述情障碍与青少年非自杀性自伤:非适应性情绪调节和抑郁的链式中介作用  

Alexithymia and Adolescents'Non-Suicidal Self-Injury:The Chain Mediating of Maladaptive Emotion Regulation and Depression

作　　者：熊庆 申秀云[1] 阳红 王小华[1] 蚁金瑶[2] 朱熊兆[2] XIONG Qing;SHEN Xiu-yun;YANG Hong;WANG Xiao-hua;YI Jin-yao;ZHU Xiong-zhao(The Fourth People's Hospital of Huaihua,Huaihua 418000,China;Medical Psychological Center,the Second Xiangya Hospital,Central South University,Changsha 410011,China)

机构地区：[1]怀化市第四人民医院,怀化418000 [2]中南大学湘雅二医院医学心理中心,长沙410011

出　　处：《中国临床心理学杂志》2023年第3期574-577,582,共5页Chinese Journal of Clinical Psychology

摘　　要：目的:探讨述情障碍对青少年非自杀性自伤行为的影响,并考察非适应性情绪调节策略与抑郁情绪在其中的作用。方法:共有420名心理科就诊的青少年完成青少年非自杀性自伤行为问卷、多伦多述情障碍量表、认知情绪调节问卷、贝克抑郁量表。结果:路径分析表明,述情障碍对非自杀性自伤的直接作用显著(效应值为0.20),抑郁情绪在其中的中介效应显著(效应值为0.19),非适应性情绪调节策略与抑郁情绪在其中的链式中介效应显著(效应值为0.21),中介效应占总效应的67.0%。结论:述情障碍既直接影响青少年非自杀性自伤行为,也通过非适应性情绪调节策略和抑郁情绪的中介作用影响青少年非自杀性自伤行为。Objective:This study aimed to explore the effect of alexithymia on non-suicidal self-injury(NSSI)in adolescents,and to investigate the role of maladaptive emotion regulation strategies and depression on the relationship between the alexithymia and NSSI in adolescents.Methods:A total of 420 adolescents from psychological clinics completed the Adolescent Non-suicidal Self-injury Assessment Questionnaire,20-item Toronto Alexithymia Scale,the Cognitive Emotion Regulation Questionnaire,and the Beck Depression Inventory.Results:Alexithymia could directly affect NSSI(effect size was 0.20),indirectly affect NSSI through depression(effect size was 0.19),and indirectly affect NSSI through the chain mediating path of maladaptive emotion regulation to depression(effect size was 0.21).The total mediation effect accounted for 67.0%of the total effect.Conclusion:In adolescents,alexithymia affects NSSI not only through its direct effect,but also through the mediating effect of maladaptive emotion regulation and depression.

关 键 词：非自杀性自伤 述情障碍 非适应性情绪调节 抑郁 

分 类 号：R395.2[哲学宗教—心理学]