依恋风格在心理虐待与大学生CPTSD间的中介作用

依恋风格在心理虐待与大学生CPTSD间的中介作用摘要目的：探讨儿童期心理虐待对大学生复杂性创伤后应微障碍(CPTSD)的影响，并检验依恋风格（依恋回避与依恋焦虑）的中介作用，为创伤干预提供理论依据。方法：以342名大学生为研究对象，采用《成人依恋量表》《儿童心理虐待与忽视量表》及《复杂性创伤后应激障碍自评量表》进行问卷调查，结合独立样本t检验、相关分析和中介效应模型进行统计分析。结果：(1)女性在心理虐待、依恋回避、依恋焦虑及复杂性创伤后应激障碍(CPTSD)指标上的得分显著高于男性(p<0.05):(2)心理虐待与CPTSD呈显著正相关(0.871)，依恋焦虑与CPTSD的相关性最强(0.774)：(3)依恋焦虑对心理虐待与CPTSD的关系存在部分中介效应（中介效应占比25.8%），依恋回避的中介作用未达显著水平。结论：童年期心理虐待可通过加剧依恋焦虑间接加重CPTSD症状，而依恋回避的防御性策略未能有效阻断该路径。建议优先围绕依恋焦虑制定干预方案，并关注性别差异对心理健康的作用。关键词：心理虐待：依恋关系；复杂性创伤后应激障碍ABSTRACTObjective:To explore the impact of childhood psychological abuse on complexpost-traumatic stress disorder (CPTSD)in college students and test the mediating role ofattachment styles (attachment avoidance and attachment anxiety),so as to provide a theoreticalbasis for trauma intervention.Methods:With 342 college students as the research subjects,the Adult Attachment Scale,the Child Psychological Abuse and Neglect Scale,and the Complex Posttraumatic StressDisorder Self-Rating Scale were used to conduct questionnaire surveys,which were statisticallyanalyzed with the combination of independent samples t-tests,correlation analyses,and mediatedeffects models.Results:(1)Women scored significantly higher than men on psychological abuse,attachment avoidance,attachment anxiety,and complex post-traumatic stress disorder (CPTSD)indicators (p<0.05).(2)Psychological abuse had a significant positive correlation with CPTSD(r-0.871),and the strongest correlation was found between attachment anxiety and CPTSD(r=0.774);(3)Attachment anxiety had a partial mediating effect (mediating effect accounted for25.8%of the total)on the psychological abuse vs.CPTSD had a partial mediating effect (25.8%of the mediating effect),and the mediating effect of attachment avoidance did not reach asignificant level.Conclusion:childhood psychological maltreatment can indirectly exacerbate CPTSDsymptoms by exacerbating attachment anxiety,and defensive strategies of attachment avoidancehave failed to effectively block this pathway.It is recommended that intervention programsaround attachment anxiety be prioritized and that attention be paid to the role of genderdifferences in mental health.Key words psychological abuse;attachment relationships;Complex Post-Traumatic StressDisorder目录第1章绪论…11.1研究背景....11.2概念界定1.2.1心理虐待概念界定..…1.2.2复杂性创伤后应激障碍(CPTSD)概念界定.......·21.2.3依恋风格概念界定.....…21.3国内外研究综述。。21.4研究目的与研究意义.1.4.1研究目的....。。。。。。。。1.4.2研究意义。。。.4第2章研究对象和方法....52.1研究目的及假设...。52.2研究方法52.2.1调查对象....52.2.2研究工具...…52.2.3施测流程及数据处理6第3章结果与分析….73.1性别差异性检验......>3.2相关性检验...73.3回归分析..863.3.1心理虐待对依恋回避的正向预测作用...........3.3.2心理虐待对依恋焦虑的正向预测作用...........93.3.3心理虐待对复杂性创伤后应激障碍的正向预测作用.....93.3.4依恋回避对复杂性创伤后应激障碍的正向预测作用......93.3.5依恋焦虑对复杂性创伤后应激障碍的正向预测作用....·103.4依恋风格的中介效应检验103.4.1依恋回避的中介效应检验103.4.2依恋焦虑的中介效应检验11第4章分析与讨论.....….134.1性别上的差异讨论....134.2相关性讨论........134.2.1心理虐待与复杂性创伤后应激障碍(CPTSD)的强关联....134.2.2依恋焦虑的核心作用...134.2.3依恋回避的缓冲与风险双重性144.3中介效应讨论…….144.3.1依恋焦虑的中介机制144.3.2依恋回避的中介不显著性144.4创新与不足144.4.1研究的创新...144.4.2研究的不足15结16参考文献.…….172