远近端人际侵害对青少年重复性自伤的影响：社会支持的保护作用

doi:10.12139/j.1672-0628.2026.03.008

摘要/Abstract

摘要： 本研究对7283名青少年进行两次追踪调查，从中选取977名存在重复性自伤的青少年作为被试，探讨青少年重复性自伤的发生机制与保护因素。结果显示：(1)远端童年期虐待正向预测青少年重复性自伤；(2)近端同伴侵害在远端童年期虐待和青少年重复性自伤之间发挥中介作用；(3)社会支持在童年期虐待影响重复性自伤的直接路径中发挥保护作用，并且保护作用仅在女生中显著。研究结果从个体的远近端人际环境视角，为青少年重复性自伤的预防和干预提供了科学依据。

关键词: 人际侵害, 重复性自伤, 社会支持, 性别差异

Abstract: This study conducted two-wave longitudinal surveys with 7283 adolescents, selecting 977 adolescents with repetitive self-injury as participants to explore the mechanisms and protective factors of repetitive self-injury in adolescents. The results showed that: 1) distal childhood maltreatment positively predicted repetitive self-injury in adolescents; 2) proximal peer victimization mediated the relationship between distal childhood maltreatment and adolescent repetitive self-injury; 3) social support played a protective role in the direct path from childhood maltreatment to repetitive self-injury, with this protective effect being significant only among female adolescents. From the perspective of distal and proximal interpersonal environments, the findings provide insights for the prevention and intervention of repetitive self-injury in adolescents.

Key words: interpersonal victimization, repetitive self-injury, social support, gender differences

中图分类号:

B844

王蓉蓉, 白荣, 刘霞. 远近端人际侵害对青少年重复性自伤的影响：社会支持的保护作用[J]. 心理与行为研究, 2026, 24(3): 343-350.

WANG Rongrong, BAI Rong, LIU Xia. The Impact of Distal and Proximal Interpersonal Victimization on Adolescent Repetitive Self-Injury: The Protective Role of Social Support[J]. Studies of Psychology and Behavior, 2026, 24(3): 343-350.

