Differences in Non-suicidal Self-injury Behaviors between Unipolar Depression and Bipolar Depression in Adolescent Outpatients  

作　　者：Ting-wei WANG Jian GONG Yang WANG Zhen LIANG Ke-liang PANG Jie-si WANG Zhi-guo ZHANG Chun-yan ZHANG Yue ZHOU Jun-chang LI Yan-ni WANG Yong-jie ZHOU 

机构地区：[1]School of Public Health,Lanzhou University,Lanzhou 730000,China [2]Shenzhen Mental Health Center,Shenzhen Kangning Hospital,Shenzhen 518000,China [3]College of Management,Shenzhen University,Shenzhen 518000,China [4]School of Biomedical Engineering,Health Science Center,Shenzhen University,Shenzhen 518000,China [5]School of Pharmaceutical Sciences,IDG/McGovern Institute for Brain Research,Tsinghua University-Peking University Joint Center for Life Sciences,Tsinghua University,Beijing 100000,China [6]CAS Key Laboratory of Mental Health,Institute of Psychology,Chinese Academy of Sciences,Beijing 100000,China

出　　处：《Current Medical Science》2023年第5期998-1004,共7页当代医学科学（英文）

基　　金：supported by the Sanming Project of Medicine in Shenzhen(No.SZSM202011014);Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties(No.SZGSP013);Shenzhen Key Medical Discipline Construction Fund(No.SZXK072);Shenzhen Science and Technology Research and Development Fund for Sustainable Development Project(No.KCXFZ20201221173613036).

摘　　要：Objective Non-suicidal self-injury(NSSI)has a higher prevalence in adolescents with depressive disorders than in community adolescents.This study examined the differences in NSSI behaviors between adolescents with unipolar depression(UD)and those with bipolar depression(BD).Methods Adolescents with UD or BD were recruited from 20 general or psychiatric hospitals across China.The methods,frequency,and function of NSSI were assessed by Functional Assessment of Self-Mutilation.The Beck Suicide Ideation Scale was used to evaluate adolescents’suicidal ideation,and the 10-item Kessler Psychological Distress Scale to estimate the anxiety and depression symptoms.Results The UD group had higher levels of depression(19.16 vs.17.37,F=15.23,P<0.001)and anxiety symptoms(17.73 vs.16.70,F=5.00,P=0.026)than the BD group.Adolescents with BD had a longer course of NSSI than those with UD(2.00 vs.1.00 year,Z=−3.39,P=0.001).There were no statistical differences in the frequency and the number of methods of NSSI between the UD and BD groups.Depression(r=0.408,P<0.01)and anxiety(r=0.391,P<0.01)were significantly and positively related to NSSI frequency.Conclusion Adolescents with BD had a longer course of NSSI than those with UD.More importantly,NSSI frequency were positively and strongly correlated with depression and anxiety symptoms,indicating the importance of adequate treatment of depression and anxiety in preventing and intervening adolescents’NSSI behaviors.

关 键 词：non-suicidal self-injury unipolar depression bipolar depression DEPRESSION ANXIETY ADOLESCENT 

分 类 号：R749.4[医药卫生—神经病学与精神病学]