高职大学生童年期虐待经历和近期生活压力事件与非自杀性自伤行为的关系  

Association of childhood abuse experiences and recent stressful life events with NSSI in college students

作　　者：赵思宇 曹晨 赵婧宇 孙妍珺[1] 吕逸丽 王伟[1] ZHAO Si-yu;CAO Chen;ZHAO Jing-yu;SUN Yan-jun;LV Yi-li;WANG Wei(School of Clinical Medicine,Suzhou Vocational Health College,Jiangsu 215000,China;Chronic Disease Prevention Section,Anhui Center for Disease Control and Prevention)

机构地区：[1]苏州卫生职业技术学院临床医学院,江苏215000 [2]安徽省疾病预防控制中心慢病科

出　　处：《预防医学论坛》2024年第2期115-119,共5页Preventive Medicine Tribune

基　　金：江苏省苏州市科技计划项目(SKJYD2021051);江苏省苏州卫生职业技术学院青年科技专项(szwzy202013)。

摘　　要：目的了解苏州某高职院校大学生非自杀性自伤(NSSI)行为的流行情况,分析童年期虐待和近期生活压力事件与NSSI的关联,为高职大学生的NSSI防控提供参考。方法2020年10-12月,选取苏州市某高职院校大一、大二的6532名在校大学生为调查对象进行问卷调查,采用童年期虐待评定量表、生活压力事件量表和NSSI评估工具(NSSI-AT)等量表对高职大学生进行调查,评价童年期虐待经历、近期生活压力事件和NSSI等情况,建立logistic回归模型分析童年期虐待水平和近期生活压力事件水平与大学生NSSI的关系。结果共收集有效问卷6366份,高职大学生NSSI的总体检出率为19.0%(1211/6366)。有情感虐待、躯体虐待、性虐待和总虐待组的高职大学生NSSI检出率分别为46.3%(435/939)、46.2%(444/961)、53.6%(165/308)和42.8%(621/1452),相较于没有相关虐待经历者的检出率差异均有统计学意义(χ^(2)值分别为533.03、542.78、250.79、688.54,P均<0.01)。有近期生活压力事件的高职大学生NSSI检出率为32.0%(1011/3163),相较于没有相关虐待经历者的检出率差异有统计学意义(χ^(2)=683.38,P<0.01)。多因素logistic回归分析结果显示,童年期虐待(O R=5.09,95%CI:4.43~5.84)和近期生活压力事件(O R=6.66,95%CI:5.64~7.85)是高职大学生发生NSSI的独立危险因素,两者联合作用会增加高职大学生NSSI的发生风险,且呈现剂量-反应关系(P<0.01)。结论童年期虐待和近期生活压力事件是高职大学生发生NSSI的重要影响因素,关注童年期虐待与近期生活压力事件的影响有利于对高职大学生NSSI的防控。Objective To understand the prevalence of Non-suicidal self-injury(NSSI)behavior among college students in Suzhou city,analyze the association between childhood abuse and recent life stressful events with NSSI,so as to provide reference for NSSI prevention and control among college students.Methods From October to December 2020,a questionnaire survey was conducted on 6532 first-year and second-year college students from a vocational college in Suzhou city.The Childhood Abuse Rating Scale,Life Stress Event Scale,and NSSI were used to evaluate the experiences of childhood abuse,recent life stress events,and NSSI among vocational college students.Logistic regression model was used to analyze the relationship between childhood abuse levels,recent life stress events,and NSSI among college students.Results The overall detection rate of NSSI among college students was 19.0%(1211/6366).The detection rates of NSSI among college students in the groups with emotional abuse,physical abuse,sexual abuse and total abuse were 46.3%(435/939),46.2%(444/961),53.6%(165/308)and 42.8%(621/1452),and the differences in detection rates were statistically significant compared with those in the group without related abusive experiences(χ^(2)=533.03,542.78,250.79,688.54,all P<0.01).The NSSI detection rate of college students in the group with recent life stress events was 32.0%(1011/3163),which was statistically significant compared to the group without recent stressful life events(χ^(2)=683.38,P<0.01).Multifactorial logistic regression analysis showed that childhood abuse(OR=5.09,95%CI:4.43-5.84)and recent stressful life events(OR=6.66%CI:5.64-7.85)were independent risk factors for NSSI,and their combined effect increased the risk of NSSI in college students,and showed a dose-response relationship(P<0.01).Conclusion Childhood abuse and recent stressful life events are important influencing factors of NSSI in college students,and attention to the effects of childhood abuse and recent stressful life events is beneficial to the prevention a

关 键 词：非自杀性自伤行为 童年 虐待 生活压力事件 大学生 高职 

分 类 号：R395.6[哲学宗教—心理学] G444[医药卫生—医学心理学]