伴与不伴非自杀性自伤抑郁障碍青少年的冲动和自我意识对照研究

A comparative study of impulsivity and self-consciousness between depressive adolescents with and without nonsuicidal self-injury

目的探究伴非自杀性自伤(NSSI)的抑郁障碍青少年的冲动水平和自我意识水平的特点。方法将77例青少年抑郁障碍患者,按照有无NSSI分为研究组(伴NSSI)35例和对照组(不伴NSSI)42例,两组治疗前均进行汉密尔顿抑郁量表(HAMD-17)、抑郁自评量表(SDS)、临床疗效总评量表病情严重程度(CGI-SI)、Barratt冲动量表(BIS-11)、Piers-Harris儿童自我意识量表(CSCS)的评定,比较两组间的差异,研究组内进行CSCS评分与BIS-11总分的相关性分析。结果研究组BIS-11总分及各因子分均高于对照组(P<0.05)。研究组CSCS总分及行为、智力、躯体情况、焦虑因子分均小于对照组(P<0.05)。BIS-11总分与CSCS行动、智力、焦虑、合群因子分均呈负相关(P<0.05),BIS-11和CSCS总分呈负相关(P<0.05)。结论伴NSSI的抑郁障碍青少年可能具有更高的冲动性以及自我意识低的特点。

Objective To explore the characteristics of impulsivity level and self-consciousness level in depressive adolescents with nonsuicidal self-injury(NSSI). Methods A total of 77 adolescent inpatients with depression were selected and divided into study group(with NSSI, 35 cases) and control group(without NSSI, 42 cases). They were assessed with Hamilton Depression Scale-17(HAMD-17), Self-rating Depression Scale(SDS), Clinical Global Impression-Severity of Illness(CGI-SI),Barratt Impulsiveness Scale-11 th version(BIS-11) and Children’s Self-concept Scale(CSCS) before treatment and the correlation analysis between CSCS and BIS-11 was performed in the study group.Results The total score and all factor scores of BIS-11 in study group were significantly higher than those in control group(P<0.05). The total score and factor scores of behavior, intelligence, body and appearance and anxiety of CSCS in study group were significantly lower than those in control group(P<0.05). In study group,the total score of BIS-11 was negatively correlated with the total score and factor scores of behavior, intelligence, anxiety and gregariousness of CSCS(P<0.05). Conclusion Depressive adolescents with NSSI are more impulsive, and experiencing lower self-consciousness level than depressive adolescents without NSSI.