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青少年情绪障碍患者非自杀性自残行为及其影响因素分析

Survey of non-suicidal self-injury behavior in adolescents with mood disorder and its influencing factors

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【作者】 杨宁波; 李洁; 张国秀; 刘松年; 胡莹莹; 魏玉玲;

【Author】 YANG Ningbo;LI Jie;ZHANG Guoxiu;The First Affiliated Hospital of Henan University of Science and Technology;

【通讯作者】 杨宁波;

【机构】 河南科技大学第一附属医院;

【摘要】 目的 探讨研究青少年情绪障碍患者非自杀性自残(NSSI)行为及其影响因素。方法 选取116例青少年情绪障碍患者作为研究对象,通过NSSI行为问卷表结果将患者分为伴NSSI组(n=80)与不伴NSSI组(n=36),比较两组的人口学和临床资料。结果 伴NSSI组在性别、共病抑郁、学习压力、网络成瘾、遭受校园欺凌与不伴NSSI组具有明显差异(P<0.05),而在年龄、年级、病程与不伴NSSI组没有明显差异(P>0.05);伴NSSI组中NSSI行为发生频率较高,女性NSSI行为6次或以上的发生频率为44.44%,明显高于男性的19.23%(P<0.05);Logistic多元回归结果显示性别、共病抑郁、学习压力、网络成瘾、遭受校园欺凌是NSSI的危险因素(P<0.05)。结论 青少年情绪障碍患者NSSI行为发生率较高,且女性高于男性,性别、共病抑郁、学习压力、网络成瘾、遭受校园欺凌是NSSI行为的危险因素。

【Abstract】 Objective To investigate non-suicidal self-injury(NSSI)behavior and its influence factors in adolescents with mood disorder. Methods A total of 116 adolescent patients with mood disorders were divided into NSSI group(n=80)and no NSSI group(n=36). The clinic data and occurrences of NSSI behavior of two groups were recorded. Results In the NSSI group,the frequency of NSSI behavior was higher in females than in males(P<0.05).There were significant differences in gender,comorbid depression,learning pressure,Internet addiction,school bullying between two groups(P<0.05),while there were no differences in age,grade,course of disease between two groups(P>0.05). The logistic multiple regression results showed that gender,comorbid depression,learning pressure,Internet addiction,and school bullying were related to NSSI behavior and were risk factors of NSSI behavior(P<0.05). Conclusion NSSI behavior is common among adolescent mood disorder patients,the occurrences of NSSI behavior in female is higher than those in male. The gender,comorbidities depression,study pressure,Internet addiction,suffering from school bullying are all risk factors.

【基金】 河南省高等学校重点科研项目计划(编号:19B320008);2018年河南省医学教育研究项目(编号:Wjlx2018145);精神疾病诊断与治疗北京重点实验室开放课题(编号:2020JSJB01);2020年河南省医学教育研究项目(编号:Wjlx2020454)
  • 【文献出处】 国际精神病学杂志 ,Journal of International Psychiatry , 编辑部邮箱 ,2022年05期
  • 【分类号】R749
  • 【下载频次】63
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