Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediating role of mindfulness
Xuemeng Liang, Wei Chang, Hailiang Ran, Die Fang, Yusan Che, Sifan Wang, Lin Chen, Hao Sun, Jin Gui Lu, Yuanyuan Xiao
BMC Psychiatry November 4, 2022 DOI: 10.1186/s12888-022-04336-w (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Population-based cross-sectional study Longitudinal Peer reviewed |
|---|---|
| Sample size | 3,455 |
| Population | Children and adolescents aged 10-17 years from southwest China, Yunnan province |
| Measures | Childhood Trauma Questionnaire (CTQ), Five Facet Mindfulness Questionnaire (FFMQ), Beck Scale for Suicidal Ideation (BSSI) |
| Topics | Meditation |
| Citations | 15 |
| Key findings | Mindfulness significantly mediated the association between childhood maltreatment and suicidal ideation, accounting for 7.5%, 11.4%, and 17.6% of the total association for one-week, one-year, and lifetime suicidal ideation, respectively. The authors argue this highlights the intervention potential of mindfulness in preventing maltreatment-associated suicidal risk. |
Abstract
Background: Childhood maltreatment (CM) has been associated with suicidal ideation (SI) in children and adolescents, yet the mediating role of mindfulness in this association remains unclear. This study aims to test the mediation of mindfulness in CM-SI association among a large sample of Chinese children and adolescents.
Methods: A population-based cross-sectional study of 3455 children and adolescents aged 10-17 years from southwest China Yunnan province was conducted. Information from the participants was collected by using a comprehensive self-administered questionnaire. The Chinese version of the Childhood Trauma Questionnaire (CTQ), Five Facet Mindfulness Questionnaire (FFMQ), and the Beck Scale for Suicidal Ideation (BSSI) were used to measure CM, mindfulness and SI. Univariate and multivariate binary logistic regression models were used to estimate the crude and adjusted associations between CM, mindfulness and SI (one-week, one-year, lifetime). Pathway analysis was subsequently performed to test the mediation of mindfulness in CM-SI association.
Results: The findings showed that mindfulness, CM and SI were significantly correlated with each other (p < 0.05). Mindfulness is a significant mediator in CM-SI association, accounted for 7.5, 11.4, and 17.6% of the total associations for one-week SI, one-year SI, and lifetime SI, respectively. For the five types of CM, the highest level of mediation via mindfulness had been found for physical neglect (PN) and one-year SI (34.3%), followed by emotional neglect (EN) and one-year SI (30.2%), sexual abuse (SA) and one-year SI (25.4%).
Conclusions: Our study findings highlight the intervention potential of mindfulness in preventing CM associated suicidal risk. Future longitudinal studies are warranted to corroborate the effectiveness of mindfulness-based intervention for Chinese children and adolescents.
Comparable studies
Other cross-sectional and survey studies on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups | 2008 | Cross-sectional study | |
| Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants | 2007 | Observational cross-sectional | n = 27 |
| Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents | 2011 | Cross-sectional validation study | n = 1,413 |
| Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators | 2012 | Cross-sectional study | n = 152 |
| Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates | 2008 | Cross-sectional, correlational |
Citations in the library
Cites 7
- Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Assessment February 29, 2008
- Mindfulness Interventions Annual Review of Psychology September 30, 2016
- A randomized controlled pilot trial of classroom-based mindfulness meditation compared to an active control condition in sixth-grade children. Journal of school psychology June 1, 2014
- School-Based Mindfulness Instruction: An RCT Pediatrics December 19, 2015
- The Relationship Between Mindfulness, Depressive Symptoms, and Non-Suicidal Self-Injury Amongst Adolescents Archives of Suicide Research March 16, 2016
and 2 more in the library