicated that:(1) Body dissatisfaction positively predicted suicidal ideation among the high school students; (2) Self-esteem mediated the relationship between body dissatisfaction and suicidal ideation; (3) Friendship quality moderated the second half of the model (i.e., the link between self-esteem and suicidal ideation). Specifically, the mediating effect of self-esteem was stronger for adolescents with low-quality friendships compared to those with high-quality friendships.

Key words: body dissatisfaction, suicidal ideation, self-esteem, friendship qualities, adolescent

中图分类号:

B844

余思, 刘勤学. 青少年身体不满意与自杀意念的关系:一个有调节的中介模型[J]. 心理发展与教育, 2019, 35(4): 486-494.

YU Si, LIU Qinxue. The Relationship between Body Dissatisfaction and Suicidal Ideation of Adolescents: A Moderated Mediating Model[J]. Psychological Development and Education, 2019, 35(4): 486-494.

参考文献

Baile, J. I., Guillén, G. F., & Garrido, L. E. (2003). Development and validation of a body dissatisfaction scale for adolescents. Medicina Clínica, 121(5), 173-177.
Barnicot, K., Wampold, B., & Priebe, S. (2014). The effect of core clinician interpersonal behaviours on depression. Journal of Affective Disorders,167(10), 112-117.
Beck, A. T., Brown, G., Berchick, R. J., Stewart, B. L., & Steer, R. A. (1990). Relationship between hopelessness and ultimate suicide:A replication with psychiatric outpatients. American Journal of Psychiatry,147(2), 190-195.
Buhs, E. S., Ladd, G. W., & Herald, S. L. (2006). Peer exclusion and victimization:Processes that mediate the relation between peer group rejection and children's classroom engagement and achievements? Journal of Educational Psychology, 98(1), 1-13.
Calado, M., Lameiras, M., Sepulveda, A. R., Rodriguez, Y., & Carrera, M. V. (2011). The association between exposure to mass media and body dissatisfaction among Spanish adolescents. Women's Health Issues, 21(5), 390-399.
Chatard, A., Selimbegovic,L., & Konan, P. N. D. (2009). Self-esteem and suicide rates in 55 nations. European Journal of Personality, 23(1), 19-32.
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.
Criss, M. M., Pettit, G. S., Bates, J. E., Dodge, K. A., & Lapp, A. L. (2002). Family adversity, positive peer relationships, and children's externalizing behavior:A longitudinal perspective on risk and resilience. Child Development, 73(4), 1220-1237.
Cuadros, O., & Berger, C. (2016). The protective role of friendship quality on the wellbeing of adolescents victimized by peers. Journal of Youth and Adolescence, 45(9), 1877-1888.
Edwards, J. R., & Lambert, L. S. (2007). Methods for integrating moderation and mediation:A general analytical framework using moderated path analysis. Psychological Methods, 12(1), 1-22.
Evans, G. W., Li, D., & Whipple, S. S. (2013). Cumulative risk and child development. Psychological Bulletin, 139(6), 1342-1396.
Farley, J. P., & Kim-Spoon, J. (2014). The development of adolescent self-regulation:Reviewing the role of parent, peer, friend, and romantic relationships. Journal of Adolescence,37(4), 433-440.
Fry, M. D., Guivernau, M., Kim, M. S., Newton, M., Gano-Overway, L. A., & Magyar, T. M. (2012). Youth perceptions of a caring climate, emotional regulation, and psychological well-being. Sport, Exercise, and Performance Psychology, 1(1), 44-57.
