本文選題：小學(xué)生 + 兒童虐待　； 參考：《重慶醫(yī)科大學(xué)》2010年碩士論文

【摘要】： 目的 研究受虐待小學(xué)生危害健康行為的可能危險因素;探討對受虐與危害健康行為二者關(guān)系可能有影響的中介變量或調(diào)節(jié)變量的作用。 1、探討排除性別、年齡、社會經(jīng)濟因素的影響后,受虐組與非受虐組小學(xué)生危害健康行為有無差異;探討受虐待小學(xué)生傷害和暴力(包括自殺)行為、酒精和煙草使用行為、不良飲食和體重控制行為的可能危險因素。 2、探討排除性別、年齡、社會經(jīng)濟因素的影響后,受虐組與非受虐組小學(xué)生社交焦慮、抑郁、自尊、自我意識、復(fù)原力有無差異;探討社交焦慮、抑郁、自尊、自我意識、復(fù)原力在受虐與危害健康行為的關(guān)系中是否存在中介或調(diào)節(jié)作用。 方法 1、采用病例匹配對照研究,受虐組為兒童受虐篩查表篩查出的受虐待小學(xué)生169例,非受虐組為其同班同學(xué)169例,二者在性別、年齡、家庭婚姻狀況、家庭月均收入方面匹配。采用Pearsonχ2檢驗比較受虐組與非受虐組危害健康行為構(gòu)成比有無差異;在受虐組內(nèi)將各受虐維度、性別、年齡、家庭婚姻狀況、家庭月均收入與危害健康行為做Spearman秩相關(guān)分析,將Spearman秩相關(guān)分析顯著的變量作為自變量,各危害健康行為作為因變量做多分類Logistic回歸分析。 2、采用t檢驗比較受虐組(169例)與非受虐組(169例)社交焦慮、抑郁、自尊、自我意識、復(fù)原力得分有無差異;在受虐組內(nèi)將社交焦慮、抑郁、自尊、自我意識、復(fù)原力與危害健康行為做Spearman秩相關(guān)分析;采用檢驗回歸系數(shù)是否顯著的方法,對社交焦慮、抑郁、自尊、自我意識、復(fù)原力在受虐與危害健康行為中可能存在的中介或調(diào)節(jié)作用進行檢驗。 結(jié)果 1、除因打架就診、開始吸煙的年齡、每天吸多少支煙、曾通過運動減肥、曾無醫(yī)生指導(dǎo)服用減肥藥、曾通過嘔吐或服用瀉藥減肥6個條目外,受虐組與非受虐組其余危害健康行為構(gòu)成比差異有顯著性; Spearman秩相關(guān)分析顯示,除每天吸多少支煙、開始吸煙的年齡、少吃或吃低熱低脂食物減肥3個條目外,其余危害健康行為均與特定受虐維度顯著正相關(guān);打架、曾喝過一整杯酒、開始吸煙的年齡3個條目與性別(男孩=1,女孩=2)顯著負相關(guān);亂穿馬路條目與年齡顯著正相關(guān);曾喝過一整杯酒與家庭月均收入(1500元/月=1、1500-3000元=2、3000元/月=3)顯著負相關(guān);未發(fā)現(xiàn)任何危害健康行為與家庭婚姻狀況相關(guān)。 多分類Logistic回歸顯示,年齡是“偶爾”亂穿馬路、“經(jīng)常”亂穿馬路的可能危險因素;軀體忽視是“經(jīng)�！贝蚣艿目赡芪ｋU因素;性別是“偶爾”打架、“經(jīng)�！贝蚣堋ⅰ芭紶枴痹冗^一整杯酒的可能危險因素;軀體虐待是“經(jīng)�！币虼蚣芫驮\、“偶爾”禁食24小時或更長時間減肥的可能危險因素;情感忽視是“偶爾”曾認真考慮結(jié)束生命、“經(jīng)常”認真考慮結(jié)束生命、“偶爾”嘗試過結(jié)束生命的可能危險因素;性虐待是“偶爾”曾喝過一整杯酒、“經(jīng)�！痹冗^一整杯酒、“偶爾”曾無醫(yī)生指導(dǎo)服用減肥藥、“經(jīng)常”曾通過嘔吐或服用瀉藥減肥的可能危險因素;安全忽視是“偶爾”曾嘗試過吸煙的可能危險因素。 2、受虐組與非受虐組社交焦慮、抑郁、自尊、自我意識、復(fù)原力得分差異均有顯著性; Spearman秩相關(guān)分析顯示,亂穿馬路、受同伴恐嚇辱罵或毆打、曾嘗試過吸煙3個條目均與自尊顯著正相關(guān);打架、因打架就診、受同伴恐嚇辱罵或毆打、認真考慮結(jié)束生命、做出結(jié)束生命的計劃、嘗試過結(jié)束生命、曾嘗試過吸煙、禁食24小時或更長時間減肥8個條目均與自我意識顯著負相關(guān);認真考慮結(jié)束生命、做出結(jié)束生命的計劃、嘗試過結(jié)束生命、曾通過運動減肥、禁食24小時或更長時間減肥5個條目均與社交焦慮顯著正相關(guān);受同伴恐嚇辱罵或毆打、認真考慮結(jié)束生命、做出結(jié)束生命的計劃、嘗試過結(jié)束生命、曾通過運動減肥、禁食24小時或更長時間減肥6個條目均與抑郁顯著正相關(guān);打架、嘗試過結(jié)束生命、曾喝過一整杯酒、曾嘗試過吸煙、禁食24小時或更長時間減肥5個條目均與復(fù)原力顯著負相關(guān)。 自尊對受虐與“經(jīng)�！币虼蚣芫驮\行為之間的關(guān)系具有調(diào)節(jié)作用。 自我意識對受虐與“經(jīng)�！贝蚣苄袨橹g的關(guān)系具有完全中介作用;自我意識對受虐與“偶爾”受同伴恐嚇辱罵或毆打之間的關(guān)系具有完全中介作用;自我意識對受虐與“經(jīng)常”認真考慮結(jié)束生命之間的關(guān)系具有部分中介作用。 社交焦慮對受虐與“偶爾”認真考慮結(jié)束生命之間的關(guān)系具有部分中介作用;社交焦慮對受虐與“經(jīng)常”認真考慮結(jié)束生命之間的關(guān)系具有部分中介作用;社交焦慮對受虐與“偶爾”做出結(jié)束生命的計劃之間的關(guān)系具有部分中介作用;社交焦慮對受虐與“偶爾”嘗試過結(jié)束生命之間的關(guān)系具有部分中介作用。 抑郁對受虐與“偶爾”受同伴恐嚇辱罵或毆打之間的關(guān)系具有完全中介作用;抑郁對受虐與“偶爾”認真考慮結(jié)束生命之間的關(guān)系具有部分中介作用;抑郁對受虐與“經(jīng)常”認真考慮結(jié)束生命之間的關(guān)系具有部分中介作用;抑郁對受虐與“偶爾”做出結(jié)束生命的計劃之間的關(guān)系具有完全中介作用;抑郁對受虐與“偶爾”嘗試過結(jié)束生命之間的關(guān)系具有完全中介作用。 復(fù)原力對受虐與“經(jīng)常”打架之間的關(guān)系具有完全中介作用;復(fù)原力對受虐與“偶爾”嘗試過結(jié)束生命之間的關(guān)系具有部分中介作用。 結(jié)論 1、多種類型虐待是受虐待小學(xué)生危害健康行為的可能危險因素。主要發(fā)現(xiàn)有:情感忽視是受虐待小學(xué)生自殺行為的可能危險因素;性虐待是受虐待小學(xué)生物質(zhì)濫用的可能危險因素;軀體虐待可能存在代際傳遞性。 2、社交焦慮、抑郁、自尊、自我意識、復(fù)原力對受虐與危害健康行為的關(guān)系均具有中介或(和)調(diào)節(jié)作用。 3、社交焦慮、抑郁對受虐與自殺行為的關(guān)系具有重要中介作用。
[Abstract]:objective
Study the possible risk factors of ill treated pupils' harm to health behavior, and explore the role of intermediary variables or regulatory variables that may have an impact on the relationship between two persons who suffer from abuse and harm to healthy behavior.
1, after discussing the effects of eliminating sex, age, and socioeconomic factors, there was no difference in the harm to health behavior among the primary school pupils and the non masochism group, and the possible risk factors for the injury and violence (including suicide) behavior, alcohol and tobacco use behavior, the bad diet and the weight control behavior of the abused pupils.
