| Abstract |
【Abstract】 Objective: To explore the relationship of child psychological maltreatment, forgiveness and major depressive disorder(MDD), and provide scientific basis of adolescent MDD’s prevention, intervention and rehabilitation. Methods: 76 adolescent outpatients or inpatients met with diagnostic criteria for MDD in DSM-5 of our hospital were selected by convenient sampling(study group) and another 80 healthy adolescents were selected as control group. Child Psychological Maltreatment Scale (CPMS) and Hearland’s Forgiveness Scale(HFS) were utilized to investigation of study group and control group, and HAMD was employed for assessment of MDD in study group. Results: Factor scores of terrorizing, belittling, intermeddling, corrupting in CPMS except ignoring were significantly higher than their controls(P<0.05 or 0.01), and scores of self forgiveness, forgiveness for others in study group were lower than that in control group(P=0.000). The factor scores of CPMS were positively correlated with most factors of HAMD and self forgiveness negatively correlated with anxiety/somatization, weight, cognitive disorder, retardation, and hopelessness (P<0.05 or 0.01). Multiple stepwise regressive analysis suggested terrorizing, corrupting in CPMS and self forgiveness, forgiveness for others in HFS could predicted total score of HAMD(P< 0.01), and explained 39.7%, 64.2% of HAMD variance respectively. Hierarchical multiple regression showed forgiveness had a partial mediating effect between child psychological maltreatment and the severity of adolescent MDD, and mediating effect could account for 42.05% of the total effect. Conclusion: child psychological maltreatment, forgiveness are the predictors of adolescent MDD and forgiveness is the mediating variable between child psychological maltreatment and severity of MDD.
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