| 张小磊,杨思思,廖媚,马宏森.江门市中学生非自杀性自伤行为的流行病学特征及影响因素分析[J].四川精神卫生杂志,2022,35(3):281-286.Zhang Xiaolei,Yang Sisi,Liao Mei,Ma Hongsen,Epidemiological characteristics and influencing factors of non-suicidal self-injury behaviors among middle school students in Jiangmen[J].SICHUAN MENTAL HEALTH,2022,35(3):281-286 |
| 江门市中学生非自杀性自伤行为的流行病学特征及影响因素分析 |
| Epidemiological characteristics and influencing factors of non-suicidal self-injury behaviors among middle school students in Jiangmen |
| 投稿时间：2022-01-19 |
| DOI：10.11886/scjsws20220119001 |
| 中文关键词: 非自杀性自伤 中学生 抑郁 校园欺凌 社会支持 应对方式 |
| 英文关键词:Non-suicidal self-injury Middle school students Depression School bullying Social support Coping style |
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| 中文摘要: |
| 目的 了解江门市中学生非自杀性自伤（NSSI）行为的流行病学特征及影响因素。方法 于2020年11月-12月，采用分层随机抽样法，抽取江门市1 220名中学生为研究对象。采用自编调查问卷、中学生应对方式量表、Olweus儿童欺负问卷初中版（BVQ）、青少年社会支持量表及流调中心用抑郁量表（CES-D）进行评定。运用二元Logistic回归分析探讨中学生NSSI行为的影响因素。结果 共检出204名（16.72%）中学生曾有过NSSI行为，其中男生67人、女生137人。NSSI组与非NSSI组在性别、学段、住校情况、同伴关系及学习成绩上差异均有统计学意义（χ2=22.162、7.247、6.541、45.787、25.097，P<0.05或0.01）。与非NSSI组相比，NSSI组CES-D评分（t=-14.240）和BVQ评分（t=-5.952）更高，青少年社会支持量表评分更低（t=9.238），中学生应对方式量表问题应对分量表评分更低（t=7.148），情绪应对分量表评分更高（t=-7.038），受校园欺凌、语言欺凌和关系欺凌检出率更高（χ2=34.215，29.785，16.465），差异均有统计学意义（P均<0.01）。二元Logistic回归分析结果显示，抑郁（OR=1.090，P<0.01）及受校园欺凌（OR=1.492，P<0.05）进入回归模型。结论 江门市中学生NSSI形势严峻，抑郁及受校园欺凌是其发生NSSI行为的危险因素。 |
| 英文摘要: |
| Objective To investigate epidemiological characteristics and influencing factors of non-suicidal self-injury （NSSI） behaviors among middle school students in Jiangmen.Methods A total of 1 220 middle school students in Jiangmen were selected for the study through stratified random sampling from November to December 2020. The self-compiled general demographic questionnaire， Coping Style Scale for Middle School Students， Olweus Bully/Victim Questionnaire （BVQ）， Social Support Scale for Adolescents， and Center for Epidemiologic Studies-Depression Scale （CES-D） were used for the assessment. Then binary Logistic regression analysis was performed to screen the factors influencing NSSI behaviors in students.Results A total of 204 middle school students （16.72%） were found to be engaged in NSSI behaviors， of whom 67 were male and 137 were female. There were statistically significant differences between the NSSI group and the non-NSSI group in terms of gender， school period， lodging， peer relationship and academic performance （χ2=22.162， 7.247， 6.541， 45.787， 25.097， P<0.05 or 0.01）. Compared with the non-NSSI group， the NSSI group scored higher on CES-D （t=-14.240） and BVQ （t=-5.952）， lower on Social Support Scale for Adolescents （t=9.238）. Within the Coping Style Scale for Middle School Students， NSSI group had lower problem-focused coping score （t=7.148） and higher emotion-focused coping score （t=-7.038） than those of non-NSSI group. The detection rates of school bullying， verbal and relational bullying were higher in NSSI group compared with non-NSSI group （χ2=34.215， 29.785，16.465）. The differences were statistically significant （P<0.01）. Binary Logistic regression showed that depression （OR=1.090， P<0.01） and school bullying （OR=1.492， P<0.05） entered into the regression model.Conclusion The situation of NSSI behaviors of middle school students in Jiangmen is serious， and depression and school bullying are risk factors affecting NSSI behaviors in students. |
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