摘要目的 探讨农村孤儿的健康危险行为状况及其与童年期创伤、认知情绪调节的关系.方法 采用青少年健康相关危险行为问卷(AHRBI)、儿童期创伤问卷(CTQ)和认知情绪调节问卷中文版(CERQ-C)对56名农村中学在校孤儿和56名农村中学在校非孤儿进行了调查.结果 (1)孤儿在AHRBI的攻击暴力行为、违纪违法行为、自杀自残行为、吸烟酗酒行为、健康妥协行为、无保护的性行为等6个因子上得分[(1.67±0.64)分、(1.63±0.58)分、(1.53±0.67)分、(1.75±0.98)分、(2.33±0.59)分、(1.28±0.40)分]高于非孤儿[(1.44±0.36)分、(1.40±0.29)分、(1.31±0.36)分、(1.38±0.48)分、(2.12±0.43)分、(1.13±0.19)分],差异具有统计学意义(P<0.05);(2)孤儿在CTQ的情感虐待、躯体虐待、情感忽视和躯体忽视等4个因子上得分[(1.88±0.69)分、(1.62±0.72)分、(2.89±0.94)分、(2.33±0.45)分]高于非孤儿[(1.58±0.67)分、(1.31±0.57)分、(2.41±1.07)分、(2.06±0.68)分],差异具有统计学意义(P<0.05);(3)孤儿在CERQ的自我责难和灾难化上得分[(12.34±4.41)分、(10.25±4.14)分]高于非孤儿[(10.86±2.42)分、(8.36±3.43)分],差异具有统计学意义(P<0.05),而在积极重新关注和积极重新评价上的得分[(11.27±3.50)分、(12.55±4.75)分]低于非孤儿[(12.63±3.54)分、(14.45±3.40)分],差异具有统计学意义(P<0.05);(4)孤儿的认知情绪调节对童年期创伤和健康危险行为的中介作用结构方程模型拟合度良好,积极与消极认知情绪调节的中介效应占总效应的比例分别为15.41％、68.92％.结论 农村孤儿倾向于采取消极认知情绪调节方式与策略来应对童年期创伤,因而增加了健康危险行为发生的风险.

abstractsObjective To explore the status of health risk behaviors and its relationships with child-hood trauma and cognitive emotion regulation in rural orphans. Methods Totally 56 orphans and 56 non-or-phans in rural middle school were surveyed with the adolescent health related risky behavior inventory (AHRBI),the childhood trauma questionnaire (CTQ) and the cognitive emotion regulation questionnaire-Chinese version ( CERQ-C) . Results ( 1) Orphans performed significant higher scores in aggression&vi-olence,rule & law breaking,suicide & self-injury,smoking & drinking,health-compromising behaviors and uprotected sex of AHRBI (1. 67±0. 64,1. 63±0. 58,1. 53±0. 67,1. 75±0. 98,2. 33±0. 59,1. 28±0. 40,re-spectively) than non-orphans (1. 44±0. 36,1. 40±0. 29,1. 31±0. 36,1. 38±0. 48,2. 12±0. 43,1. 13±0. 19, respectively)(P<0. 05). (2) Orphans performed significant higher scores in emotional abuse,physical a-buse,emotional neglect and physical neglect (1. 88±0. 69,1. 62±0. 72,2. 89±0. 94,2. 33±0. 45,respective-ly) than non-orphans (1. 58±0. 67,1. 31±0. 57,2. 41±1. 07,2. 06±0. 68,respectively) (P<0. 05). (3) Orphans performed significant higher scores in self-blame and catastrophizing (12. 34±4. 41,10. 25±4. 14) than non-orphans (10. 86±2. 42,8. 36±3. 43) (P<0. 05),while lower scores in positive refocusing and posi-tive reappraisal (11. 27±3. 50,12. 55±4. 75) than non-orphans (12. 63±3. 54,14. 45±3. 40) (P<0. 05).( 4) The structural equation models which the cognitive emotion regulation mediated the relationship between health risk behavior and childhood trauma fitted well,and the mediating effects of positive regulation and neg-ative regulation respectively accounted for 15. 41％ and 68. 92％ of the total effects. Conclusion The cur-rent study suggests that rural orphans tend to adopt negative cognitive emotion regulations to copy with their childhood traumas,thus increasing their risk of health risk behaviors.