青少年非自杀性自我伤害的人格特征分析  

An analysis of personality characteristics of adolescent non-suicidal self-injury

作　　者：林瑞钱 郑榕艳[1] 倪文娟 林蔚清 陈哲 欧文前[1] 陈慧[1] 高明[1] 吴仲心 LIN Ruiqian;ZHENG Rongyan;NI Wenjuan;LIN Weiqing;CHEN Zhe;OU Wenqian;CHEN Hui;GAO Ming;WU Zhongxin(Psychiatry department,The Second General Hospital of Fuzhou Neuropsychiatric prevention and treatment Hospital/Fuzhou Neuropsychiatric Hospital Affiliated to Fujian Medical University,Fuzhou City,Fujian Province,350008,China)

机构地区：[1]福州市第二总医院神经精神病防治院/福建医科大学附属福州神经精神病医院,福建福州350008

出　　处：《蛇志》2024年第4期476-479,513,共5页Journal of Snake

基　　金：福州市科技计划项目(项目名称:青少年非自杀性自我伤害的人格特征分析,项目编号:2022-S-081)。

摘　　要：目的分析伴有非自杀性自我伤害(NSSI)青少年的人格特征。方法根据《精神障碍诊断与统计手册(第5版)》(DSM-5)诊断标准选取2022年9月至2023年8月在我院门诊(含医学心理咨询中心)就诊的青少年非自杀性自我伤害(aNSSI)患者100例作为aNSSI组,同期借助“问卷星”平台对学校中年龄匹配的学生进行匿名自伤筛查,采用艾森克人格问卷(EPQ)测评人格特征,排除NSSI后,将答题时间充分的有效问卷99份纳入对照组。收集两组的资料数据,比较两组的人格特征评分,采用单样本t检验分析aNSSI组与全国常模的人格差异。结果两组在年龄、受教育年限方面比较,差异均无统计学意义(均P>0.05);在性别方面比较,差异具有统计学意义(P<0.05)。两组的人格特征评分比较,aNSSI组的神经质、内外向、精神质评分与对照组比较,差异均有统计学意义(均P<0.05);两组的掩饰性评分比较,差异无统计学意义(P>0.05)。aNSSI组与全国常模的人格特征比较,aNSSI组的神经质、精神质、掩饰性评分与全国常模比较,差异均有统计学意义(均P<0.05);内外向评分比较,差异无统计学意义(P>0.05)。结论神经质、精神质、内向的青少年更倾向于发生NSSI行为,家长、学校、医务人员对神经质、精神质、内向的青少年应给予更多的关心,尤其是低龄女性。及时发现并干预NSSI行为对青少年的心理健康发展具有重要意义。Objective To analyze the personality characteristics of adolescents associated with non-suicidal self-injury(NSSI).Methods According to the Diagnostic and Statistical Manual of Mental Disorders(5th edition)(DSM-5)diagnostic criteria,adolescent non-suicidal self-injury was selected from the outpatient department of Neuropsychiatric Prevention and Control Hospital(including medical psychological counseling Center)of Fuzhou Second General Hospital from September 2022 to August 2023 A total of 100 patients with non-suicide self-injury(aNSSI)were taken as aNSSI group.During the same period,anonymous self-injury screening and EPQ assessment were conducted on age-matched students in schools with the help of the"Questionstar"platform.After excluding NSSI,99 valid questionnaires with sufficient answering time were included in the control group.Data of the two groups were collected.eysenck personality questionnaire(EPQ)was used to test personality characteristics,independent sample T-test was used to compare personality characteristics of the two groups,and single sample T-test was used to analyze personality differences between the aNSSI group and the national norm.Results There was no significant difference in age and years of education between the two groups(P>0.05).In terms of gender,the difference was statistically significant(P<0.05).Compared with the control group,the scores of neuroticism,introversion and psychosis in aNSSI group had statistical significance(all P<0.05).There was no significant difference in masking scores between the two groups(P>0.05).There were statistically significant differences in the scores of neuroticism,psychoticism and concealability between aNSSI group and the national norm(all P<0.05).There was no significant difference in internal and external scores(P>0.05).Conclusion Neurotic,psychopathic and introverted adolescents are more likely to develop NSSI behaviors.Parents,schools and medical personnel should pay more attention to neurotic,psychopathic and introverted adolescents,especially

关 键 词：青少年 非自杀性自我伤害 自伤 人格特征 艾森克人格问卷 分析 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R395.6[医药卫生—临床医学]