首页|网络成瘾、家庭动力学与青少年抑郁障碍患者非自杀自伤行为的关系研究

网络成瘾、家庭动力学与青少年抑郁障碍患者非自杀自伤行为的关系研究

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目的:探讨青少年抑郁障碍患者的网络成瘾、系统家庭动力学与非自杀性自伤行为(non-suicidal self-injury,NSSI)的关系.方法:以2021年3月至2022年3月在芜湖市第四人民医院就诊的106例青少年抑郁障碍患者为研究对象.使用一般情况问卷、NSSI水平问卷、系统家庭动力学量表和网络成瘾问卷进行施测.结果:入组患者中NSSI发生率为89.6%.NSSI水平在年级、是否经历校园/网络欺凌、吸烟饮酒史和冲动毁物行为上的差异均有统计学意义(P均<0.05).网络成瘾总分与NSSI水平呈现显著的正相关(P<0.05),系统家庭动力学总分、个性化得分和系统逻辑得分均与NSSI水平呈现显著负相关(P均<0.05).年级(B=-12.530,f=-3.685)、吸烟饮酒史(B=-32.835,t=-4.112)和系统逻辑(B=-2.918,t=-2.724)均是NSSI水平的影响因素(P均<0.01).结论:青少年抑郁障碍患者的NSSI发生率高,年级、吸烟饮酒史和系统逻辑能负向预测青少年抑郁障碍患者的NSSI水平.
Relationship between Internet addiction,family dynamics and the non-suicidal self-injury adolescents with depressive disorder
Objective:To explore the relationship between Internet addiction,systematic family dynamics and non-suicidal self-injury(NSSI)in adolescents with depressive disorder.Method:A total of 106 adolescent patients who were treated at The Fourth Peoples Hospital of Wuhu from March 2021 to March 2022 with depressive disorder were studied.General situation questionnaire,self-injury questionnaire,systematic family dynamics scale and internet addiction questionnaire were used.Results:The incidence of NSSI with depressive disorder in the study group was 89.6%.There were significant differences in the level of NSSI in grade,school/cyber bullying,smoking and drinking history,and impulsive object destruction(all P<0.05).The total score of Internet addiction was significantly positively correlated with the level of NSSI(P<0.05),and the total score of system family dynamics,personalized score and system logic score were significantly negatively correlated with the level of NSSI(all P<0.05).Grade(B=-12.530,t=-3.685),smoking and drinking history(B=-32.835,t=-4.112)and system logic(B=-2.918,t=-2.724)were the factors influencing the level of NSSI(all P<0.01).Conclusion:The incidence of NSSI is high in adolescents with depressive disorder.Grade,smoking and drinking history and systematic logic can negatively predict the level of NSSI in adolescents with depressive disorder.

adolescent depressioninternet addictionfamily dynamicsnon-suicidal self-injury

熊思怡、陈方煜、刘畅畅

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241002 皖南医学院,徽商职业学院

皖南医学院,首都医科大学附属北京安定医院芜湖医院(芜湖市第四人民医院)

山东省精神卫生中心

青少年抑郁障碍 网络成瘾 家庭动力学 非自伤自杀行为

芜湖市卫生健康委员会课题研究项目

WHWJ2021y077

2024

临床精神医学杂志
南京医科大学附属脑科医院

临床精神医学杂志

CSTPCD
影响因子:1.108
ISSN:1005-3220
年,卷(期):2024.34(4)