消极应对与母子依恋对中学生非自杀性自伤的影响及其交互作用  

The influence of negative coping and maternal-child attachment on non-suicidal self-injury and their interaction among middle school students

作　　者：胡旺[1] 邹仪瑄 周凡 黄鹏[1,3] HU Wang;ZHOU Yi-xuan;ZHOU Fan;HUANG Peng(Center for Evidence-based Medicine,School of Public Health,Nanchang University,Nanchang,Jiangxi 330006,China;不详)

机构地区：[1]南昌大学公共卫生学院循证医学中心,江西南昌330006 [2]南昌大学玛丽女王学院,江西南昌330006 [3]江西省预防医学重点实验室,江西南昌330006

出　　处：《现代预防医学》2020年第13期2351-2355,共5页Modern Preventive Medicine

基　　金：江西省教育厅科学技术研究项目,项目编号(CJJ150224);南昌大学研究生创新专项资金项目,项目编号(CX2018178)。

摘　　要：目的了解消极应对与母子依恋对中学生非自杀性自伤(NSSI)的影响及其交互作用,为中学生非自杀性自伤合理化干预提供依据。方法选取江西省内3所中学作为研究现场,采用自制调查问卷、中学生应对方式量表和亲子依恋量表对7129名中学生进行调查,并用SPSS 22.0对数据进行分析。结果中学生NSSI检出率为33.7%(2403/7129),性别间差异有统计学意义(P<0.05)。与无NSSI组相比,NSSI组消极应对得分均较高(P均<0.001);与无NSSI组相比,NSSI组母子依恋得分均较低(P均<0.001)。多因素非条件logistic回归分析显示,有消极应对和无母子依恋是NSSI的独立危险因素[OR有消极应对及95%CI为(1.05572,1.04862~1.06286),OR无母子依恋及95%CI为(1.02864,1.01473~1.04274),P均<0.001]。消极应对与母子依恋的乘积交互项OR(95%CI)为0.99968(0.99931~1.00004),相加交互作用超额相对危险度(95%CI)、交互作用归因比(95%CI)、交互作用指数(95%CI)分别为0.0013(0.0009~0.0018),0.0012(0.0008~0.0017),1.01541(1.0129~1.0181)。结论有消极应对和无母子依恋为中学生NSSI的独立危险因素,但两者间交互作用较弱。Objective To understand the effect of negative coping and maternal-child attachment on non-suicidal self-injury(NSSI) and their interaction among middle school students, and to provide a basis for rationalized intervention of NSSI among middle school students.Methods 7129 middle school students from 3 middle schools in Jiangxi Province were selected, and investigated by self-made questionnaires, middle school students’ coping style scale and parent-child attachment scale. SPSS22.0 was used for data analysis. Results The detection rate of NSSI among middle school students was 33.7%(2403/7129), and the difference between the gender was statistically significant(P<0.05). Compared with the non-NSSI group, the negative coping scores of the NSSI group were higher(all P<0.001), and the NSSI group had lower maternal attachment scores(all P<0.001). Multivariate unconditional logistic regression analysis showed that negative coping(OR=1.0557, 95%CI: 1.04862~1.06286, P<0.001) and no maternal attachment(OR=1.02864, 95%CI: 1.01473~1.04274, P<0.001) were independent risk factors for NSSI.For middle school students, the product interaction term of negative coping and maternal attachment was 0.99968(95%CI: 0.99931~1.00004). The additive interaction excess relative risk ratio, interaction attribution ratio and the interaction index were 0.0013(95%CI: 0.0009~0.0018), 0.0012(95%CI: 0.0008~0.0017), 1.0155(95%CI: 1.0129~1.0181), respectively. Conclusion Negative coping and no maternal-child attachment are independent risk factors for NSSI among middle school students,but the interaction between them is weak.

关 键 词：非自杀性自伤 消极应对 母子依恋 中学生 

分 类 号：R179[医药卫生—妇幼卫生保健]