| 佘桂芳,李娜,雷青,王娅鑫,孙鸿燕.伴非自杀性自伤行为的青少年心理体验的Meta整合[J].四川精神卫生杂志,2023,36(6):570-576.She Guifang,Li Na,Lei Qing,Wang Yaxin,Sun Hongyan,Psychological experiences in adolescents with non-suicidal self-injury behavior： a qualitative Meta-synthesis[J].SICHUAN MENTAL HEALTH,2023,36(6):570-576 |
| 伴非自杀性自伤行为的青少年心理体验的Meta整合 |
| Psychological experiences in adolescents with non-suicidal self-injury behavior： a qualitative Meta-synthesis |
| 投稿时间：2023-06-21 |
| DOI：10.11886/scjsws20230621001 |
| 中文关键词: 非自杀性自伤 青少年 心理体验 Meta整合 质性研究 |
| 英文关键词:Non-suicidal self-injury Adolescents Psychological experience Meta-synthesis Qualitative research |
| 基金项目:2022年度社会心理服务与危机干预研究课题（项目名称：社会生态系统理论视角下泸州市童年期不良经历青少年心理韧性保护性因素研究，项目编号：LZXL-202213） |
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| 中文摘要: |
| 背景 非自杀性自伤（NSSI）是世界范围内较严重的公共卫生问题，也是自杀未遂和自杀死亡的重要危险因素。我国青少年NSSI行为的发生率为27.4%，需重视青少年NSSI行为，防止其进一步发展为更严重的心理健康问题。目的 系统评价与整合伴NSSI行为的青少年的心理体验及需求，以期为临床干预方案的制定提供参考。方法 计算机检索PubMed、Web of Science、The Cochrane Library、PsycINFO、CINAHL、Embase、Medline、中国知网、万方数据库、维普数据库、中国生物医学文献数据库，收集关于伴NSSI行为的青少年心理体验及需求的质性研究，检索时限为建库至2023年3月。采用澳大利亚循证卫生保健中心（JBI）质性研究质量评价工具对纳入文献进行评价，并运用汇集性整合的方法对结果进行整合。结果 共纳入11篇文献，提取出46个研究结果，将相似结果汇总成10个类别，最终得到5个整合结果，包括人际关系冲突、学业压力与自我思想斗争、内心情感交织的自伤行为、爱能克服无助感以及调整与寻求积极应对。结论 青少年在发生NSSI行为前，往往可能经历负性生活事件，并且在人际关系、学业压力及家庭教育等方面的矛盾较突出；发生NSSI行为后，会产生多种心理体验，如短暂的获益感、依赖感与内疚感等。此外，青少年渴望得到专业人员的指导与帮助，以便更好地应对负性情绪。 |
| 英文摘要: |
| Background Non-suicidal self-injury （NSSI） is a serious global public health issue and an important risk factor for suicide attempts and completed suicide. The incidence of NSSI among adolescents in China is 27.4%. Therefore， it is critical to address NSSI and prevent its progression into more severe mental health conditions.Objective To systematically evaluate the psychological experiences and needs of adolescents with NSSI behavior， so as to provide references for formulating targeted intervention strategies for this demographic.Methods A computer search was conducted across a total of eleven databases， including Cochrane Library， Embase， PubMed， PsycINFO， Web of Science， CINAHL， Medline， CNKI， Wanfang， VIP and CBM， to gather qualitative research on the psychological experiences and needs of adolescents with NSSI behavior. The search extended from the establishment of these databases up to March， 2023. The Australian Joanna Briggs Institute （JBI） qualitative research quality evaluation tools were used to evaluate the included literature， and a Meta-synthesis method was used to integrate the results.Results A total of 11 studies were included， yielding 46 research findings. Similar findings were consolidated into 10 new categories， ultimately resulting in 5 synthesized outcomes， including interpersonal conflict， academic pressure and self-reflective struggles， self-injurious behaviors intertwined with inner emotions， the power of love to overcome helplessness， and adjustment and seeking positive coping strategies.Conclusion Adolescents often have experienced negative life events before NSSI behaviors， with notable conflicts in interpersonal relationships， academic pressures and family education. Following NSSI behavior， they undergo various psychological experiences， such as transient feelings of relief， dependence and guilt. In addition， they crave guidance and assistance from professionals to cope with negative emotions.［Funded by Social Psychological Service and Crisis Intervention in 2022 （number， LZXL-202213）］ |
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