| 许春杏,李红政,蒙永彩,张雨晴,李萌,张耀木,王雅琴.自尊、述情障碍、疏离感对青少年非自杀性自伤行为的影响[J].四川精神卫生杂志,2025,38(1):65-70.Xu Chunxing,Li Hongzheng,Meng Yongcai,Zhang Yuqing,Li Meng,Zhang Yaomu,Wang Yaqin,Influence of self-esteem， alexithymia and alienation on non-suicidal self-injury behaviors in adolescents[J].SICHUAN MENTAL HEALTH,2025,38(1):65-70 |
| 自尊、述情障碍、疏离感对青少年非自杀性自伤行为的影响 |
| Influence of self-esteem， alexithymia and alienation on non-suicidal self-injury behaviors in adolescents |
| 投稿时间：2024-02-19 |
| DOI：10.11886/scjsws20240219001 |
| 中文关键词: 非自杀性自伤 青少年 疏离感 影响因素 |
| 英文关键词:Non-suicidal self-injury Adolescents Alienation Influence factor |
| 基金项目:广西壮族自治区卫生健康委员会自筹经费科研课题（项目名称：青少年非自杀性自伤行为的特征及相关因素调查，项目编号：Z20210656）；广西壮族自治区卫生健康委自筹经费科研课题（项目名称：青少年家庭环境及照料者一般心理特征与青少年非自杀性自伤之间的关系研究，项目编号：Z-A20231057） |
|
| 摘要点击次数: |
| 全文下载次数: |
| 中文摘要: |
| 背景 近年来，青少年非自杀性自伤（NSSI）行为的发生率逐年上升，自尊和述情障碍与青少年NSSI行为密切相关，疏离感与自尊和述情障碍存在相关性，但目前国内关于疏离感与青少年NSSI行为之间关系的研究有限。目的 分析疏离感与青少年NSSI行为之间的关系，探讨青少年NSSI行为的影响因素，以期为青少年NSSI行为的预防和干预提供参考。方法 选取2021年9月1日—2023年3月1日中国人民解放军联勤保障部队第九二三医院精神心理科收治的、符合《精神障碍诊断与统计手册（第5版）》（DSM-5）NSSI诊断标准的青少年为研究组（n=60），同期招募南宁市在校中学生为对照组（n=60）。采用青少年自我伤害量表（ASHS）、Rosenberg自尊量表（RSES）、多伦多述情障碍量表（TAS）以及青少年学生疏离感量表（ASAS）进行评定。采用Pearson相关分析考查研究组各量表评分之间的相关性，采用Logistic回归分析探讨青少年NSSI行为的影响因素。结果 研究组RSES评分低于对照组（t=-7.033，P<0.01），TAS和ASAS总评分均高于对照组（t=5.591、8.124，P均<0.01）。研究组ASHS评分与RSES评分呈负相关（r=-0.410，P<0.01），与ASAS总评分呈正相关（r=0.555，P<0.01）。研究组RSES评分与TAS总评分和ASAS总评分均呈负相关（r=-0.317、-0.590，P<0.05或0.01）。Logistic回归分析结果显示，女生（OR=0.174，95% CI：0.042~0.709）可能是青少年发生NSSI行为的保护因素；高疏离感（OR=1.028，95% CI：1.013~1.043）、居住地为农村（OR=6.692，95% CI：2.038~21.967）可能是青少年发生NSSI行为的危险因素。结论 疏离感与青少年NSSI行为呈正相关，女生出现NSSI行为的风险更低，疏离感越高、居住地为农村的青少年可能更容易出现NSSI行为。 |
| 英文摘要: |
| Background In recent years， the incidence of non-suicidal self-injury （NSSI） behaviors among adolescents has been increasing annually. Self-esteem and alexithymia are strongly associated with NSSI behaviors， and alienation is closely linked to both self-esteem and alexithymia. However， there is limited research on the relationship between alienation and NSSI behaviors among adolescents in China.Objective To analyze the relationship between alienation and NSSI behaviors among adolescents， and to explore the factors influencing NSSI behaviors in this population， so as to provide insights for the prevention and treatment of NSSI behaviors in adolescents.Methods Adolescents admitted to the Department of Psychiatry and Psychology at the 923rd Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from September 1， 2021 to March 1， 2023， who met the diagnostic criteria for NSSI in the Diagnostic and Statistical Manual of Mental Disorders， fifth edition （DSM-5）， were selected as the study group （n=60）. Concurrently， middle school students from Nanning were recruited as the control group （n=60）. Participants were assessed using Adolescent Self Harm Scale （ASHS）， Rosenberg Self-Esteem Scale （RSES）， Toronto Alexithymia Scale （TAS） and Adolescent Students′ Alienation Scale （ASAS）. Pearson correlation analysis was employed to examine the relationships between scale scores in the study group， and Logistic regression analysis was used to identify the influencing factors of NSSI behaviors among adolescents.Results The RSES score of the study group was significantly lower than that of the control group （t=-7.033， P<0.01）. The TAS and ASAS scores of the study group were significantly higher than those of the control group （t=5.591， 8.124， P<0.01）. The ASHS score was negatively correlated with RSES score （r=-0.410， P<0.01） and positively correlated with ASAS score （r=0.555， P<0.01）. The RSES scores of the study group were negatively correlated with TAS and ASAS scores （r=-0.317， -0.590， P<0.05 or 0.01）. Logistic regression analysis showed that being female （OR=0.714， 95% CI： 0.042~0.709） was a protective factor for NSSI behaviors among adolescents， while high alienation （OR=1.028， 95% CI： 1.013~1.043） and residing in rural areas （OR=6.692， 95% CI： 2.038~21.967） were risk factors for NSSI behaviors among adolescents.Conclusion Alienation was positively correlated with NSSI behaviors in adolescents. Female adolescents had a lower risk of NSSI behaviors， while those with higher levels of alienation or residing in rural areas were more prone to NSSI behaviors. ［Funded by Self-financed Scientific Research Project of the Health Commission of Guangxi Zhuang Autonomous Region （number， Z20210656）； Self-financed Scientific Research Project of the Health Commission of Guangxi Zhuang Autonomous Region （number， Z-A20231057）］ |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |