伴非自杀性自伤行为抑郁症患者的相关影响因素分析  

Analysis on related influencing factors of depressive patients with non-suicidal self-injury behavior

作　　者：刘兴兰 周小艳[1] 黄雪萍[1] 彭祖来 薛毅 吴清培[1] LIU Xinglan;ZHOU Xiaoyan;HUANG Xueping;PENG Zulai;XUE Yi;WU Qingpei(Department of Psychology,Jinzi Mountain Branch Hospital of Chongqing Municipal Mental Health Center,Chongqing 401147,China;Department of Medical Affairs,Chongqing Municipal Mental Health Center,Chongqing 401147,China)

机构地区：[1]重庆市精神卫生中心金紫山院区心理科,401147 [2]重庆市精神卫生中心医务科,401147

出　　处：《重庆医学》2023年第14期2154-2158,共5页Chongqing medicine

基　　金：重庆市科卫联合医学科研项目(2021MSXM286)。

摘　　要：目的分析伴非自杀性自伤行为抑郁症患者的相关影响因素。方法选取2020年1月至2022年5月该中心门诊和住院的200例抑郁症患者为研究对象,根据是否有非自杀性自伤行为分为研究组(111例,有非自杀性自伤行为)和对照组(89例,无非自杀性自伤行为)。采用自制问卷、贝克抑郁量表第2版中文版(BDI-Ⅱ-C)、儿童期创伤问卷(CTQ)、Barratt冲动性量表(BIS-11)及父母教养方式量表(EMBU)对患者进行评估。结果研究组自伤次数0~3次20例(18.0%),>3~10次32例(28.8%),>10次59例(53.2%)。两组年龄、性别、发作形式、住院次数、首次发病年龄、受教育程度比较,差异有统计学意义(P<0.05)。研究组儿童期创伤率为87.4%,对照组为93.3%,差异无统计学意义(P>0.05)。两组CTQ中情感虐待、躯体虐待、情感忽视维度评分,BIS-11总分和各维度评分,以及EMBU中父亲情感温暖、父亲惩罚、母亲情感温暖、母亲拒绝否认、母亲惩罚严厉维度评分比较,差异有统计意义(P<0.05)。二元logistic回归分析发现性别、年龄、住院次数、情感虐待、无计划冲动性是抑郁症患者非自杀性自伤行为的影响因素(P<0.05)。结论应对伴非自杀性自伤行为的抑郁症患者进行有针对性的干预。Objective To analyze the related influencing factors of depressive patients with non-suicidal self-injury behavior.Methods Two hundreds patients with depressive disorder in the outpatient department and inpatient department of this hospital from January 2020 to May 2022 were selected as the research subjects and divided into the research group(11 cases,having non-suicidal self-injury behavior)and control group(89 cases,without non-suicidal self-injury behavior)according to whether having non-suicidal self-injury behavior.The self-made questionnaire,2nd Chinese edition of Baker Depression Scale(BDI-Ⅱ-C),Childhood Trauma Questionnaire(CTQ),Barratt Impulsiveness Scale(BIS-11)and Parenting Style Scale(EMBU)were adopted to conduct the assessment on the patients.Results The self-injury times in the research group was 0-3 times in 20 cases(18.0%),>3-10 times in 32 cases(28.8%)and>10 times in 59 cases(53.2%).The age,sex,onset form,hospitalization times,first onset age and educational degree had the statistical differences between the two groups(P<0.05).The trauma rate during childhood period in the research group was 87.4%,which in the control group was 93.3%,and the difference was not statistically significant(P>0.05).The scores in the dimensions of emotional abuse,physical abuse and emotion neglect in CTQ,BIS-11 total score and each dimension score and scores in the dimensions of father emotion warmth,father punishment,mother emotion warmth,mother refuse deny and mother punishment rigor in EMBU had statistical differences between the two groups(P<0.05).The binary logistic regression analysis found that the sex,age,hospitalization times,emotion abuse and non-plan impulsion were the influencing factors of non-suicidal self-injury behavior in the patients with depression.Conclusion The targeted intervention should be carried out to the depressive patients with non-suicidal self-injury behavior.

关 键 词：非自杀性自伤 抑郁症 儿童期创伤 冲动性 父母教养方式 

分 类 号：R749.4[医药卫生—神经病学与精神病学]