伴非自杀性自伤抑郁症女性青少年的情绪行为、自杀态度和社会支持

Emotional behavior,suicidal attitude,and social support among female adolescents with non-suicid self-injury depressive disorders

目的观察伴非自杀性自伤(Non-suicidal Self-injury,NSSI)抑郁症女性青少年的情绪行为、自杀态度、社会支持情况及其之间的相关性。方法研究组(伴NSSI)和对照组(不伴NSSI),在入组后3日内药物治疗前进行抑郁自评量表(Self-Rating Depression Scale,SDS)、汉密尔顿抑郁量表(Hamilton Depression Scale-17,HAMD-17)、儿童行为量表(Child Behavior Checklist,CBCL)、自杀态度调查问卷(Suicide Attitude Questionnaire,QSA)、社会支持评定量表(Social Support Rate Scale,SSRS)评定。结果两组之间HAMD、SDS评分差异无统计学意义(P>0.05);CBCL评分显示研究组活动能力、社交能力评分均低于对照组(P<0.05),焦虑强迫、抑郁退缩及攻击性因子评分均大于对照组(P<0.05);QSA量表显示研究组对自杀行为性质的认识、对自杀者的态度,对安乐死的态度及总分低于对照组(P<0.05);SSRS量表显示研究组客观与主观支持评分均低于对照组(P<0.01);研究组SDS、HAMD与QSA、SSRS评分总分呈负相关(P<0.05)。结论对伴NSSI的抑郁症患者不能只关注NSSI行为,更需要关注可能较NSSI行为出现更早,持续时间更长的其他相关行为;个体对自杀态度的评价可能是一项更加有效的预测未来是否发生自杀行为的指标;增加家庭亲子之间、学校师生及同学之间社会支持,使伴NSSI的抑郁症患者具有更好的社会支持感知能力,能够有效的减少NSSI行为发生率。

Objective To observe the differences and effects of emotional behavior,suicidal attitude and social support between female adolescents with and without non-suicidal self-injury(NSSI)depressive disorder.Methods The Self-rating Depression Scale(SDS),Hamilton Depression Scale(HAMD-17),Children's Behavior Scale(CBCL),Suicide Attitude Questionnaire(QSA),and Social Support Rating Scale(SSRS)were assessed before drug treatment within 3 days of enrollment.Results There was no significant difference between the study group and the control group for HAMD and SDS scores(P>0.05).In the CBCL,the scores of activity ability and social ability in the study group were significantly lower than those in the control group(P<0.05).the scores for anxiety compulsion,depression withdrawal,and aggressive factors were higher in the study group than in the control group(P<0.05).In the QSA,the understanding of the nature of suicidal behavior,the attitude towards suicide,the attitude towards euthanasia,and the total score of the study group were significantly lower than those of the control group(P<0.05).In the SSRS,the scores of objective support and subjective support in the study group were significantly lower than in the control group(P<0.01).SDS and HAMD scores were negatively correlated with QSA and SSRS scores in the study group.Conclusion For depressive patients with NSSI,it should not only pay attention to NSSI behavior,but also focus more on other related behaviors that may appear earlier and persist longer than NSSI behavior.Individual evaluation of suicidal attitude may be a more effective index for predicting whether suicidal behavior will occur in the future.