艾滋病致孤儿童自伤行为与同伴歧视和抑郁的关系  

Relationship of self-injurious behavior with peer discrimination and depression among AIDS orphans

作　　者：张怡帆 孔蓓蓓[1] 杨濛[1] ZHANG Yifan;KONG Beibei;YANG Meng(Genter for Psychological Health Education of Henan University of Science and Technology,Luoyang(471000),Henan Province,China)

机构地区：[1]河南科技大学心理健康教育中心,洛阳471000

出　　处：《中国学校卫生》2024年第9期1324-1327,共4页Chinese Journal of School Health

基　　金：教育部人文社科基金项目(17YJA630134);河南省重大科技专项计划项目(202400410004)。

摘　　要：目的 探讨艾滋病致孤儿童(简称“艾滋病孤儿”)自伤行为与同伴歧视和抑郁的关系,为促进艾滋病孤儿心理健康提供依据。方法 2021年3月—2022年3月,采用分层整群随机抽样方法选取河南省5个县626名艾滋病孤儿作为研究对象,并采用非自杀性自伤评估工具、歧视经历量表、Zung抑郁量表调查艾滋病孤儿自伤行为、同伴歧视及抑郁情况。使用多因素Logistic回归模型分析艾滋病孤儿自伤行为与同伴歧视间关系;采用多元线性回归分析探察艾滋病孤儿抑郁在自伤行为与同伴歧视间的调节作用。结果 艾滋病孤儿自伤行为、同伴歧视和抑郁检出率分别为80.0%,73.3%和67.6%;其中双孤儿童自伤行为、同伴歧视和抑郁的检出率(86.9%,81.5%和77.5%)高于单孤儿童的检出率(74.6%,67.0%和59.8%),差异均有统计学意义(χ^(2)值分别为21.29,23.78,14.23,P值均<0.01)。艾滋病孤儿自伤行为得分与同伴歧视、抑郁评分均呈正相关(r值分别为0.55,0.40,P值均<0.01);艾滋病孤儿抑郁在自伤行为与同伴歧视关系间起到调节作用(β=0.03,P<0.05)。结论 艾滋病孤儿在受到同伴歧视及出现心理抑郁后,产生自伤行为的可能性更大。社会、学校应采取对应干预策略,促进艾滋病孤儿心理健康发展。Objective To explore the relationship of self-injurious behavior with peer discrimination and depression among AIDS orphans,so as to provide the basis for promoting the mental health of AIDS orphans.Methods From March 2021 to March 2022,626 AIDS orphans from 5 counties in Henan Province were selected by stratified cluster random sampling methods.Non-suicidal Self-injury-assessment Tool,Discrimination Experience Scale,and Zung Self-rating Depression Scale were used to investigate AIDS orphans'self-injurious behavior,peer discrimination and depression.Multivariate Logistic regression model was used to analyze the relationship between self-injurious behavior and peer discrimination of AIDS orphans.Multivariate linear regression analysis was used to explore the moderating effect of depression between self-injurious behavior and peer discrimination of AIDS orphans.Results The detection rates of self-injurious behavior,peer discrimination and depression of AIDS orphans were 80.0%,73.3%and 67.6%respectively.The detection rates of the three items mentioned above were 86.9%,81.5%,and 77.5%for double orphaned children,respectively,which were higher than 74.6%,67.0%,and 59.8%for single orphaned children,and the differences were statistically significant(χ^(2)=21.29,23.78,14.23,P<0.01).The score of self-injurious behavior of AIDS orphans was positively correlated with peer discrimination and depression(r=0.55,0.40,P<0.01).Depression played a moderating role in the relationship between self-injurious behavior and peer discrimination of AIDS orphans(β=0.03,P<0.05).Conclusions AIDS orphans are more likely to engage in self-injurious behaviors after experiencing peer discrimination and psychological depression.The society and schools should adopt targeted intervention strategies to promote the mental health among AIDS orphans.

关 键 词：获得性免疫缺陷综合征 自我伤害行为 偏见 抑郁 精神卫生 回归分析 儿童 

分 类 号：B844.1[哲学宗教—发展与教育心理学] R179[哲学宗教—心理学] R1933[医药卫生—妇幼卫生保健]