2, after eliminating the influence of gender, age, and socioeconomic factors, there is no difference in social anxiety, depression, self-esteem, self consciousness and resilience of primary school pupils in abused and non masochistic groups, and whether there is a mediator or regulatory role in the relationship between social anxiety, depression, self-esteem, self consciousness, and resilience in the relationship between masochism and harm to healthy behavior.
Method
1, using case matched control study, 169 cases of abused pupils who were abused by masochism screening screening list, 169 cases of non masochism group as their classmates, two in sex, age, family marital status, and family monthly income. Pearson chi 2 test was used to compare the ratio of health behavior of abused group and non masochistic group. Different dimensions, gender, age, family marital status, family monthly income and harmful health behavior were analyzed by Spearman rank correlation in masochism group, and the significant variables of Spearman rank correlation analysis were taken as independent variables, and the harmful health behavior was used as the dependent variable to make multiple classification Logistic regression analysis.
2, t test was used to compare the scores of social anxiety, depression, self-esteem, self consciousness and resilience in the abused group (169 cases) and the non masochistic group (169 cases). In the masochism group, the social anxiety, depression, self-respect, self consciousness, the re force and the harmful health behavior were analyzed by the Spearman rank correlation analysis, and the method of testing whether the regression coefficient was significant or not, was used to socialize. Anxiety, depression, self-esteem, self-awareness and resilience may be used to examine the mediating or moderating effects of masochism and risky health behaviors.
Result
1, in addition to the age of smoking, the age of smoking, how many cigarettes were taken every day, had lost weight by exercise, had no doctor guidance to take the weight loss medicine, had 6 items by vomiting or taking laxatives, and the proportion of the other health behaviors of the abused group and the non masochistic group was significantly different.
Spearman rank correlation analysis showed that, except for a number of cigarettes per day, the age of starting smoking, 3 items of eating less or eating low fat and low fat food, the rest of the harmful health behaviors were significantly correlated with the specific masochism dimension; fighting, drinking a whole cup of wine, and smoking age 3 items were significantly negatively correlated with sex (boy =1, girl =2); There was a significant positive correlation between street entry and age; once a whole cup of wine had a significant negative correlation with family monthly income (1500 yuan / =11500-3000 yuan =23000 yuan / month =3), and no harmful health behavior was found to be related to family marital status.
Multiple Logistic regression shows that age is a possible risk factor for "occasionally" crossing the road, "often" crossing the road; physical neglect is a possible risk factor for "frequent" fighting; sex is a "occasional" fight, "often", "occasionally" a whole cup of wine possible risk factors; physical abuse is "frequent" because of A fight, "occasionally" a possible risk factor for losing weight for 24 hours or more; emotional neglect is "occasionally" seriously considering ending life, "often" seriously considering ending life, "occasionally" trying to end life's possible risk factors; sexual abuse is "occasionally" once a cup of wine, "often" once drank a drink. A whole cup of wine, "occasionally" without a doctor's guidance to take a diet pill, "often" a possible risk factor for losing weight through vomiting or taking a laxative; safety neglect is a possible risk factor for "occasional" attempts to smoke.
2, there were significant differences in the scores of social anxiety, depression, self-esteem, self-consciousness and resilience between the battered group and the non abused group.