Gerson, J., Plagnol, A. C., & Corr, P. J. (2016). Subjective well-being and social media use:Do personality traits moderate the impact of social comparison on Facebook? Computers in Human Behavior, 63, 813-822.
Greydanus, D. E., & Apple, R. W. (2011). The relationship between deliberate self-harm behavior, body dissatisfaction, and suicide in adolescents:Current concepts. Journal of Multidisciplinary Healthcare, 4, 183.
Hoare, P., & Cosgrove, L. (1998). Eating habits, body-esteem and self-esteem in Scottish children and adolescents. Journal of Psychosomatic Research, 45(5), 425-431.
Holland, G., & Tiggemann, M. (2016). A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body image, 17, 100-110.
Kim, D. S., & Kim, H. S. (2009). Body-image dissatisfaction as a predictor of suicidal ideation among Korean boys and girls in different stages of adolescence:A two-year longitudinal study. Journal of Adolescent Health, 45(1), 47-54.
Kim, J., & Lee, J. E. R. (2011). The Facebook paths to happiness:Effects of the number of Facebook friends and self-presentation on subjective well-being. Cyber Psychology, behavior, and social networking, 14(6), 359-364.
Lacourse, E., Villeneuve, M., & Claes, M. (2003). Theoretical structure of adolescent alienation:A multigroup confirmatory factor analysis. Adolescence, 38(152), 639-650.
Latner, J. D., Knight, T., & Illingworth, K. (2011). Body image and self-esteem among Asian, Pacific Islander, and White college students in Hawaii and Australia. Eating Disorders, 19, 355-368.
Leary, M. R., & Baumeister, R. F. (2000). The nature and function of self-esteem:Sociometer theory. Advances in Experimental Social Psychology,32, 1-62.
Li, D., Zhang, W., Li, X., Li, N., & Ye, B. (2012). Gratitude and suicidal ideation and suicide attempts among Chinese adolescents:Direct, mediated, and moderated effects. Journal of Adolescence, 35(1), 55-66.
Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry, 156(2), 181-189.
Marengo, D., Longobardi, C., Fabris, M. A., & Settanni, M. (2018). Highly-visual social media and internalizing symptoms in adolescence:The mediating role of body image concerns. Computers in Human Behavior,82, 63-69.
Osman, A., Gutierrez, P. M., Kopper, B. A., Barrios, F. X., & Chiros, C. E. (1998). The positive and negative suicide ideation inventory:Development and validation. Psychological Reports, 82(1), 783-793.
Rosenberg, M. (1965). Society and the adolescent self-image. Social Forces, 3(2), 1780-1790.
Sandler, I. (2001). Quality and ecology of adversity as common mechanisms of risk and resilience. American Journal of Community Psychology, 29, 19-61.
Van, d. B. P., Thompson, J. K., Obremskibrandon, K., & Coovert, M. (2002). The tripartite influence model of body image and eating disturbance:A covariance structure modeling investigation testing the mediational role of appearance comparison. Journal of Psychosomatic Research, 53(5), 1007-1020.
Vanderbilt-Adriance, E., & Shaw, D. S. (2008). Conceptualizing and re-evaluating resilience across levels of risk, time, and domains of competence. Clinical Child & Family Psychology Review, 11(1-2), 30-58.
