首页|河南省洛阳市城区中学生抑郁症患者非自杀性自伤行为现状及影响因素

河南省洛阳市城区中学生抑郁症患者非自杀性自伤行为现状及影响因素

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目的 调查河南省洛阳市城区中学生抑郁症患者非自杀性自伤行为(NSSI)现状,并分析其影响因素.方法 2023年3-5月,采用分阶段整群随机抽样方法对洛阳市中学生抑郁症患者中NSSI进行筛查,比较不同特征中学生抑郁症患者中NSSI发生率差异,采用logistic多因素回归模型分析NSSI发生的影响因素.结果 1 498名中学生中,抑郁症患者151名,抑郁症检出率为10.08%.抑郁症患者中伴有NSSI者36例,NSSI发生率为23.84%.其中,女性、单亲/离异/重组家庭各24例(66.67%),家庭月收入≤6 000元26例(72.22%),童年创伤经历、问题家庭各23例(63.89%),中度抑郁16例(44.44%).多因素logistic分析显示,童年创伤经历(OR=12.219,95%CI:3.959~37.711)、问题家庭(OR=0.096,95%CI:0.030~0.302)、中度抑郁(OR=4.351,95%CI:1.290~14.681)和重度抑郁(OR=8.184,95%CI:1.980~33.825)是中学生抑郁症患者发生NSSI的影响因素.结论 洛阳市城区中学生抑郁症患者NSSI发生与童年创伤经历、家庭环境、抑郁症状严重度等有关,应综合评估中学生抑郁症患者的病情特点,制定针对性的心理干预措施和治疗方案.
Current status and influencing factors of non-suicidal self-injury behavior in high-school students with depression in urban area of Luoyang,Henan
Objective To investigate the current status of non-suicidal self-injury(NSSI)in high-school students with depression in urban area of Luoyang,and analyze its influencing factors.Methods From March-May,2023,the cluster random sampling method was used to screen the cases of NSSI in high-school students with depression in Luoyang;the detection rates in different characteristics were compared;multivariate logistic regression model was used to analyze the influencing factors of NSSI.Results Of 1 498 middle school students,151 cases of depression were screened out,with the detection rate of 10.08%;of the depression cases,36 had NSSI,accounting for 23.84%.Among them,24 cases were female,and 24 cases were from single-parent or divorced or reorganized families(66.67%);26 cases had monthly family incomes ≤6 000 yuan(72.22%);23 cases had childhood trauma experience,and 23 cases were from dysfunctional family(63.89%);16 cases suffered from moderate depression(44.44%).Multivariate logistic regression analysis showed that childhood traumatic experience(OR=12.219,95%CI:3.959-37.711),dysfunctional family(OR=0.096,95%CI:0.030-0.302),moderate depression(OR=4.351,95%CI:1.290-14.681)and severe depression(OR=8.184,95%CI:1.980-33.825)were the influencing factors of NSSI in high-school students with depression.Conclusions The occurrence of NSSI in high-school students with depression is associated with the traumatic experience of childhood,personal family environment and the severity of depression symptom,etc.It is necessary to comprehensively assess the characteristics of depression in high-school students and formulate targeted psychological intervention measures and treatment programs.

High-school studentsDepressionNon-suicidal self-injury behaviorChildhood traumatic experienceDepression level

潘振山、张鹏媛、刘倩倩、孙宪波、崔永霞、刘向军

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洛阳市第五人民医院,河南洛阳 471000

中学生 抑郁症 非自杀性自伤行为 童年创伤经历 抑郁程度

洛阳市2023年度医疗卫生指导性科技计划项目

2302029Y

2024

河南预防医学杂志
河南省预防医学会

河南预防医学杂志

影响因子:0.409
ISSN:1006-8414
年,卷(期):2024.35(8)
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