参考文献

白荣, 高叶淼, 李金文, 刘霞. (2023). 远近端人际压力与 FKBP5 基因对青少年自伤行为的联合影响: 基于发展的视角. 心理学报, 55(9), 1477–1488
纪林芹, 陈亮, 徐夫真, 赵守盈, 张文新. (2011). 童年中晚期同伴侵害对儿童心理社会适应影响的纵向分析. 心理学报, 43(10), 1151–1162
宋佳萌, 范会勇. (2013). 社会支持与主观幸福感关系的元分析. 心理科学进展, 21(8), 1357–1370
田相娟, 曹衍淼, 张文新. (2020). 母亲消极教养、同伴侵害与 FKBP5基因对青少年抑郁的影响. 心理学报, 52(12), 1407–1420
王玮, 袁茵, 刘霞, 李永鑫. (2024). 养育倦怠与青少年问题行为: 家庭功能与共同养育的作用. 天津师范大学学报(社会科学版), (2), 140–150
张书朋, 张庆垚, 李彩娜. (2015). 领悟社会支持性别差异的元分析. 心理发展与教育, 31(4), 393–401
赵幸福, 张亚林, 李龙飞, 周云飞, 李鹤展, 杨世昌. (2005). 中文版儿童期虐待问卷的信度和效度. 中国临床康复, 9(20), 105–107
Addis, M. E., & Mahalik, J. R. (2003). Men, masculinity, and the contexts of help seeking. American Psychologist, 58(1), 5–14
Angelakis, I., & Gooding, P. (2022). Associations of anxiety and depression with suicide experiences in individuals with and without childhood trauma: The role of social support. Psychiatry Research, 309, 114424
Ayres, M. M., & Leaper, C. (2013). Adolescent girls’ experiences of discrimination: An examination of coping strategies, social support, and self-esteem. Journal of Adolescent Research, 28(4), 479–508
Bennardi, M., McMahon, E., Corcoran, P., Griffin, E., & Arensman, E. (2016). Risk of repeated self-harm and associated factors in children, adolescents and young adults. BMC Psychiatry, 16(1), 421
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., … Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27(2), 169–190
Bjärehed, J., & Lundh, L. G. (2008). Deliberate self-harm in 14-year-old adolescents: How frequent is it, and how is it associated with psychopathology, relationship variables, and styles of emotional regulation. Cognitive Behaviour Therapy, 37(1), 26–37
Blasco-Fontecilla, H., Fernández-Fernández, R., Colino, L., Fajardo, L., Perteguer-Barrio, R., & de Leon, J. (2016). The addictive model of self-harming (non-suicidal and suicidal) behavior. Frontiers in Psychiatry, 7, 8
Brunner, R., Kaess, M., Parzer, P., Fischer, G., Carli, V., Hoven, C. W., … Wasserman, D. (2014). Life-time prevalence and psychosocial correlates of adolescent direct self-injurious behavior: A comparative study of findings in 11 European countries. Journal of Child Psychology and Psychiatry, 55(4), 337–348
Chen, X. X., Shao, J. J., Pu, X., & Wang, Z. (2023). Childhood maltreatment and adolescents’ peer victimization: The effect of security, school connectedness and gender. Children and Youth Services Review, 148, 106843
Claes, L., Luyckx, K., Baetens, I., van de Ven, M., & Witteman, C. (2015). Bullying and victimization, depressive mood, and non-suicidal self-injury in adolescents: The moderating role of parental support. Journal of Child and Family Studies, 24(11), 3363–3371
Ding, Y., Li, D. P., Li, X., Xiao, J. L., Zhang, H. Y., & Wang, Y. H. (2020). Profiles of adolescent traditional and cyber bullying and victimization: The role of demographic, individual, family, school, and peer factors. Computers in Human Behavior, 111, 106439
Evans, S. E., Steel, A. L., & DiLillo, D. (2013). Child maltreatment severity and adult trauma symptoms: Does perceived social support play a buffering role. Child Abuse & Neglect, 37(11), 934–943
Gao, Y. M., Liu, J. M., Liu, X., Wang, Y. M., & Qiu, S. J. (2024). Dimensions of family stress and repetitive nonsuicidal self-injury in adolescence: Examining the interactive effects of impulsivity and emotion dysregulation. Child Abuse & Neglect, 152, 106804
Gillies, D., Christou, M. A., Dixon, A. C., Featherston, O. J., Rapti, I., Garcia-Anguita, A., … Christou, P. A. (2018). Prevalence and characteristics of self-harm in adolescents: Meta-analyses of community-based studies 1990–2015. Journal of the American Academy of Child and Adolescent Psychiatry, 57(10), 733–741
Gottlieb, B. H., & Bergen, A. E. (2010). Social support concepts and measures. Journal of Psychosomatic Research, 69(5), 511–520
Gratz, K. L. (2001). Measurement of deliberate self-harm: Preliminary data on the deliberate self-harm inventory. Journal of Psychopathology and Behavioral Assessment, 23(4), 253–263
Gunnar, M., & Quevedo, K. (2007). The neurobiology of stress and development. Annual Review of Psychology, 58(1), 145–173
Hawton, K., Bergen, H., Kapur, N., Cooper, J., Steeg, S., Ness, J., & Waters, K. (2012). Repetition of self-harm and suicide following self-harm in children and adolescents: Findings from the Multicentre Study of Self-harm in England. Journal of Child Psychology and Psychiatry, 53(12), 1212–1219
Hasking, P., Kiekens, G., Petukhova, M. V., Albor, Y., Al-Hadi, A., Alonso, J., … World Mental Health – International College Student collaborators. (2025). The relationships between sporadic and repetitive non-suicidal self-injury and mental disorders among first-year college students: Results from the World Mental Health International College Student Initiative. Psychological Medicine, 55, e280
Hayes, A. F. (2022). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (3rd ed.). New York: Guilford Press.
