| 魏红辉,张滢,孙宁宁,王越,李洋.青少年的非自杀性自伤行为：手机社交媒体依赖及相关因素的影响[J].四川精神卫生杂志,2025,(3):211-216.Wei Honghui,Zhang Ying,Sun Ningning,Wang Yue,Li Yang,Non-suicidal self-injury behavior in adolescents： the impact of mobile phone social media dependence and related factors[J].SICHUAN MENTAL HEALTH,2025,(3):211-216 |
| 青少年的非自杀性自伤行为：手机社交媒体依赖及相关因素的影响 |
| Non-suicidal self-injury behavior in adolescents： the impact of mobile phone social media dependence and related factors |
| 投稿时间：2024-07-22 |
| DOI：10.11886/scjsws20240722002 |
| 中文关键词: 青少年 非自杀性自伤 手机 社交媒体 |
| 英文关键词:Adolescents Non-suicidal self-injury Mobile phone Social media |
| 基金项目:2022年浙江省医药卫生科技计划项目（项目名称：基于成瘾属性分析青少年非自杀性自伤行为与手机社交媒体依赖的相关性，项目编号：2022KY704） |
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| 中文摘要: |
| 背景 青少年非自杀性自伤（NSSI）行为发生率较高，严重影响青少年身心健康，探索青少年NSSI行为相关危险因素对预防青少年NSSI行为发生具有重要意义。既往研究显示，手机依赖是青少年NSSI行为的危险因素，但手机社交媒体依赖作为手机依赖的重要形式，对青少年NSSI行为影响的可信性证据不足。目的 探讨手机社交媒体依赖及相关因素对青少年NSSI行为的影响，为青少年NSSI行为的干预提供参考。方法 选取2022年1月—2023年12月于浙江省立同德医院治疗的符合《精神障碍诊断与统计手册（第5版）》DSM-5中NSSI行为诊断标准的青少年为研究组（n=100），同期于杭州市招募与研究组性别、年龄相匹配的在校学生为对照组（n=100）。采用渥太华自伤调查表（OSI）功能分量表及OSI成瘾特征分量表、青少年自我伤害行为问卷（ASHS）、手机社交媒体依赖量表进行评定。采用多元线性回归分析考查青少年NSSI行为的影响因素。结果 研究组共99例（99.00%）患者完成本研究，对照组共97名（97.00%）青少年完成本研究。研究组手机社交媒体依赖量表总评分、冲突性和戒断性维度评分均高于对照组（t=-3.061、-2.874、-2.368），差异均有统计学意义（P<0.05或0.01）。研究组OSI功能分量表的内在情绪管理、社会影响、外在情绪管理、寻求刺激因子评分及OSI成瘾特征分量表评分均高于对照组（t=-22.249、-8.854、-17.968、-10.591、-20.157），差异均有统计学意义（P均<0.01）。青少年OSI功能分量表评分与手机社交媒体依赖量表总评分呈正相关（r=0.321，P<0.01），OSI成瘾特征分量表评分与手机社交媒体依赖量表总评分呈正相关（r=0.282，P<0.01），ASHS评分与手机社交媒体依赖量表总评分呈正相关（r=0.145，P<0.05）。多元线性回归分析结果显示，强迫性（β=0.416，P<0.01）、冲突性（β=0.256，P<0.05）是青少年NSSI行为影响因素。结论 青少年NSSI行为与手机社交媒体依赖存在一定相关性，手机社交媒体依赖的强迫性、冲突性可能是青少年NSSI行为影响因素，手机社交媒体依赖的强迫性和冲突性越高青少年出现NSSI行为的风险越高。 |
| 英文摘要: |
| Background Non-suicidal self-injury （NSSI） behaviors are prevalent among adolescents， significantly affecting their physical and mental well-being. Understanding the risk factors associated with adolescent NSSI is crucial for prevention. Previous studies have identified mobile phone dependence as a risk factor for NSSI in adolescents. However， as a key form of mobile phone dependence， the evidence regarding the impact of mobile phone social media dependence on adolescent NSSI behavior remains insufficient.Objective To explore the impact of mobile phone social media dependence and its associated factors on adolescent NSSI behavior， so as to provide references for intervention strategies targeting NSSI in adolescents.Methods A total of 100 adolescents diagnosed with NSSI according to the Diagnostic and Statistical Manual of Mental Disorders， fifth edition （DSM-5）， and receiving treatment at Tongde Hospital of Zhejiang Province from January 2022 to December 2023 were included in the study group. Concurrently， 100 age- and sex-matched students from Hangzhou were recruited as the control group. Assessments were conducted using Ottawa Self-injury Inventory（OSI） Function Subscale and Addiction Features Subscale， Adolescents Self-Harm Scale（ASHS）， and Mobile Phone Social Media Dependence Questionnaire. Multiple linear regression was used to analyze the factors influencing NSSI behaviors.Results The research group had a total of 99 patients （99.00%） who completed the study， while the control group consisted of 97 （97.00%） adolescents who finished this research.The study group had statistically significantly higher total scores on the Mobile Phone Social Media Dependence Questionnaire， as well as higher scores on the conflict and withdrawal dimensions， compared with control group（t=-3.061， -2.874， -2.368， P<0.05 or 0.01）. The study group also scored significantly higher on the OSI Function Subscale for internal emotion regulation， social influence， external emotion regulation， and sensation-seeking factors， as well as on the OSI Addiction Features Subscale scores， compared to the control group（t=-22.249， -8.854， -17.968， -10.591， -20.157， P<0.01）. OSI Function Subscale scores were positively correlated with Mobile Phone Social Media Dependence Questionnaire scores （r=0.321， P<0.01）， and OSI Addiction Features Subscale scores were positively correlated with Mobile Phone Social Media Dependence Questionnaire scores （r=0.282， P<0.01）. ASHS scores were positively correlated with Mobile Phone Social Media Dependence Questionnaire scores （r=0.145， P<0.05）. Multiple linear regression analysis showed that compulsivity （β=0.416， P<0.01） and conflict （β=0.256， P<0.05） were significant predictors for adolescent NSSI behaviors.Conclusion Adolescent NSSI behaviors are associated with mobile phone social media dependence. The compulsivity and conflict dimension of mobile phone social media dependence are influencing factors for adolescent NSSI behaviors. The higher level of the compulsivity and conflict are associated with an increased risk of the NSSI behaviors in adolescents. ［Funde by Zhejiang Medical and Health Science and Technology Plan Project in 2022 （number， 2022KY704］ |
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