非自杀性自伤行为青少年述情障碍与手机滥用的调查分析

The investigation and analysis of alexithymia and mobile phone abuse among adolescents with non-suicidal self-injury

目的了解存在非自杀性自伤行为(NSSI)青少年的述情障碍严重程度及手机滥用情况。方法选取2019年1月至2020年12月在本院精神科就诊的存在NSSI的青少年患者58例作为观察组,另选取当地同年龄段健康中学生60例作为对照组。采用多伦多述情障碍量表(TAS-20)和手机成瘾倾向量表(MPATS)评定两组青少年的述情障碍程度和手机滥用情况,并从各维度进行比较分析。结果观察组的TAS-20总分、因子二(情感描述不能)及因子三(外向性思维)的评分均高于对照组(P<0.05)。观察组青少年的MPATS评定在戒断症状、社交抚慰和心理改变三个维度得分均显著高于对照组(P<0.05)。结论存在NSSI青少年的述情障碍严重程度和手机滥用程度均高于健康同龄人。述情障碍可在NSSI和手机滥用之间起到中介作用。

Objective To investigate the severity of alexithymia and mobile phone abuse among adolescents with non-suicidal self-injury(NSSI).Methods 58 adolescent patients with NSSI in the psychiatric department of our hospital from January 2019 to December 2020 were selected as the observation group,and 60 local healthy middle school students of the same age were selected as the control group.Toronto alexithymia scale(TAS-20)and mobile phone addiction tendency scale(MPATS)were used to evaluate the degree of alexithymia and mobile phone abuse of adolescents in the two groups,and make a comparative analysis from each dimension.Results The total score of TAS-20,factor 2(inability to describe emotion)and factor 3(extroversion thinking)in the observation group were higher than those in the control group(P<0.05).The scores of withdrawal symptoms,social comfort and psychological change of MPATS in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The severity of alexithymia and mobile phone abuse of adolescents with NSSI are higher than those of healthy peers.Alexithymia may mediate the relationship between NSSI and mobile phone abuse.