Hong, J. S., Espelage, D. L., Grogan-Kaylor, A., & Allen-Meares, P. (2012). Identifying potential mediators and moderators of the association between child maltreatment and bullying perpetration and victimization in school. Educational Psychology Review, 24(2), 167–186
Kaufman, T. M. L., Kretschmer, T., Huitsing, G., & Veenstra, R. (2020). Caught in a vicious cycle? Explaining bidirectional spillover between parent-child relationships and peer victimization. Development and Psychopathology, 32(1), 11–20
Kiekens, G., Claes, L., Hasking, P., Mortier, P., Bootsma, E., Boyes, M., … Bruffaerts, R. (2023). A longitudinal investigation of non-suicidal self-injury persistence patterns, risk factors, and clinical outcomes during the college period. Psychological Medicine, 53(13), 6011–6026
Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226–239
Liang, Y. T., Wang, Y. M., Bai, R., & Liu, X. (2025). Gender-specific trajectories of non-suicidal self-injury among adolescents: Predictive roles of distal and proximal risk factors. Journal of Youth And Adolescence, 54(1), 62–75
Liu, J. M., Gao, Y. M., Liang, C. X., & Liu, X. (2022). The potential addictive mechanism involved in repetitive nonsuicidal self-injury: The roles of emotion dysregulation and impulsivity in adolescents. Journal of Behavioral Addictions, 11(4), 953–962
Liu, J. M., Wang, Y. M., Liu, X., Li, J. W., & Xing, S. F. (2023). Experiencing stress impact on adolescent repetitive nonsuicidal self-injury: The Mediating role of emotion dysregulation and maladaptive cognitive schemas. Journal of Affective Disorders, 339, 392–399
Liu, X. C., Liu, Z. Z., & Jia, C. X. (2021). Repeat self-harm among Chinese adolescents: 1-year incidence and psychosocial predictors. Social Psychiatry and Psychiatric Epidemiology, 56(11), 1979–1992
Logan-Greene, P., & Jones, A. S. (2015). Chronic neglect and aggression/delinquency: A longitudinal examination. Child Abuse & Neglect, 45, 9–20
Lutz, N. M., Chamberlain, S. R., Goodyer, I. M., Bhardwaj, A., Sahakian, B. J., Jones, P. B., & Wilkinson, P. O. (2022). Behavioral measures of impulsivity and compulsivity in adolescents with nonsuicidal self-injury. CNS Spectrums, 27(5), 604–612
Manna, G., Falgares, G., Costanzo, G., La Sala, M. C., Lamis, D. A., & Musso, P. (2022). Cumulative childhood maltreatment and non-suicidal self-injury: The mediating and moderating role of perceived social support in a sample of university students. Journal of Family Violence, 37(4), 657–669
Masten, A. S., & Cicchetti, D. (2010). Developmental cascades. Development and Psychopathology, 22(3), 491–495
McCrory, E., Ogle, J. R., Gerin, M. I., & Viding, E. (2019). Neurocognitive adaptation and mental health vulnerability following maltreatment: The role of social functioning. Child Maltreatment, 24(4), 435–451
Miloseva, L., Vukosavljevic-Gvozden, T., Richter, K., Milosev, V., & Niklewski, G. (2017). Perceived social support as a moderator between negative life events and depression in adolescence: Implications for prediction and targeted prevention. EPMA Journal, 8(3), 237–245
Mynard, H., & Joseph, S. (2000). Development of the Multidimensional Peer-Victimization Scale. Aggressive Behavior, 26(2), 169–178
Nixon, M. K., Cloutier, P. F., & Aggarwal, S. (2002). Affect regulation and addictive aspects of repetitive self-injury in hospitalized adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 41(11), 1333–1341
Nock, M. K. (2009). Why do people hurt themselves? New insights into the nature and functions of self-injury. Current Directions in Psychological Science, 18(2), 78–83
Poudel, A., Lamichhane, A., Magar, K. R., & Khanal, G. P. (2022). Non suicidal self injury and suicidal behavior among adolescents: Co-occurrence and associated risk factors. BMC Psychiatry, 22(1), 96
Salazar, A. M., Keller, T. E., & Courtney, M. E. (2011). Understanding social support’s role in the relationship between maltreatment and depression in youth with foster care experience. Child Maltreatment, 16(2), 102–113
Troisi, A. (2001). Gender differences in vulnerability to social stress: A Darwinian perspective. Physiology & Behavior, 73(3), 443–449
van Geel, M., Goemans, A., & Vedder, P. (2015). A meta-analysis on the relation between peer victimization and adolescent non-suicidal self-injury. Psychiatry Research, 230(2), 364–368
Wang, S. Y., Ding, W., Song, S. C., Tan, Y. X., Ahmed, M. Z., Xie, R. B., & Li, L. (2024). The relationship between adolescent victimization, nonsuicidal self-injury, and core self-evaluation: A cross-lagged study. Current Psychology, 43(1), 28–38
Zhou, Q., Liang, Y. T., Gao, Y. M., & Liu, X. (2025). Social support and non-suicidal self-injury in adolescents: The differential influences of family, friends, and teachers. Journal of Youth and Adolescence, 54(2), 414–425
Zimet, G., Powell, S., Farley, G., Werkman, S., & Berkoff, K. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 55(3), 610–617

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