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The impact of childhood trauma, classmate support and school connectedness on psychological distress among middle school students
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Li-na ZHANG1, Jin-lian HAO2, Ya-nan LIANG3, Zhi-qi WEI4, Xin-hua WEI4, Hai HUANG1, Jun-jie ZHANG1, Jin-sheng WEI1, Min-hui ZHU1, Yi-tong LI1, Jia WANG1, Hui-ying ZHANG1
Modern Preventive Medicine | 2026, 53(1) : 100 - 105
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Modern Preventive Medicine | 2026, 53(1): 100-105
• Child and Adolescent Health, Maternal and Child Health •
The impact of childhood trauma, classmate support and school connectedness on psychological distress among middle school students
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Li-na ZHANG1, Jin-lian HAO2, Ya-nan LIANG3, Zhi-qi WEI4, Xin-hua WEI4, Hai HUANG1, Jun-jie ZHANG1, Jin-sheng WEI1, Min-hui ZHU1, Yi-tong LI1, Jia WANG1, Hui-ying ZHANG1
Affiliations
  • Department of Maternal & Child and Adolescent Health, School of Public Health, Harbin Medical University, Harbin,Heilongjiang 150081, China
Published: 2026-01-10 doi: 10.20043/j.cnki.MPM.202507266
Outline
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Objective

This study aimed to investigate the effects of childhood trauma, classmate support and school connectedness on psychological distress, thereby providing an empirical basis for developing preventive interventions for mental health problems in adolescents.

Methods

A questionnaire survey was conducted among 2 500 middle school students. Multiple linear regression analysis was employed to examine the effects of childhood trauma, classmate support, and school connectedness on psychological distress, and their interactive effects.

Results

The total detection rate of psychological distress was 43.9%, with moderate, and severe cases accounting for 13.5%, and 5.0%, respectively. Childhood trauma positively predicted psychological distress (β=0.271, P<0.05), while classmate support (β=-0.089, P<0.05) and school connectedness (β=-0.260, P<0.05) negatively predicted psychological distress. After including the three-way interaction term (childhood trauma × classmate support × school connectedness), the model’s explanatory power for psychological distress increased by 0.4%(△R2=0.004, P<0.05). Childhood trauma remained a positive predictor of psychological distress(β=0.289, P<0.05), whereas classmate support (β=-0.105, P<0.05), school connectedness (β=-0.282, P<0.05), and the three-way interaction term (β=-0.103, P<0.05) negatively predicted psychological distress. Results of the simple slope analysis showed that there were significant differences between Slope 1 and Slope 3, as well as between Slope 3 and Slope 4(both P<0.05).

Conclusion

The occurrence of psychological distress in middle school students is associated with childhood trauma,classmate support, and school connectedness. Notably, these three factors demonstrate significant interactive effects on students’ psychological distress. Moving forward, greater emphasis should be placed on screening adolescents for childhood trauma experiences while simultaneously addressing peer relationships and school culture.

Childhood trauma  /  Psychological distress  /  Middle school students  /  Interaction
张丽娜, 郝金莲, 梁亚男, 魏祉琦, 韦新桦, 黄海, 张俊杰, 韦锦生, 朱敏惠, 李奕曈, 王佳, 张慧颖. 童年期创伤经历、同学支持以及学校归属感对中学生心理困扰的影响研究. 现代预防医学, 2026 , 53 (1) : 100 -105 . DOI: 10.20043/j.cnki.MPM.202507266
Li-na ZHANG, Jin-lian HAO, Ya-nan LIANG, Zhi-qi WEI, Xin-hua WEI, Hai HUANG, Jun-jie ZHANG, Jin-sheng WEI, Min-hui ZHU, Yi-tong LI, Jia WANG, Hui-ying ZHANG. The impact of childhood trauma, classmate support and school connectedness on psychological distress among middle school students[J]. Modern Preventive Medicine, 2026 , 53 (1) : 100 -105 . DOI: 10.20043/j.cnki.MPM.202507266
Year 2026 volume 53 Issue 1
14
7
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Article Info
doi: 10.20043/j.cnki.MPM.202507266
  • Receive Date:2025-07-15
  • Online Date:2026-11-02
  • Published:2026-01-10
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  • Received:2025-07-15
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    Department of Maternal & Child and Adolescent Health, School of Public Health, Harbin Medical University, Harbin,Heilongjiang 150081, China
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表12种不同金属材料的力学参数
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小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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