青少年抑郁障碍患者非自杀性自伤行为的影响因素分析

Analysis of influencing factors of non-suicidal self-injury behavior in adolescents with depressive disorder

目的探讨青少年抑郁障碍患者非自杀性自伤行为(non-suicidal self-injury,NSSI)的发生情况及其影响因素。方法选取2022年9月至2023年3月宁波大学附属第一医院青少年抑郁障碍门诊患者117例,根据是否存在NSSI分为NSSI组(39例)和非NSSI组(78例)。采用抑郁自评量表(self-rating depression scale,SDS)、多伦多述情障碍量表(toronto alexithymia scale,TAS-20)和UCLA孤独量表进行问卷调查,采用多因素logistic回归分析青少年抑郁障碍患者发生NSSI的影响因素。结果117例青少年抑郁障碍患者中男27例,女90例,年龄12~17岁,平均(14.6±2.1)岁。NSSI的发生率为33.33%(39/117)。NSSI组TAS-20评分和UCLA孤独量表评分高于非NSSI组[(58.62±12.47)分比(50.86±7.31)分、(54.36±11.67)分比(42.32±8.61)分],差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示,TAS-20评分越高(OR=1.082,95%CI:1.026~1.142,P=0.002),青少年抑郁障碍患者发生NSSI的风险越大。结论NSSI行为在青少年抑郁障碍门诊患者中较为常见,述情障碍是NSSI行为的危险因素。

Objective To explore the occurrence and influencing factors of non-suicidal self-injury(NSSI)in adolescents with depressive disorder.Methods A total of 117 patients with adolescent depression in the First Affiliated Hospital of Ningbo University from September 2022 to March 2023 were selected,and divided into NSSI group(39 cases)and non-NSSI group(78 cases)according to whether NSSI existed or not.Self-rating depression scale(SDS),toronto alexithymia scale(TAS-20),and UCLA loneliness scale were used to conduct a questionnaire survey,and the influencing factors of NSSI in adolescent patients with depression was analyzed by multivariate logistic regression.Results Among the 117 patients with adolescent depression,there were 27 males and 90 females,aged from 12 to 17 years,with an average of(14.6±2.1)years.The incidence of NSSI was 33.33%(39/117).The scores of TAS-20 and UCLA loneliness scale in NSSI group were higher than those in non-NSSI group[(58.62±12.47)vs.(50.86±7.31),(54.36±11.67)vs.(42.32±8.61)],and the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that the higher the TAS-20 score(OR=1.082,95%CI:1.026-1.142,P=0.002),the greater the risk of NSSI in adolescent depression patients.Conclusions NSSI behavior is common in adolescent outpatients with depressive disorder,and alexithymia is a risk factor for NSSI behavior.