青少年抑郁障碍患者非自杀性自伤行为的影响因素分析  

Analysis of influencing factors of non-suicidal self-injury behavior in adolescents with depressive disorder

作　　者：葛怡然 杨佳佳 王舒仪 王星光 张斯华 冯红云[1] 杨探宇 GE Yiran;YANG Jiajia;WANG Shuyi;WANG Xingguang;ZHANG Sihua;FENG Hongyun;YANG Tanyu(Department of Clinical Psychology,the First Hospital of Hebei Medical University,Hebei Province,Shijiazhuang050000,China;Department of Emergency Medicine,Shijiazhuang Emergency Center,Hebei Province,Shijiazhuang050000,China)

机构地区：[1]河北医科大学第一医院临床心理科,河北石家庄050000 [2]河北省石家庄市急救中心急救医学部,河北石家庄050000

出　　处：《中国医药导报》2023年第28期101-104,109,共5页China Medical Herald

基　　金：河北省医学科学重点研究课题计划(20210465)。

摘　　要：目的探讨青少年抑郁障碍患者非自杀性自伤(NSSI)行为的影响因素。方法回顾性选取2022年1月至10月在河北医科大学第一医院就诊的314例青少年抑郁障碍患者。青少年父亲126名,青少年母亲188名。评估后将其分为自伤组和对照组。使用青少年自我伤害问卷、焦虑自评量表、抑郁自评量表、家庭功能评定量表进行调查,进行组间差异比较,应用logistic回归,对抑郁青少年NSSI行为的影响因素进行分析。结果314例青少年抑郁障碍患者中,有NSSI行为者150例,发生率为47.78%。自伤组父母焦虑自评量表、抑郁自评量表评分高于对照组,差异有统计学意义(P<0.05)。自伤组情感交流、积极沟通、自我主义和家庭规则评分及总分低于对照组,差异有统计学意义(P<0.05)。NSSI行为青少年父母的焦虑情绪、抑郁情绪是其出现NSSI行为的危险因素(OR>1,P<0.05),家庭功能是保护因素(OR<1,P<0.05)。结论青少年抑郁障碍患者NSSI发生率较高,其NSSI行为受父母抑郁情绪、父母焦虑情绪及家庭功能的影响。Objective To explore the influencing factors of non-suicidal self-injury(NSSI)behavior in adolescents with depressive disorder.Methods A total of 314 adolescent patients with depressive disorder were retrospectively selected from the First Hospital of Hebei Medical University from January to October 2022.There were 126 adolescent fathers and 188 adolescent mothers.After evaluation,they were divided into NSSI group and control group.Adolescents self-injury questionnaire,self-rating anxiety scale self-rating depression scale,and family assessment device were used to investigate and compare the differences among groups.Logistic regression was used to analyze the influencing factors of NSSI behavior in depressed adolescents.Results Among 314 adolescents with depressive disorder,a total of 150 had NSSI behavior(47.78%).The scores of self-rating anxiety scale and self-rating depression scale of parents in NSSI group were higher than those in control group,and the differences were statistically significant(P<0.05).The scores of affective communication,positive communication,egoism and family rules and total scores in NSSI group were lower than those in control group,and the differences were statistically significant(P<0.05).Anxiety and depression of parents were the risk factors for NSSI behavior(OR>1,P<0.05),while family function was the protective factor(OR<1,P<0.05).Conclusion The incidence of NSSI in adolescents with depressive disorder is higher,and their NSSI behavior is affected by parental depression,parental anxiety,and family function.

关 键 词：抑郁障碍 青少年 非自杀性自伤行为 家庭功能 

分 类 号：R749.4[医药卫生—神经病学与精神病学]