多元Logistic回归分析青少年抑郁症患者非自杀性自伤行为的风险因素  

Multiple Logistic Regression Analysis of Risk Factors for Non Suicidal Self Injury Behavior in Adolescent Depression Patients

作　　者：杨丽君 钱国红 YANG LI-jun;QIAN Guo-hong(The Fourth Psychological Ward of the Ninth People's Hospital of Zhengzhou,Zhengzhou 450052,Henan Province,China)

机构地区：[1]郑州市第九人民医院心理四病区,河南郑州450052

出　　处：《罕少疾病杂志》2024年第2期33-35,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨青少年抑郁症患者发生非自杀性自伤行为的危险因素及防护措施,为临床防治提供参考和依据。方法采集2017年5月-2023年2月于郑州市第九人民医院进行治疗的55例青少年抑郁症患者的临床资料,根据是否存在非自杀性自伤行为分为存在非自杀性自伤行为组(23例)与不存在非自杀性自伤行为组(32例)。比较两组患者抑郁评分,采用单因素分析两组患者的临床资料,对其中差异有统计学意义的变量采用多因素Logistic回归分析,筛选出青少年抑郁症患者非自杀性自伤行为的危险因素。结果存在非自杀性自伤行为组患者负性情绪、负性自尊、快感缺乏、效率低下、人际问题评分及总评分均高于不存在非自杀性自伤行为组(P<0.05)。单因素分析显示,存在非自杀性自伤行为组学习压力较大、经历过校园霸凌、家庭关系较差、合并焦虑、重度抑郁患者占比显著高于不存在非自杀性自伤行为组(P<0.05)。多因素Logistic回归分析结果显示,学习压力较大、经历过校园霸凌、家庭关系较差、合并焦虑、重度抑郁均为青少年抑郁症患者发生非自杀性自伤行为的危险因素(OR=2.34、2.22、2.04、1.41、1.75,P<0.05)。结论学习压力较大、经历过校园霸凌、家庭关系较差、合并焦虑、重度抑郁均为青少年抑郁症患者发生非自杀性自伤行为的危险因素,可针对上述因素制定相关临床措施,预防青少年抑郁症患者发生非自杀性自伤行为。Objective To explore the risk factors and protective measures for non suicidal self injury behavior in adolescent depression patients,and to provide reference and basis for clinical prevention and treatment.Methods The clinical data of 55 patients with adolescent depression who were treated in the Ninth People's Hospital of Zhengzhou from May 2017 to February 2023 were collected.According to whether there were non suicidal self injurious behaviors,they were divided into the group with non suicidal self injurious behaviors(23 cases)and the group without non suicidal self injurious behaviors(32 cases).Compare the depression scores of two groups of patients,use univariate analysis to analyze the clinical data of the two groups of patients,and use multivariate logistic regression analysis to screen out the risk factors for non suicidal self injury behavior in adolescent depression patients.Results Patients with non suicidal self injury behavior had higher negative emotions,negative self-esteem,lack of pleasure,low efficiency,interpersonal problem scores,and overall scores than those without non suicidal self injury behavior(P<0.05).Univariate analysis showed that the proportion of patients with non suicidal self injury behavior who had higher learning pressure,experienced campus bullying,poor family relationships,combined anxiety,and severe depression was significantly higher than the group without non suicidal self injury behavior(P<0.05).The results of multivariate logistic regression analysis showed that high learning pressure,experience of campus bullying,poor family relationships,combined anxiety,and severe depression were all risk factors for non-suicidal self harm behavior in adolescent depression patients(OR=2.34,2.22,2.04,1.41,1.75,P<0.05).Conclusion High learning pressure,experience of campus bullying,poor family relationships,combined anxiety,and severe depression are all risk factors for non suicidal self injury behavior in adolescent depression patients.Relevant clinical measures can be developed to prev

关 键 词：抑郁症 青少年 非自杀性自伤行为 风险因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]