青少年抑郁障碍病人非自杀性自伤与童年期心理创伤相关性研究

Study on the correlation between non-suicidal self-injury and childhood psychological trauma in adolescents with depression

目的:探讨青少年抑郁障碍病人非自杀性自伤行为(NSSI)与其童年期心理创伤之间关系。方法:选取70例符合DSM-5诊断标准的青少年抑郁障碍病人,依据有无NSSI,分为NSSI组和非NSSI组各35例,并选择性别、年龄和受教育程度与之匹配的正常青少年35人作为健康对照组。通过渥太华自伤量表、童年创伤问卷(CTQ)、汉密尔顿抑郁量表(HAMD-24)进行临床症状评估。结果:NSSI组情感虐待、情感忽视及CTQ量表总分评分均高于非NSSI组,且2组上述3个评分及躯体虐待评分均高于健康对照组,差异均有统计学意义(P<0.05~P<0.01),两抑郁障碍亚组间差异均无统计学意义(P>0.05);NSSI组性虐待、躯体忽视评分均高于健康对照组(P<0.01)。NSSI组非自杀性自伤频率与CTQ中情感忽视评分、HAMD量表认知障碍评分均呈正相关关系(P<0.05)。结论:青少年抑郁障碍病人NSSI与童年期心理创伤存在相关。

Objective:To explore the relationship between non-suicidal self-injury(NSSI)in adolescents with depression and their childhood psychological trauma.Methods:Seventy adolescent patients diagnosed with depressive disorder according to DSM-5 diagnostic criteria were selected.According to the presence or absence of NSSI,they were divided into depression with NSSI group and non-NSSI group,with 35 patients in each group.And 35 normal adolescents matched with gender,age and education level were used as the healthy control group.The Ottawa self-injury scale,the childhood trauma questionnaire(CTQ)and the Hamilton Depression Scale(HAMD-24)were used to evaluate the clinical symptoms.Results:The scores of emotional abuse,emotional neglect and total score of CTQ in NSSI group were higher than those in non-NSSI group,and the above three scores and physical abuse scores in the two groups were higher than those in the healthy control group,the difference was statistically significant(P<0.05 to P<0.01).The scores of sexual abuse and physical neglect in NSSI group were higher than those in healthy control group(P<0.01).The frequency of non-suicidal self-harm was positively correlated with emotional neglect scores and cognitive impairment scores of HAMD scale in NSSI group(P<0.05).Conclusions:There is variable correlation between NSSI self-injury behaviors in adolescents with depression and childhood psychological trauma.