Analysis of influencing factors of non-suicidal self-injury behavior in adolescents with depressive disorder
GE Yiran1 YANG Jiajia1 WANG Shuyi1 WANG Xingguang2 ZHANG Sihua1 FENG Hongyun1 YANG Tanyu1
1.Department of Clinical Psychology, the First Hospital of Hebei Medical University, Hebei Province, Shijiazhuang 050000, China;
2.Department of Emergency Medicine, Shijiazhuang Emergency Center, Hebei Province, Shijiazhuang 050000, China
Abstract：Objective To explore the influencing factors of non-suicidal self-injury(NSSI) behavior in adolescents with depressive disorder. Methods A total of 314 adolescent patients with depressive disorder were retrospectively selected from the First Hospital of Hebei Medical University from January to October 2022. There were 126 adolescent fathers and 188 adolescent mothers. After evaluation, they were divided into NSSI group and control group. Adolescents self-injury questionnaire, self-rating anxiety scale self-rating depression scale, and family assessment device were used to investigate and compare the differences among groups. Logistic regression was used to analyze the influencing factors of NSSI behavior in depressed adolescents. Results Among 314 adolescents with depressive disorder, a total of 150 had NSSI behavior (47.78%). The scores of self-rating anxiety scale and self-rating depression scale of parents in NSSI group were higher than those in control group, and the differences were statistically significant (P＜0.05). The scores of affective communication, positive communication, egoism and family rules and total scores in NSSI group were lower than those in control group, and the differences were statistically significant (P＜0.05). Anxiety and depression of parents were the risk factors for NSSI behavior(OR＞1，P＜0.05), while family function was the protective factor (OR＜1，P＜0.05). Conclusion The incidence of NSSI in adolescents with depressive disorder is higher, and their NSSI behavior is affected by parental depression, parental anxiety, and family function.
葛怡然1 杨佳佳1 王舒仪1 王星光2 张斯华1 冯红云1 杨探宇1. 青少年抑郁障碍患者非自杀性自伤行为的影响因素分析[J]. 中国医药导报, 2023, 20(28): 101-104,109.
GE Yiran1 YANG Jiajia1 WANG Shuyi1 WANG Xingguang2 ZHANG Sihua1 FENG Hongyun1 YANG Tanyu1. Analysis of influencing factors of non-suicidal self-injury behavior in adolescents with depressive disorder. 中国医药导报, 2023, 20(28): 101-104,109.
[1] Hooley JM，Fox KR. Boccagno C. Nonsuicidal Self-Injury：Diagnostic Challenges and Current Perspectives [J]. Neurops- ychiatr Dis Treat，2020，16：101-112.
[2] Daukantait■ D，Lundh LG，W?覽ngby-Lundh M，et al. What hap- pens to young adults who have engaged in self-injurious behavior as adolescents? A 10-year follow-up [J]. Eur Child Adolesc Psychiatry，2021，30（3）：475-492.
[3] Voss C，Hoyer J，Venz J，et al. Non-suicidal self-injury and its co-occurrence with suicidal behavior：An epidemiological- study among adolescents and young adults [J]. Acta Psychiatr Scand，2020，142（6）：496-508.
[4] Liu RT，Burke TA，Bettis AH. Characterizing the phenomenology of passive suicidal ideation：a systematic review and meta- analysis of its prevalence，psychiatric comorbidity，correlates，and comparisons with active suicidal ideation [J]. Psychol Med，2020，50（3）：367-383.
[5] 韩阿珠，徐耿，苏普玉.中国大陆中学生非自杀性自伤流行特征的Meta分析[J].中国学校卫生，2017，38（11）：1665- 1670.
[6] Taliaferro LA，Almeida J，Aguinaldo LD，et al. Function and progression of non-suicidal self-injury and relationship with suicide attempts：A qualitative investigation with an adolescent clinical sample [J]. Clin Child Psychol Psychiatry，2019， 24（4）：821-830.
[7] Robillard CL，Legg NK，Ames ME，et al. Support for a Transdiagnostic Motivational Model of Self-Damaging Behaviors： Comparing the Salience of Motives for Binge Drinking，Disordered Eating，and Nonsuicidal Self-Injury [J]. Behav Ther，2022，53（6）：1219-1232.
[8] Arnold S，Wiese A，Zaid S，et al. Lifetime prevalence and clinical correlates of nonsuicidal self-injury in youth inpatients with eating disorders： a retrospective chart review [J]. Child Adolesc Psychiatry Ment Health，2022，16：17.
[9] Liu RT. Prevalence of and Factors Associated With Self-injurious Thoughts and Behaviors in a Nationally Representative Sample of Preadolescent Children in Great Britain [J]. JAMA Pediatr，2020，174（2）：202.
[10] Jacobson CM，Hill RM，Pettit JW，et al. The Association of Interpersonal and Intrapersonal Emotional Experiences with Non-Suicidal Self-Injury in Young Adults [J]. Arch Suicide Res，2015，19：401-413.
[11] Gillies D，Christou MA，Dixon AC，et al. Prevalence and Characteristics of Self-Harm in Adolescents：Meta-Analyses of Community-Based Studies 1990-2015 [J]. J Am Acad Child Adolesc Psychiatry，2018，57（10）：733-741.
