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The influence of childhood traumatic experiences on the well-being of middle school students:the mediating role of mental health symptoms
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Jin-sheng WEI1, Ya-nan LIANG2, Jing-ying LI3, Jing CAO4, Min-hui ZHU1, Yi-tong LI1, Li-na ZHANG1, Hai HUANG1, Jun-jie ZHANG1, Jia WANG1, Hui-ying ZHANG1
Modern Preventive Medicine | 2025, 52(9) : 1594 - 1599
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Modern Preventive Medicine | 2025, 52(9): 1594-1599
Child and Adolescent Health, Maternal and Child Health
The influence of childhood traumatic experiences on the well-being of middle school students:the mediating role of mental health symptoms
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Jin-sheng WEI1, Ya-nan LIANG2, Jing-ying LI3, Jing CAO4, Min-hui ZHU1, Yi-tong LI1, Li-na ZHANG1, Hai HUANG1, Jun-jie ZHANG1, Jia WANG1, Hui-ying ZHANG1
Affiliations
  • School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China
Published: 2025-05-10 doi: 10.20043/j.cnki.MPM.202410349
Outline
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Objective

To investigate the childhood traumatic experiences, mental health symptoms, and well-being of middle school students, analyze the associations among the three, explore the mechanism by which childhood traumatic experiences and mental health symptoms affect well-being, and provide reference for improving the well-being of middle school students.

Methods

From September to November 2023, a total of 1 294 students were selected by convenience sampling and stratified sampling from two middle schools as the survey subjects. The Childhood Trauma Questionnaire, Symptom Checklist 90, and EPOCH Well-being Scale were used for the questionnaire survey. SPSS 25.0 was used for descriptive analysis, t-test, chi-square test, and Pearson correlation analysis. The plug-in process was used to explore the mediating role of mental health symptoms between childhood traumatic experiences and well-being.

Results

There were significant differences in well-being scores among factors such as gender, school stage, household registration, parental education level, parental marital status, and“who to live with” (t=2.813, 7.11, 3.459, 9.723, 6.923, 2.515, and 20.253, P < 0.05). In this study, 90.2% of middle school students had one or more childhood traumatic experiences. The detection rates of physical abuse, physical neglect, emotional abuse, emotional neglect, and sexual abuse were 15.1%, 61%, 42.8%, 81.9%, and 10%, respectively. There were significant differences in childhood traumatic experiences among only-child status, school stage, parental education level, marital status, and family structure (t=-4.082, 5.415, 10.144, -3.032, 9.467, and -2.003, P < 0.05). All dimensions of childhood traumatic experiences and mental health symptoms were negatively correlated with well-being; except for sexual abuse, all dimensions of childhood traumatic experiences were positively correlated with mental health symptoms (r=0.301, P < 0.05). Mental health symptoms played a partial mediating role between childhood traumatic experiences and well-being, and the proportion of the mediating effect was 37.5%.

Conclusion

Childhood traumatic experiences and mental health symptoms negatively predict the well-being of middle school students, and mental health symptoms play a mediating role between childhood traumatic experiences and well-being. Against the background of a relatively high incidence of childhood traumatic experiences among middle school students, the well- being of middle school students can be improved by improving their mental health and reducing the impact of childhood traumatic experiences on well-being.

Childhood traumatic experiences  /  Well-being  /  Mental health symptoms  /  Middle school students
Jin-sheng WEI, Ya-nan LIANG, Jing-ying LI, Jing CAO, Min-hui ZHU, Yi-tong LI, Li-na ZHANG, Hai HUANG, Jun-jie ZHANG, Jia WANG, Hui-ying ZHANG. The influence of childhood traumatic experiences on the well-being of middle school students:the mediating role of mental health symptoms[J]. Modern Preventive Medicine, 2025 , 52 (9) : 1594 -1599 . DOI: 10.20043/j.cnki.MPM.202410349
Year 2025 volume 52 Issue 9
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doi: 10.20043/j.cnki.MPM.202410349
  • Receive Date:2024-10-19
  • Online Date:2026-03-17
  • Published:2025-05-10
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  • Received:2024-10-19
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    School of Public Health, Harbin Medical University, Harbin, Heilongjiang 150081, China
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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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