青少年应对方式在强化敏感性与非自杀性自伤行为关系中的作用  

Effect of coping styles on relationship between reinforcement sensitivity and non-suicidal self-injury behavior in adolescents

作　　者：许红燕 施景阳 姚庚华 汪永光[2] XU Hongyan;SHI Jingyang;YAO Genghua;WANG Yongguang(The Third Hospital of Fuyang Hangzhou,Hangzhou 311400,China;The Seventh Hospital of Hangzhou,Hangzhou 310013,China)

机构地区：[1]杭州市富阳区第三人民医院,杭州311400 [2]杭州市第七人民医院,杭州310013

出　　处：《中国心理卫生杂志》2025年第2期169-174,共6页Chinese Mental Health Journal

基　　金：富阳区科技项目(2021SK007)。

摘　　要：目的:探讨青少年应对方式在强化敏感性与非自杀性自伤(NSSI)行为中的中介作用。方法:通过分层整群随机抽样选取4462名中学生。通过问题“在过去的1年里,你是否有过故意伤害自己的行为(但不是为了结束生命)”了解被调查对象是否在过去12个月存在NSSI行为,采用特质应对方式问卷(TCSQ)评估积极应对和消极应对,采用强化敏感性量表(RSS)评估奖励敏感性和惩罚敏感性。结果:全部被调查者中有506人(11.3%)报告在过去的1年内有NSSI行为。Logistic回归分析显示:RSS惩罚敏感性总分(OR=1.26,95%CI=1.10~1.46)和TCSQ消极应对总分(OR=2.23,95%CI=1.92~2.60)与NSSI行为发生呈正向关联,TCSQ积极应对总分(OR=0.70,95%CI=0.62~0.80)和NSSI行为发生呈负向关联。中介效应分析显示,TCSQ积极应对总分(β=0.15,95%CI=0.10~0.20)和TCSQ消极应对总分(β=0.53,95%CI=0.43~0.64)在RSS惩罚敏感性总分与NSSI行为发生之间有部分中介作用。结论:青少年NSSI行为发生与惩罚敏感系统过度激活有关,不良应对方式是惩罚敏感性过度激活导致NSSI行为的可能心理机制之一。Objective:To explore the mediating effect of coping styles on the relationship between reinforcement sensitivity and non-suicidal self-injury(NSSI)behavior in adolescents.Methods:In total,4462 middle school students were chosen by stratified cluster random sampling.All participants were asked with the question“In the past 1 year,have you intentionally harmed yourself(but not with the intention of ending your life)”to determine whether they had NSSI behavior in the past 12 months.All students were also assessed with the Trait Coping Style Questionnaire(TCSQ)and Reinforcement Sensitivity Scale(RSS).Results:The prevalence of NSSIbehavior in past year was 11.3%.Logistic regression analysis showed that the total scores of punishment sensitivity of RSS(OR=1.26,95%CI=1.10-1.46),negative coping style of TCSQ(OR=2.23,95%CI=1.92-2.60),and positive coping style of TCSQ(OR=0.70,95%CI=0.62-0.80)were associated with the screen-positive rate of NSSI behavior.Bootstrap test showed that the total scores of positive coping style of TCSQ(β=0.15,95%CI=0.10-0.20)and negative coping style of TCSQ(β=0.53,95%CI=0.43-0.64)partially mediated the relationship between the total scores of punishment sensitivity of RSS and the screen-positive rate of NSSI behavior in adolescents.Conclusion:The occurrence of NSSI behavior in adolescents is associated with the over-activation of punishment sensitivity,partly through coping styles.

关 键 词：非自杀性自伤行为 强化敏感理论 惩罚敏感性 应对方式 中介作用 青少年 

分 类 号：C913[经济管理] B844.2[社会学]