伴非自杀性自伤行为的青少年抑郁症患者觉知压力与应对方式的特征及关系研究  

A study on the characteristics and correlation between perceived stress and coping style in adolescent depression patients with non-suicidal self-injury behavior

作　　者：刘浩 黄雪萍[1] 周小艳[1] 杨辉[1] LIU Hao;HUANG Xue-ping;ZHOU Xiao-yan(Department One of Psychology,Chongqing Mental Health Center,Chongqing 401147,China)

机构地区：[1]重庆市精神卫生中心心理一科,401147

出　　处：《中国现代药物应用》2023年第9期45-49,共5页Chinese Journal of Modern Drug Application

基　　金：重庆市科卫联合医学科研项目(项目编号:2019MSXM014)。

摘　　要：目的分析伴非自杀性自伤(NSSI)行为的青少年抑郁症患者觉知压力与应对方式的特征及关系。方法312例青少年抑郁症患者,根据是否伴NSSI行为分为研究组(伴NSSI行为,209例)和对照组(不伴NSSI行为,103例);将研究组患者根据觉知压力评分分为过大压力组(>25分,42例)和非过大压力组(≤25分,167例)。采用中文版压力觉知量表(CPSS)和特质应对方式问卷(TCSQ)评估患者的觉知压力和应对方式。分析研究组患者的临床特征;对比研究组与对照组患者的觉知压力和应对方式评分,过大压力组与非过大压力组患者的应对方式评分;采用Pearson相关性分析伴NSSI行为的青少年抑郁症患者的觉知压力与应对方式的相关性。结果研究组患者以拽头发、笔尖针扎/刺伤最为常见,占比分别为17.70%、16.27%。研究组患者紧张感、失控感以及消极应对评分分别为(21.25±3.60)、(22.22±4.92)、(38.27±7.07)分,明显高于对照组的(20.32±4.26)、(19.74±4.48)、(35.83±6.75)分,差异具有统计学意义(P<0.05);但两组患者积极应对评分对比,差异无统计学意义(P>0.05)。过大压力组患者消极应对评分(41.35±8.16)分显著高于非过大压力组的(35.19±5.98)分,差异具有统计学意义(P<0.05);但两组患者积极应对评分对比,差异无统计学意义(P>0.05)。相关性分析显示,伴NSSI行为的青少年抑郁症患者紧张感、失控感评分与消极应对评分呈正相关(r=0.192、0.212,P=0.005、0.002<0.05),与积极应对评分无明显相关性(r=0.121、0.016,P=0.081、0.817>0.05)。结论伴NSSI行为的青少年抑郁症患者的觉知压力较高,且患者觉知压力评分升高与其消极应对方式评分呈正相关。Objective To analyze the characteristics and correlation between perceived stress and coping style in adolescent depression patients with non-suicidal self-injury(NSSI)behavior.Methods A total of 312 adolescent depression patients were divided into a research group(with NSSI behavior,209 cases)and a control group(without NSSI behavior,103 cases)according to whether they had NSSI behavior.According to the perceived stress score,patients in the research group were divided into excessive stress group(>25 points,42 cases)and non-excessive stress group(≤25 points,167 cases).The Chinese Version Perceived Stress Scale(CPSS)and the Trait Coping Style Questionnaire(TCSQ)were used to evaluate the perceived stress and coping style of the patients.The clinical characteristics of the patients in the research group were analyzed,and the perceived stress and coping style scores of the patients in the research group and the control group as well as the coping style scores of the patients in the excessive stress group and the non-excessive stress group were compared.Pearson correlation was used to analyze the correlation between perceived stress and coping style in depressed adolescents with NSSI behavior.Results In the research group,hair pulling and nib needle pricking/stabbing were the most common,accounting for 17.70% and 16.27%,respectively.The scores of tension,loss of control and negative coping in the research group were(21.25±3.60),(22.22±4.92)and(38.27±7.07)points,which were significantly higher than those of(20.32±4.26),(19.74±4.48)and(35.83±6.75)points in the control group,and the differences were statistically significant(P<0.05).However,there was no statistically significant difference in positive coping score between the two groups(P>0.05).The negative coping score of(41.35±8.16)points in the excessive stress group was significantly higher than that of(35.19±5.98)points in the nonexcessive stress group,and the difference was statistically significant(P<0.05);but there was no statistically statistical sign

关 键 词：非自杀性自伤行为 青少年抑郁症 觉知压力 应对方式 相关性 

分 类 号：R749.4[医药卫生—神经病学与精神病学]