【摘要】 目的 研究情绪失调对青少年心境障碍患者非自杀性自伤（NSSI）行为的影响。方法 选取2019年9月—2021年12月在浙江大学医学院附属杭州市第一人民医院临床心理科就诊的青少年（12～18岁）心境障碍患者，使用情绪调节困难量表、渥太华自伤评定量表等收集相关数据，通过SPSS软件进行多因素logistic回归和线性回归分析。结果 共纳入青少年心境障碍患者224例，符合精神障碍诊断与统计手册第5版（DSM-5）NSSI诊断标准103例（46.0%）；伴NSSI组情绪调节困难量表的总分和6个因子分均高于非NSSI组（P<0.05）；回归分析发现，当控制性别、情绪等影响因素时，情绪失调的冲动控制困难和情绪知觉困难因子仍然是NSSI的独立危险因素。结论 情绪失调对青少年NSSI行为有一定影响。更多还原

【Abstract】 Objective To investigate the impacts of emotional dysregulation on nonsuicidal self-injury(NSSI) in adolescents with mood disorders. Methods A survey was conducted among 224 adolescents aged 12-18 years with mood disorders who visited the Department of Clinical Psychology in Affiliated Hangzhou First People’s Hospital between September2019 and December 2021. All participants completed standard questionnaires, and were evaluated with difficulty in emotion regulation scale(DERS), Ottawa self-injury rating scale(OSI) and Hamilton depression scale(HAMD-24). Binary logistic regression and linear regression analysis were performed by SPSS 25.0 software. Results The survey showed that 46.0%of participants met the DSM-5 NSSI diagnostic criteria; the total score and six factor scores of DERS in NSSI adolescents were higher than those in non-NSSI adolescents(P<0.05). The Logistic regression analysis indicated that after controlling for gender and emotion, impulse control difficulty and emotional perception difficulty were independent risk factors of NSSI.Conclusion Emotional dysregulation has certain impacts on NSSI behavior in adolescents with mood disorders.更多还原