青少年抑郁症患者非自杀性自伤行为现状及与认知情绪调节和社会支持的相关性分析  

Current Status of NSSI and Its Correlation with Cognitive Emotion Regulation and Social Support in Adolescent Patients with Depression

作　　者：马立鑫 邓巧恩 MA Lixin;DENG Qiaoen(Department of Psychiatry,the Eighth Hospital of Shijiazhuang City,Shijiazhuang 050000,China)

机构地区：[1]石家庄市第八医院精神七科,石家庄050000

出　　处：《临床误诊误治》2025年第6期73-77,共5页Clinical Misdiagnosis & Mistherapy

基　　金：河北省2024年度医学科学研究项目(20241462)。

摘　　要：目的分析青少年抑郁症患者非自杀性自伤行为(NSSI)现状及其影响因素,并探究其与认知情绪调节和社会支持的相关性。方法选取2021年3月至2023年2月收治的青少年抑郁症患者100例,按是否发生NSSI分为NSSI组39例和非NSSI组61例。采用一般情况调查问卷、NSSI评定问卷、认知情绪调节量表中文版(CERQ-C)、社会支持评定量表(SSRS)进行调查,比较NSSI组和非NSSI组的一般资料、CERQ-C评分和SSRS评分的差异,采用多因素logistic回归分析影响NSSI发生的相关因素。结果100例青少年抑郁症患者中,39.00%(39/100)发生NSSI。NSSI组和非NSSI组抑郁程度、伴焦虑情况比较差异有统计学意义(P<0.05);NSSI组沉思、灾难化、责难他人、自我责难评分高于非NSSI组,接受、理性分析、积极重新评价、积极重新关注、重新关注计划评分低于非NSSI组(P<0.05,P<0.01)。NSSI组对支持的利用度评分、SSRS总分低于非NSSI组(P<0.05)。多因素logistic回归分析结果显示,抑郁程度、沉思、灾难化、责难他人、自我责难是NSSI发生的危险因素,对支持的利用度、积极重新评价、积极重新关注、重新关注计划是NSSI发生的保护因素(P<0.05,P<0.01)。结论青少年抑郁症患者存在一定的NSSI风险,且NSSI的发生与认知情绪调节和社会支持密切相关。Objective To analyze the current status of non-suicidal self-injury(NSSI)and its influencing factors in adolescents with depression,and to explore its correlation with cognitive emotion regulation and social support.Methods A total of 100 adolescent patients with depression who were admitted from March 2021 to February 2023 were enrolled.According to the presence or absence of NSSI,they were divided into NSSI group(n=39)and non-NSSI group(n=61).The general information questionnaire,NSSI rating Questionnaire,Cognitive Emotion Regulation Questionnaire Chinese version(CERQ-C)and social support rating scale(SSRS)were used to investigate the patients.The differences in general information,CERQ-C score and SSRS score between NSSI group and non-NSSI group were compared.Multivariate logistic regression was used to analyze the related factors affecting the occurrence of NSSI.Results Among the 100 adolescent patients with depression,39.00%(39/100)had NSSI.There were significant differences in the degree of depression and anxiety between NSSI group and non-NSSI group(P<0.05).Compared with the non-NSSI group,the NSSI group had significantly higher scores of rumination,catastrophizing,blaming others,and self-blame and significantly lower scores of acceptance,rational analysis,positive reappraisal,positive refocusing,and refocusing on the plan(P<0.05,P<0.01).The NSSI group had significantly lower support utilization score and total SSRS score than the non-NSSI group(P<0.05).The results of multivariate logistic regression analysis showed that the degree of depression,rumination,catastrophizing,blaming others,and self-blame were risk factors for NSSI,and the utilization of support,positive reappraisal,positive refocusing,and refocusing on plans were protective factors for NSSI(P<0.05,P<0.01).Conclusion Adolescent patients with depression have a certain risk of NSSI,and the occurrence of NSSI is closely related to cognitive emotion regulation and social support.

关 键 词：抑郁症 青少年 非自杀性自伤行为 认知情绪调节 社会支持 危险因素 

分 类 号：R749.41[医药卫生—神经病学与精神病学]