非自杀性自伤行为青少年的应付方式和父母养育方式  

Coping style and parental rearing style of adolescents with non-suicidal self-injury behavior

作　　者：杨克飞 袁秋雨 张文俊 李军[1] 宋苏琪 袁晓平 周晓琴[1] YANG Kefei;YUAN Qiuyu;ZHANG Wenjun(Chaohu Hospital of Anhui Medical University,Hefei 238000,China)

机构地区：[1]安徽医科大学附属巢湖医院,巢湖238000

出　　处：《国际精神病学杂志》2024年第4期1110-1115,共6页Journal Of International Psychiatry

摘　　要：目的近些年非自杀性自伤(Non-suicidal self-injury,NSSI)行为在青少年群体中患病率呈现不断升高的趋势,是相关领域关注的热点问题,本研究对伴发NSSI的青少年患者展开研究,旨在探讨患者与正常青少年应付方式及父母养育方式的区别。方法选取2019年9月~2020年12月于安徽医科大学附属巢湖医院就诊的伴发NSSI行为的106名青少年患者,与此同时选取一定数量年龄与之匹配的健康青少年进行对照研究。在经过简明国际神经精神障碍访谈(MINI)量表访谈评估确认入组之后,再对入组人群采用一般临床资料,应付方式量表,父母养育方式等量表进行评估。结果研究结果发现青少年NSSI患者和健康青少年之间一般资料的性别,是否为独生子女,亲子矛盾,父母离异,家庭经济状况,应付方式及父母养育方式等方面存在统计学差异(P<0.05)。此外相关分析显示应付方式与养育方式之间存在明显的相关性。二元Logistic回归分析显示,青少年患者NSSI行为与应付方式及父母养育方式的分因子相关,其中采取解决问题,求助的应付方式非自伤行为发生更低,而父亲过度干涉及母亲过度干涉与保护的教养方式下的青少年患者NSSI行为发生相对更高。结论伴发NSSI的青少年患者的自伤行为与采取的应付方式及父母养育方式有关,消极的父母养育方式可能会导致NSSI行为的发生,这值得我们更进一步探究早期对父母养育方式干预的意义,以期减少青少年NSSI行为的发生。Objective In recent years,the prevalence of non-suicidal self-injury(NSSI)behavior in adolescents is increasing,which is a hot issue in related fields.This study conducted a study on adolescent patients with NSSI in order to explore the differences between patients and normal adolescents in coping styles and parental rearing styles.Methods In this study,106 adolescent patients with NSSI behavior were selected from Chaohu Hospital affiliated to Anhui Medical University from September 2019 to December 2020,and a certain number of healthy adolescents matched with them were selected for control study.After the interview and evaluation of MINI scale,the participants were evaluated with general clinical data,coping style scale,parental rearing style and other scales.Results The results showed that there were significant differences in gender,only child,parent-child contradiction,parental divorce,family economic status,coping style and rearing style between adolescent NSSI patients and healthy adolescents.In addition,correlation analysis showed that there was a significant correlation between coping style and rearing style.Binary Logistic regression analysis showed that the NSSI behavior of adolescent patients was related to the sub-factors of coping style and parental rearing style,in which the self-injury rate of adolescent patients with problem-solving and help-seeking coping style was lower,while the incidence of NSSI behavior of adolescent patients with father's excessive intervention and mother's excessive interference and protection was relatively higher.Conclusion The self-injury behavior of adolescent patients with NSSI is related to coping style and parental rearing style.Improper rearing style may be the cause of NSSI behavior,which is worth further exploring the significance of early intervention on family rearing style in order to reduce the incidence of adolescent NSSI.

关 键 词：青少年 非自杀性自伤 NSSI 应付方式 父母教养方式 

分 类 号：R749.4[医药卫生—神经病学与精神病学]