Spearman rank correlation analysis showed that 3 items of smoking, who were used to cross the road, were intimidated or beaten by companions, had a significant positive correlation with self-esteem, fighting, fighting for fighting, being intimidated or beaten by a fellows, thinking about ending life, making a plan for ending life, trying to end life, trying to smoke, fasting 24 hours or more. 8 items for long term weight loss were significantly negatively related to self awareness; careful consideration of ending life, making a plan for ending life, trying to end life, losing weight by exercise, and losing weight for 24 hours or longer, 5 items were positively related to social anxiety; being intimidated with abuse or beating, seriously considering ending life, making life, making An end to life, an attempt to end life, 6 items of weight loss through exercise, 24 hours of fasting or longer weight loss were significantly correlated with depression; fighting, trying to end life, drinking a whole cup of wine, having tried smoking, and losing weight for 24 hours or longer, all 5 items were negatively correlated with resilience.
Self esteem has a moderating effect on the relationship between masochism and "frequent" fighting behavior.
Self awareness has a complete intermediary role in the relationship between masochism and "frequent" fighting; self consciousness has a complete intermediary role in the relationship between masochism and "occasional" intimidation or assault, and self consciousness has a partial intermediary role in the relationship between abuse and "frequent" serious consideration of the end of life.
Social anxiety has a partial mediating effect on the relationship between abuse and "occasional" serious consideration of the end of life; social anxiety has a partial mediating effect on the relationship between abuse and "frequent" serious consideration of the end of life; the relationship between social anxiety and a plan to make a "occasional" end to life is partly mediated by social anxiety. Social anxiety plays a mediating role in the relationship between masochism and the "occasional" attempt to end life.
Depression has a mediating role in the relationship between masochism and "occasional" peer abuse or assault; depression has a partial mediating effect on the relationship between abuse and "occasional" serious consideration of the end of life; depression has a partial mediating effect on the relationship between abuse and "frequent" serious consideration of the end of life. Depression is a mediator. The relationship between masochism and "occasional" plans to end life has a complete intermediary role, and depression has a full intermediary role in the relationship between abuse and the "occasional" attempt to end life.
Resilience has a complete intermediary role in the relationship between masochism and "frequent" fighting, and resilience has a partial mediating effect on the relationship between abuse and the "occasional" attempt to end life.
conclusion
1, multiple types of abuse are possible risk factors for ill treated pupils. The main findings are as follows: emotional neglect is a possible risk factor for abused pupils' suicide; sexual abuse is a possible risk factor for abused pupils' substance abuse; physical abuse may exist in intergenerational transmissibility.
2, social anxiety, depression, self-esteem, self-awareness and resilience play an intermediary or (or) moderating role in the relationship between abuse and risky health behaviors.
3, social anxiety and depression play an important mediating role in the relationship between masochism and suicidal behavior.

【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2010
【分類號】：R395

【引證文獻】

相關(guān)期刊論文 前1條

1 張良;常淑敏;;兒童期虐待經(jīng)歷對男青少年暴力犯罪的預(yù)測[J];青少年研究(山東省團校學(xué)報);2012年04期

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本文編號：1829876