| 郭伟,许晓静,袁贤明,陈祥展,张新风,聂所成,邓小鹏.伴自杀意念的高中生失眠与非自杀性自伤行为的关系：焦虑情绪的作用路径[J].四川精神卫生杂志,2024,37(4):354-359.Guo Wei,Xu Xiaojing,Yuan Xianming,Chen Xiangzhan,Zhang Xinfeng,Nie Suocheng,Deng Xiaopeng,Relationship between insomnia and non-suicidal self-injury behavior among senior high school students with suicide ideation： the pathway of anxiety[J].SICHUAN MENTAL HEALTH,2024,37(4):354-359 |
| 伴自杀意念的高中生失眠与非自杀性自伤行为的关系：焦虑情绪的作用路径 |
| Relationship between insomnia and non-suicidal self-injury behavior among senior high school students with suicide ideation： the pathway of anxiety |
| 投稿时间：2023-10-30 |
| DOI：10.11886/scjsws20231030003 |
| 中文关键词: 自杀意念 失眠 焦虑 非自杀性自伤 高中生 |
| 英文关键词:Suicide ideation Insomnia Anxiety Non-suicidal self-injury Senior high school students |
| 基金项目:2022年度荆州市科技创新智库立项课题（项目名称：基于社会心理服务体系下青少年学生的心理健康促进，项目编号：JZCXZK202209） |
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| 中文摘要: |
| 背景 自杀意念是非自杀性自伤（NSSI）行为的敏感预测指标，NSSI行为深刻影响着高中生心身健康。现有研究对一般人群的失眠、焦虑以及NSSI行为的关系进行了探索，但关于伴自杀意念的高中生NSSI行为的内部作用机制有待进一步研究。目的 探讨伴自杀意念的高中生的焦虑情绪在失眠与NSSI行为之间的作用路径，为高中生NSSI行为的干预提供参考。方法 于2021年12月10日—15日，采用整群抽样，选取湖北省三所高中的2 572名高中生为研究对象。采用失眠严重程度指数量表（ISI）、广泛性焦虑障碍量表（GAD-7）以及青少年自我伤害问卷进行调查。采用Spearman相关分析考查伴自杀意念的高中生各量表评分的相关性。采用SPSS 20.0插件Process 4.2中的模型4检验焦虑情绪在失眠与NSSI行为之间的作用路径。结果 共回收有效问卷2 421份（94.13%）。检出存在自杀意念者554人（22.88%），存在NSSI行为者408人（16.85%）。伴自杀意念的高中生ISI评分、GAD-7评分和青少年自我伤害问卷评分均高于无自杀意念的高中生（Z=17.124、20.611、21.314，P均<0.01）。相关分析结果显示，伴自杀意念的高中生ISI评分与GAD-7评分和青少年自我伤害问卷评分均呈正相关（r=0.646、0.354，P均<0.01），GAD-7评分与青少年自我伤害问卷评分呈正相关（r=0.375，P<0.01）。伴自杀意念的高中生的焦虑情绪是失眠与NSSI行为之间的作用路径，间接效应值为0.111（95% CI：0.053~0.185），占总效应的53.88%。结论 伴自杀意念的高中生的失眠情况既能直接影响NSSI行为，又能通过焦虑情绪间接影响其NSSI行为。 |
| 英文摘要: |
| Background Suicidal ideation serves as a sensitive predictive indicator for non-suicidal self-injury （NSSI） behavior， and NSSI behavior brings profound effects to both mental and physical health of senior high school students. Existing studies have made exploration on the relationship among insomnia， anxiety and NSSI behavior in the general population， but the internal mechanism of NSSI behavior in senior high school students with suicidal ideation requires further study.Objective To explore the pathway of anxiety between insomnia and NSSI behavior in senior high school students， so as to provide references for the intervention on NSSI behavior in such demographic.Methods From December 10 to 15， 2021， cluster sampling was adopted to select 2 572 senior high school students across three senior high schools in Hubei Province as the research objects. Assessment was conducted by using Insomnia Severity Index （ISI）， Generalized Anxiety Disorder Scale-7 item （GAD-7） and Adolescents Self-Harm Scale. Spearman correlation analysis was conducted to examine the correlation among scores of scales finished by senior high school students with suicidal ideation. Model 4 from the SPSS 20.0 Process 4.2 was employed to test the mediating path of anxiety between insomnia and NSSI behavior.Results A total of 2 421 valid questionnaires （94.13%） were recovered， which revealed 554 cases （22.88%） with suicidal ideation and 408 cases （16.85%） with NSSI behavior. The scores of ISI， GAD-7 and Adolescents Self-Harm Scale of senior high school students with suicidal ideation were higher than those of students without suicidal ideation （Z=17.124， 20.611， 21.314， P<0.01）. As correlation analysis showed， the ISI score of senior high school students with suicidal ideation was positively correlated with scores of GAD-7 and Adolescents Self-Harm Scale （r=0.646， 0.354， P<0.01）， and GAD-7 score was positively correlated with the score of Adolescents Self-Harm Scale （r=0.375， P<0.01）. Among senior high school students with suicide ideation， anxiety acted in a mediating role between insomnia and NSSI behavior， with effect value of 0.111 （95% CI： 0.053~0.185）， accounting for 53.88% of the total effect.Conclusion Insomnia of senior high school students with suicidal ideation can not only directly affect NSSI behavior， but also indirectly affect NSSI behavior through anxiety. ［Funded by Research Project of Jingzhou Science and Technology Innovation Think Tank in 2022 （number， JZCXZK202209）］ |
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