[12] Fan YY，Liu J，Zeng YY，et al. Factors Associated With Non- suicidal Self-Injury in Chinese Adolescents：A Meta-Analysis [J]. Front Psychiatry，2021，12：747031.
[13] Buelens T，Luyckx K，Verschueren M，et al. Temperament and Character Traits of Female Eating Disorder Patients with（out） Non-Suicidal Self-Injury [J]. J Clin Med，2020， 9（4）：1207.
[14] Baetens I，Andrews T，Claes L，et al. The association between family functioning and NSSI in adolescence：The mediating role of depressive symptoms [J]. Family Science，2015，6（1）：330-337.
[15] Brown J. Bowen Family Systems Theory and Practice：Illustration and Critique [J]. Aust N Z J Fam Ther，1999，20（2）： 94-103.
[16] McDonald G，O’Brien L，Joukson D，et al. Guilt and shame： experiences of parents of self-harming adolescents [J]. J Child Health Care，2007，11（4）：298-310.
[17] Hansson K，Malmkvist L，Johansson BA. A 15-year follow- up of former self-harming inpatients in child & adolescent psychiatry-a qualitative study [J]. Nord J Psychiatry，2019，74（2）：1-7.
[18] Roehr B. American Psychiatric Association explains DSM -5 [J]. BMJ，2013，6：346.
[19] 冯玉.青少年自我伤害行为与个体情绪因素和家庭环境因素的关系[D].武汉：华中师范大学，2008.
[20] 李荣风，徐夫真，纪林芹，等.家庭功能评定量表的初步修订[J].中国健康心理学杂志，2013，21（7）：996-1000.
[21] Zung WW. A rating instrument for anxiety disorders [J]. Psychosomatic，1971，12（6）：371-379.
[22] Zung WW. A self-rating depression scale [J]. Arch Gen Psychiatry，1965，12：63-70.
[23] 宦宗素，何旭斌，杜娜，等.青少年非自杀性自伤发病机制及治疗研究进展[J].中国学校卫生，2023，44（4）：636- 640.
[24] 何强，王康程，杨楹，等.青少年抑郁症患者非自杀性自伤行为与功能及其相关因素[J].中国心理卫生杂志，2023， 37（1）：41-46.
[25] Whitlock J，Lloyd-Richardson E，Fisseha F，et al. Parental Secondary Stress：The Often Hidden Consequences of Nonsuicidal Self-Injury in Youth [J]. J Clin Psychol，2017，74（1）：178-196.
[26] Arbuthnott AE，Lewis SP. Parents of youth who self-injure：a review of the literature and implications for mental health professionals [J]. Child Adolesc Psychiatry Ment Health，2015，9：35.
[27] 刘才睿，刘珍珍，刘宝鹏，等.父母严厉管教与青少年非自杀性自伤行为的关系[J].中国心理卫生杂志，2022， 36（11）：950-954.
[28] 胡义秋，曾子豪，彭丽仪，等.亲子关系和父母教育卷入对青少年抑郁、自伤和自杀意念的影响：挫败感和人生意义感的作用[J].心理学报，2023，55（1）：129-141.
[29] Wedig MM，Nock MK. Parental expressed emotion and adolescent self-injury [J]. J Am Acad Child Adolesc Psychiatry，2007，46（9）：1171-1178.
[30] 曲萌雨，杨琳琳，王佳宁，等.认知情绪调节策略和惩罚敏感性在父母心理控制与青少年非自杀性自伤行为间的作用[J].中国临床心理学杂志，2022，30（5）：1192-1197.
[31] Wang Y，Luo B，Hong B，et al. The relationship between family functioning and non-suicidal self-injury in adolescents：A structural equation modeling analysis [J]. J Affect Disord，2022，309：193-200.
[32] 方钟明，陈静，蒙衡，等.童年创伤和家庭功能对青少年心境障碍患者自伤行为的影响[J].神经损伤与功能重建，2023，18（3）：136-139，153.
[33] 王恩娜，张俊杰，黄巧敏，等.家庭功能与青少年问题行为的关系：一项交叉滞后研究[J].中国临床心理学杂志，2022，30（4）：794-801.
[34] 聂昭雯，王薇，姚丽华，等.抑郁患者父母教养方式与功能失调性态度的关系：家庭功能的中介作用[J/OL].神经损伤与功能重建：1-5[2023-09-19].http：//doi.org/10.16780/ j.cnki.sissgncj.0221048.
[35] 刘海平，李泽华，卢涛，等.青少年双相情感障碍患者的家庭亲密度与适应性特点及影响因素研究[J].中国医药科学，2023，13（2）：110-114.
[36] 申璎，谢光平.家庭沙盘治疗对青少年抑郁症患者家庭功能的影响[J].中国当代医药，2022，29（34）：108-111.
[37] Tatnell R，Kelada L，Hasking P，et al. Longitudinal analysis of adolescent NSSI：the role of intrapersonal and interpersonal factors [J]. J Abnorm Child Psychol，2014，42（6）：885- 896.
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