成年抑郁症患者非自杀性自伤行为及其动机的影响因素  

Analysis of influencing factors of non⁃suicidal self⁃injury behavior and motivation in adult patients with depression

作　　者：李莉[1] 唐麟 LI Li;TANG Lin(Sichuan Academy of Medical Sciences,Sichuan Provincial People's Hospital,Sichuan Provincial Psychiatric Center(Department of Psychosomatic Digestive Medicine),Chengdu 610000,China)

机构地区：[1]四川省医学科学院·四川省人民医院四川省精神医学中心(心身消化科),成都610000

出　　处：《实用医学杂志》2024年第4期466-470,共5页The Journal of Practical Medicine

基　　金：四川省科技计划项目(编号:2023YFS0069)。

摘　　要：目的探讨成年抑郁症患者非自杀性自伤行为及其动机的影响因素。方法采用简单随机抽样法选择2023年1~6月本院收治成年抑郁症患者120例作为研究对象,收集患者临床信息,评估其孤独感、挫败感及自伤动机,统计分析患者非自杀性自伤(non-suicidal self-injury,NSSI)行为及动机的影响因素。结果年龄、ULS-8评分、DS评分、婚姻情况、就业情况均为导致成年抑郁症患者存在NSSI的影响因素(P<0.05)。ULS-8评分、DS评分、婚姻情况(丧偶/离异)、就业情况均为导致成年抑郁症患者存在NSSI的独立危险因素(P<0.05)。ULS-8评分是患者以“情绪调节”为NSSI动机的独立危险因素,年龄、DS评分、就业情况(无业)是患者以“人际界限”为NSSI动机的独立危险因素(P<0.05)。结论成年抑郁症患者存在NSSI及NSSI动机的影响因素众多,且不同NSSI动机的影响因素各不相同,临床应通过详细调查明确患者实施NSSI的主要动机及相关影响因素,以为患者拟定针对性的干预策略。Objective To explore the influencing factors of non-suicidal self-injury behavior and motivation in adult patients with depression.Methods A simple random sampling method was used to select 120 adult patients with depression admitted to our hospital from January 2023 to June 2023 as the research objects.The clinical information of the patients was collected,and their loneliness,frustration and self-injury motivation were evaluated.The influencing factors of non-suicidal self-injury(NSSI)behavior and motivation were statistically analyzed.Results Age,ULS-8 score,DS score,marital status and employment status were the influencing factors of NSSI in adult patients with depression(P<0.05).ULS-8 score,DS score,marital status(widowed/divorced)and employment status were independent risk factors for NSSI in adult patients with depression(P<0.05).The ULS-8 score was an independent risk factor for patients with'emotion regulation'as NSSI motivation.Age,DS score and employment(unemployment)were independent risk factors for patients with'interpersonal boundary'as NSSI moti⁃vation(P<0.05).Conclusion There are many influencing factors of NSSI and NSSI motivation in adult depres⁃sion patients,and the influencing factors of different NSSI motivations are different.Clinically,the main motivation and related influencing factors of patients implementing NSSI should be clarified through detailed investigation,so as to facilitate the development of targeted intervention strategies for patients.

关 键 词：抑郁症 非自杀性自伤行为 自伤行为动机 影响因素 

分 类 号：R749.41[医药卫生—神经病学与精神病学] C913.9[医药卫生—临床医学]