网络成瘾、家庭动力学与青少年抑郁障碍患者非自杀自伤行为的关系研究  

Relationship between Internet addiction,family dynamics and the non-suicidal self-injury adolescents with depressive disorder

作　　者：熊思怡 陈方煜 刘畅畅 XIONG Si-yi;CHEN Fang-yu;LIU Chang-chang(Wannan Medical College,Wuhu 241002,China)

机构地区：[1]皖南医学院,241002 [2]徽商职业学院 [3]皖南医学院,首都医科大学附属北京安定医院芜湖医院(芜湖市第四人民医院) [4]山东省精神卫生中心

出　　处：《临床精神医学杂志》2024年第4期298-301,共4页Journal of Clinical Psychiatry

基　　金：芜湖市卫生健康委员会课题研究项目(WHWJ2021y077)。

摘　　要：目的:探讨青少年抑郁障碍患者的网络成瘾、系统家庭动力学与非自杀性自伤行为(non-suicidal self-injury,NSSI)的关系。方法:以2021年3月至2022年3月在芜湖市第四人民医院就诊的106例青少年抑郁障碍患者为研究对象。使用一般情况问卷、NSSI水平问卷、系统家庭动力学量表和网络成瘾问卷进行施测。结果:入组患者中NSSI发生率为89.6%。NSSI水平在年级、是否经历校园/网络欺凌、吸烟饮酒史和冲动毁物行为上的差异均有统计学意义(P均<0.05)。网络成瘾总分与NSSI水平呈现显著的正相关(P<0.05),系统家庭动力学总分、个性化得分和系统逻辑得分均与NSSI水平呈现显著负相关(P均<0.05)。年级(B=-12.530,t=-3.685)、吸烟饮酒史(B=-32.835,t=-4.112)和系统逻辑(B=-2.918,t=-2.724)均是NSSI水平的影响因素(P均<0.01)。结论:青少年抑郁障碍患者的NSSI发生率高,年级、吸烟饮酒史和系统逻辑能负向预测青少年抑郁障碍患者的NSSI水平。Objective:To explore the relationship between Internet addiction,systematic family dynamics and non-suicidal self-injury(NSSI)in adolescents with depressive disorder.Method:A total of 106 adolescent patients who were treated at The Fourth People's Hospital of Wuhu from March 2021 to March 2022 with depressive disorder were studied.General situation questionnaire,self-injury questionnaire,systematic family dynamics scale and internet addiction questionnaire were used.Results:The incidence of NSSI with depressive disorder in the study group was 89.6%.There were significant differences in the level of NSSI in grade,school/cyber bullying,smoking and drinking history,and impulsive object destruction(all P<0.05).The total score of Internet addiction was significantly positively correlated with the level of NSSI(P<0.05),and the total score of system family dynamics,personalized score and system logic score were significantly negatively correlated with the level of NSSI(all P<0.05).Grade(B=-12.530,t=-3.685),smoking and drinking history(B=-32.835,t=-4.112)and system logic(B=-2.918,t=-2.724)were the factors influencing the level of NSSI(all P<0.01).Conclusion:The incidence of NSSI is high in adolescents with depressive disorder.Grade,smoking and drinking history and systematic logic can negatively predict the level of NSSI in adolescents with depressive disorder.

关 键 词：青少年抑郁障碍 网络成瘾 家庭动力学 非自伤自杀行为 

分 类 号：R749.4[医药卫生—神经病学与精神病学]