抑郁障碍青少年非自杀性自伤行为与情绪、负性生活事件的关系

Correlation of non-suicidal self-injury behaviors with emotions and negative life events in adolescents with depressive disorder

目的 探讨抑郁障碍青少年非自杀性自伤行为与情绪、负性生活事件的关系。方法 选取2022年1~10月在河北医科大学第一医院就诊的112例存在非自杀性自伤行为的青少年抑郁障碍患者,使用自制的一般情况调查表、青少年自我伤害问卷、焦虑自评量表(SAS)、抑郁自评量表(SDS)、青少年生活事件量表(ASLEC)进行调查,采用Pearson单因素分析非自杀性自伤行为与情绪、负性生活事件的关系,采用多元回归分析影响抑郁障碍青少年非自杀性自伤行为的相关因素。结果 抑郁障碍青少年的非自杀性自伤行为在性别上差异无统计学意义(P>0.05),在文化程度上差异有统计学意义(P<0.05)抑郁患者中初中生NSSI行为、焦虑、抑郁得分及负性生活事件总分均高于高中生(P<0.05)。抑郁障碍青少年非自杀性自伤行为与情绪、人际关系、受惩罚、健康适应、负性生活事件总分呈正相关(P<0.01);以抑郁障碍青少年非自杀性自伤行为为因变量,以焦虑情绪、抑郁情绪、生活事件为自变量进行多元回归分析,回归模型差异有统计学意义(F=60.545,P<0.01)。结论 抑郁障碍青少年的焦虑情绪、抑郁情绪和负性生活事件是其非自杀性自伤行为的危险因素。

Objective To explore the correlation of non-suicidal self-injury(NSSI)behaviors with emotions and negative life events in adolescents with depressive disorder.Methods A total of 112 adolescents with depressive disorder presenting NSSI behaviors who visited the First Hospital of Hebei Medical University from January to October 2022 were recruited.They were surveyed by the self-designed general situation questionnaire,adolescent self-injury questionnaire,the Self-Rating Anxiety Scale(SAS),the Self-Rating Depression Scale(SDS)and the Adolescent Self-Rating Life Events Checklist(ASLEC).Pearson correlation analysis was performed to identify the correlation of NSSI behaviors with emotions and negative life events.Multiple regression analysis was performed to analyze the risk factors affecting the NSSI behavior.Results There was no significant difference in the gender of adolescents with depressive disorder(P>0.05),but a significant difference was detected in the education level(P<0.05).The total scores of NSSI behaviors,anxiety,depression and negative life events in junior high school students with depressive disorder were significantly higher than those of high school students(P<0.05).The NSSI behaviors were positively correlated with the total scores of emotion,interpersonal relationship,punishment,health adaptation,and negative life events(P<0.01).The multivariable regression model with NSSI behaviors in adolescents with depressive disorder as the dependent variable and anxiety,depression,and life events as independent variables,a significant difference was detected(F=60.545,P<0.01).Conclusion Anxiety,depression and negative life events are risk factors for NSSI behaviors among adolescents with depressive disorder.