中学生心理素质与非自杀性自伤行为的关系:应对方式的作用路径  

Relationship between psychological quality and non-suicidal self-injury behavior in middle school students:path analysis of coping style

作　　者：谢春芳 江洋 唐新龙 张俊 陈磊 童庆好 Xie Chunfang;Jiang Yang;Tang Xinlong;Zhang Jun;Chen Lei;Tong Qinghao(Affiliated Hospital of West Anhui Health Vocational College,Lu'an 237008,China)

机构地区：[1]皖西卫生职业学院附属医院,安徽六安237008

出　　处：《四川精神卫生》2024年第2期162-167,共6页Sichuan Mental Health

基　　金：2020年安徽省教育厅自然科学研究项目(项目名称:青少年非自杀性自我伤害的发病机制、早期识别和防治的基础研究,项目编号:KJ2020B006)。

摘　　要：背景中学生非自杀性自伤(NSSI)行为发生率较高,影响中学生身心健康,寻找改善中学生NSSI行为的方法对促进中学生健康成长具有重要意义。目的分析皖西地区中学生心理素质与NSSI行为的关系,并考查应对方式在心理素质与NSSI行为之间的作用路径。方法于2020年11月—12月,采用分层整群随机抽样方法,选取皖西地区22872名在校中学生进行问卷调查。采用青少非自杀性自伤行为评定问卷(ANSAQ)、中学生心理素质量表(简化版)(APSS-SV)以及中学生应对方式量表(CSSMSS),分别评定中学生的NSSI行为、心理素质以及应对方式情况。采用Spearman相关分析考查中学生各量表评分与NSSI行为发生频率的相关性。运用Amos 23.0检验应对方式在中学生心理素质与NSSI行为之间的作用路径。结果共21718名(94.95%)中学生完成有效问卷调查。检出7798名(35.91%)中学生存在NSSI行为。中学生ANSAQ总评分、CSSMSS中的积极应对方式评分与NSSI行为发生频率均呈负相关(r=-0.219、-0.179,P均<0.01),消极应对方式评分与NSSI行为发生频率呈正相关(r=0.093,P<0.01)。中学生心理素质对NSSI行为发生频率的直接效应为-0.136,应对方式在心理素质与NSSI行为发生频率之间的间接效应为-0.084,其中,积极应对的效应值为-0.122,效应量为55.45%;消极应对的效应值为0.038,效应量为17.27%。结论应对方式可能是中学生心理素质与NSSI行为之间的作用路径,积极应对和消极应对可能是中学生心理素质影响NSSI行为的独立路径。Background Non-suicidal self-injury(NSSI)behavior is highly prevalent in middle school students,which poses a significant risk to the physical and mental health of middle school students,so finding ways to improve the NSSI behavior among middle school students is of great significance for promoting their healthy growth.Objective To investigate the relationship between psychological quality and NSSI behavior among middle school students in western Anhui,and to examine the pathway of coping style in the above relationship.Methods From November to December 2020,22872 middle school students in western Anhui were selected using stratified cluster random sampling method,and were subjected to complete the assessment of Adolescent Nonsuicidal Self-injury Assessment Questionnaire(ANSAQ),Adolescent's Psychological Suzhi Scale-Simplified Version(APSS-SV)and Coping Style Scale for Middle School Students(CSSMSS).Spearman correlation analysis was adopted to examine the correlation among scores of scales and the frequency of NSSI behavior in middle school students.Amos 23.0 was utilized to test the pathway of coping style in the relationship between psychological quality and NSSI behavior.Results A total of 21718(94.95%)middle school students completed the effective questionnaire survey.NSSI behavior was detected in 7798 middle school students(35.91%).ANSAQ total score and CSSMSS positive coping style score of middle school students were negatively correlated with the frequency of NSSI behavior(r=-0.219,-0.179,P<0.01).CSSMSS negative coping style score was positively correlated with the frequency of NSSI behavior(r=0.093,P<0.01).The direct effect value of psychological quality on the frequency of NSSI behavior was-0.136,and the indirect effect value of coping style on the relationship between psychological quality and the frequency of NSSI behavior was-0.084.Among them,the effect value of positive coping style was-0.122,accounting for 55.45%of the total effect,while the effect value of negative coping style was 0.038,accounting

关 键 词：中学生 心理素质 非自杀性自伤 应对方式 中介作用 

分 类 号：B844.3[哲学宗教—发展与教育心理学]