目的:了解抑郁障碍患者非自杀式自伤行为(non-suicidal self-injury,NSSI)的相关影响因素.方法:采用定量分析法及封闭式结构问卷纳入抑郁障碍患者,根据健康问卷-抑郁症状群量表(Patient Health Ques-tionnaire-9,PHQ-9)、17项汉密尔顿抑郁量表(the 17-Item Hamilton Rating Scale for Depression,HAMD-17)、14项汉密尔顿焦虑量表(the 14-Item Hamilton Rating Scale for Anxiety,HAMA-14)测评分为无NSSI组和NSSI组,每组60例,比较各组一般人口学资料、抑郁和焦虑症状[HAMA评分、HAMD评分]、有无自杀意念、父母及同伴依恋问卷(父子信任、母子信任、父子沟通、母子沟通、父子疏离、母子疏离)、亲密关系经历量表(Experiences in Close Relationships Inventory,ECR),分析导致抑郁障碍患者发生NSSI的因素.结果:2组在HAMA评分(t=20.256)、HAMD评分(t=16.854)、有自杀意念(χ2=14.903)、父母及同伴依恋(t=4.075、6.542、4.520、6.941、7.565、8.593)、ECR依恋分布(χ2=5.546)上相比存在明显差异(OR=4.875、3.440、2.508、3.997、2.374、1.360、3.445,P=0.001、0.028、0.035、0.025、0.031、0.038、0.029);经相关性及Logistic回归分析显示,HAMA评分、HAMD评分、有自杀意念、亲子依恋、成年依恋是导致抑郁障碍患者发生NSSI的主要影响因素(P＜0.05).结论:抑郁障碍患者发生NSSI的情况较为严重,抑郁和焦虑症状、有自杀意念、亲子依恋、成年依恋是导致其发生的主要影响因素.
Analysis of Non-suicidal Self-injury Behaviors and Their Influencing Factors in Patients with Depressive Disorders
Objective:To investigate the influencing factors of non-suicidal self-injury(NSSI)in patients with depressive disorder.Methods:Quantitative analysis and closed questionnaires were used to investigate outpatients and inpatients with depressive disorders.According to the evaluation results of the Patient Health Questionnaire-9(PHQ-9),the 17-Item Hamilton Rating Scale for Depression(HAMD-17)and the 14-Item Hamilton Rating Scale for Anxiety(HAMD-14),the patients enrolled were divided into non-NSSI group and NSSI group,with 60 cases in each group.The general demographic information,depression and anxiety(HAMA score and HAMD score),presence or absence of suicidal idea,parental and peer attachment questionnaire(father-child trust,mother-child trust,father-child communication,mother-child communication,father-child alienation,and mother-child alienation)scores,and Experiences in Close Relationships Inventory(ECR)scores were compared between groups.The influencing factors of NSSI in patients with depressive disorder were analyzed based on the final results.Results:There were significant differences between the two groups in terms of HAMA score(t=20.256),HAMD score(t=16.854),suicidal idea(χ2=14.903),parental and peer attachment(t=4.075,6.542,4.520,6.941,7.565,8.593),and ECR attachment distribution(χ2=5.546)(OR=4.875,3.440,2.508,3.997,2.374,1.360,3.445,P=0.001,0.028,0.035,0.025,0.031,0.038,0.029).Correlation analysis and Logistic regression analysis showed that HAMA score,HAMD score,suicidal idea,parent-child attachment,and adult attachment were main influencing factors of NSSI in patients with depressive disorder(P<0.05).Conclusion:Patients with depressive disorders have relatively severe NSSI.Depression and anxiety,suicidal idea,parent-child attachment and adult attachment are main influencing factors.
depressive disordernon-suicidal self-injurydepression and anxietyparent-child attachmentadult attachment
万方数据
维普