Véronneau, M., Vitaro, F., Brendgen, M., Dishion, T. J., & Tremblay, R. E. (2010). Transactional analysis of the reciprocal links between peer experiences and academic achievement from middle childhood to early adolescence. Developmental Psychology, 46(4), 773-790.
Waldvogel, J. L., Rueter, M., & Oberg, C. N. (2008). Adolescent suicide:Risk factors and prevention strategies. Current Problems in Pediatric & Adolescent Health Care, 38(4), 110-125.
Walton, G. M., & Cohen, G. L. (2011). A brief social-belonging intervention improves academic and health outcomes of minority students. Science, 331(6023), 1447-1451.
Wasserman, D., Rihmer, Z., Rujescu, D., Sarchiapone, M., Sokolowski, M., Titelman, D., et al. (2012). The European Psychiatric Association (EPA) guidance on suicide treatment and prevention. European Psychiatry, 27(2), 129-141.
Williams, J. M. G., Crane, C., Barnhofer, T., Van, d. D. A. J. W., & Segal, Z. V. (2006). Recurrence of suicidal ideation across depressive episodes. Journal of Affective Disorders, 91(2), 189-194.
Woods, S., Done, J., & Kalsi, H. (2009). Peer victimisation and internalising difficulties:The moderating role of friendship quality. Journal of Adolescence, 32(2), 293-308.
You, S., Shin, K., & Kim, A. Y. (2017). Body image, self-esteem, and depression in Korean adolescents. Child Indicators Research, 10(1), 231-245.
鲍振宙, 张卫, 李董平, 李丹黎, 王艳辉. (2013). 校园氛围与青少年学业成就的关系:一个有调节的中介模型. 心理发展与教育, 29(1), 61-70.
蔡军, 肖水源, 周萍. (2003). 死亡概念的发展和儿童与少年的自杀意念. 国外医学:精神病学分册(1), 31-34.
陈冲, 洪月慧, 杨思. (2010). 应激性生活事件、自尊和抑郁在自杀意念形成中的作用. 中国临床心理学杂志, 18(2), 190-191.
陈洁, 刘金同, 王旸, 杨楹, 张燕. (2013). 高中生人格特征抑郁焦虑与自杀意念关系结构模型. 中国学校卫生, 34(3), 41-44.
陈君, 杨娟, 朱熊兆, 姚树桥. (2011). 高中生自杀意念的素质-应激模型:多时段追踪研究. 心理科学(3), 733-737.
范兴华,方晓义. (2004). 大学生友伴关系质量量表中文版信效度的初步研究.中国临床心理学杂志, 12(2):133-135.
宫火良, 李思雨. (2012). 基于易感-应激模型的青少年自杀意念研究述评. 心理研究, 5(1), 56-61.
江沂芯. (2016). 自尊水平对中学生人际交往的影响及其干预研究. 心理技术与应用, 4(1), 47-52.
金灿灿, 刘艳, 陈丽. (2012). 社会负性环境对流动和留守儿童问题行为的影响:亲子和同伴关系的调节作用. 心理科学(5), 1119-1125.
李鹏. (2011). 大学生负面身体自我调查及身体不满意的干预研究(博士学位论文). 内蒙古师范大学, 呼和浩特.
刘慧瀛, 王婉. (2017). 自尊、体验回避和抑郁在自杀意念形成中的作用. 心理科学(6), 1498-1503.
世界卫生组织. (2017). 《媒体中心-自杀实况报道》.来自http://www.who.int/mediacentre/factsheets/fs398/zh/
田录梅. (2006). Rosenberg (1965) 自尊量表中文版的美中不足. 心理学探新,26(2), 88-91.
王学志, 宫火良, 康晓然, 刘雯雯, 董晓静, 马彦锋. (2011). 青少年自杀意念量表中文版在高中生应用的信效度分析. 中国健康心理学杂志, 19(8), 964-966.
温忠麟, 侯杰泰, 张雷. (2005). 调节效应与中介效应的比较和应用. 心理学报, 37(2), 268-274.
温忠麟, 吴艳. (2010). 潜变量交互效应建模方法演变与简化. 心理科学进展, 18(8), 1306-1313.
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.
温忠麟, 张雷, 侯杰泰. (2006). 有中介的调节变量和有调节的中介变量. 心理学报, 38(3), 448-452.
吴艳, 温忠麟. (2011). 结构方程建模中的题目打包策略. 心理科学进展,19(12), 1859-1867.
肖水源, 周亮, 徐慧兰. (2005). 危机干预与自杀预防 (二)——自杀行为的概念与分类. 临床精神医学杂志, 15(5), 298-299.
徐慧兰, 肖水源, 冯姗姗, 陈希希. (2004). 中南大学大学生自杀意念及其危险因素研究. 中华流行病学杂志, 25(4), 288-291.
杨丽珠, 徐敏, 马世超. (2012). 小学生同伴接纳对其人格发展的影响:友谊质量的多层级中介效应. 心理科学,35(1), 93-99.
杨紫嫣, 罗宇, 古若雷, 刘云芝, 蔡华俭. (2017). 自尊的认知神经机制. 心理科学进展, 25(5), 788-798.
叶宝娟, 朱黎君, 方小婷, 刘明矾, 王凯凯, 杨强. (2018). 压力知觉对大学生抑郁的影响:有调节的中介模型. 心理发展与教育,34(4), 497-503.
翟书涛. (1997). 危机干预与自杀预防. 北京:人民卫生出版社.
张杰. (2005). 自杀的 "压力不协调理论" 初探 (综述). 中国心理卫生杂志, 19(11), 778-782.
郑晓莹, 彭泗清, 彭璐珞. (2015). "达"则兼济天下?社会比较对亲社会行为的影响及心理机制. 心理学报, 47(2), 243-250.
周浩, 龙立荣. (2004). 共同方法偏差的统计检验与控制方法. 心理科学进展, 12(6), 942-950.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

[1]	王玉龙, 赵婧斐, 蔺秀云. 家庭风险因素对青少年自伤的累积效应及其性别差异[J]. 心理发展与教育, 2024, 40(2): 240-247.
[2]	王艳辉, 沈梓锋, 赖雪芬. 父母心理控制与青少年外化问题行为的关系：意志控制和越轨同伴交往的链式中介作用[J]. 心理发展与教育, 2024, 40(2): 248-256.
[3]	肖嘉林, 梁凯欣, 黄柳玥, 王恩娜, 黄巧敏, 何韵涵, 卢宝琳, 迟新丽. 积极发展资源在减少青少年抑郁水平中的累积效应、关系模式及特定资源的作用[J]. 心理发展与教育, 2024, 40(2): 257-269.
[4]	王鑫强, 李金文, 卢红燕, 赖正伟, 李佳源. 择偶优劣势对师范大学生教师职业认同的影响：择偶价值感的中介及自尊的调节作用[J]. 心理发展与教育, 2024, 40(1): 64-73.
[5]	魏华, 丁慧敏, 陈武, 郝兴风, 熊婕. 父母低头行为与青少年网络欺负的关系：压力的中介作用与年龄的调节作用[J]. 心理发展与教育, 2024, 40(1): 114-121.
[6]	邹盛奇, 伍新春. 父母冲突与青少年同伴依恋的关系:亲子依恋的中介作用及性别差异[J]. 心理发展与教育, 2023, 39(6): 798-807.
[7]	路翠萍, 郑希付. 低自尊还是高“他尊”？高、低社交焦虑者的不同内隐自尊特性——来自EAST的证据[J]. 心理发展与教育, 2023, 39(6): 808-816.
[8]	彭海云, 盛靓, 邱凡硕, 周姿言, 辛素飞. 青少年心理减负从“无聊”开始——无聊倾向对青少年主观幸福感的影响机制[J]. 心理发展与教育, 2023, 39(6): 895-902.
[9]	刘庆, 冯兰. 父母婚姻质量和青少年同胞关系:教养方式的中介作用及其性别差异[J]. 心理发展与教育, 2023, 39(5): 654-662.
[10]	刘思含, 伍新春, 王歆逸. 父母教养方式的潜在类别及其与青少年学习投入和焦虑症状的关系[J]. 心理发展与教育, 2023, 39(5): 673-682.
[11]	沙晶莹, 张向葵, 刘千冬. 人以群分？学业动机比较对青少年同伴选择的影响[J]. 心理发展与教育, 2023, 39(5): 683-690.
[12]	张雯, 王振宏. 负性生活事件与青少年内化问题的关系:社会支持的中介作用和亲子亲和的调节作用[J]. 心理发展与教育, 2023, 39(5): 718-725.
[13]	洪新伟, 苗灵童, 范航, 宋明华, 朱婷婷, 刘燊, 张林. 父母婚姻冲突与青少年攻击行为的关系:情绪安全感和学校联结的作用[J]. 心理发展与教育, 2023, 39(5): 726-734.
[14]	王玉龙, 苏慧娟, 蔺秀云. 青少年自伤的分类:基于潜在剖面分析[J]. 心理发展与教育, 2023, 39(5): 735-742.
[15]	胡义豪, 徐璐妍, 卞小华, 周颖, 刘俊升. 同伴侵害与青少年抑郁的关系:班级攻击规范凸显性的调节作用[J]. 心理发展与教育, 2023, 39(4): 542-549.