首页|焦虑程度对抑郁症患者非自杀性自伤频率的影响:情绪调节的中介作用

焦虑程度对抑郁症患者非自杀性自伤频率的影响:情绪调节的中介作用

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目的:探讨情绪调节策略在焦虑程度与非自杀性自伤(non-suicidal self-injury,NSSI)频率中的中介作用.方法:对252例抑郁发作患者采用自残功能性评估量表、焦虑自评量表、情绪调节量表、自编人口学问卷对患者的NSSI频率、焦虑状态以及情绪调节策略的使用进行调查.分析其焦虑、情绪调节与NSSI频率之间的相关性,进行中介效应检验.结果:患者NSSI发生率为47.6%.NSSI组患者的焦虑状态(r=0.358;P<0.001)和表达抑制策略(r=0.411;P<0.001)与NSSI频率呈正相关;认知重评策略与NSSI频率呈负相关(r=-0.397;P<0.001).情绪调节策略在焦虑状态与NSSI频率间存在部分中介作用,效应占比21.74%~33.33%.结论:抑郁发作患者的情绪调节策略在焦虑程度与NSSI频率中起到中介作用,提示应重视抑郁发作患者的焦虑状态以及对认知重评进行干预.
Effect of anxiety level on the frequency of non-suicidal self injury in depressed patients:the mediating role of emotion regulation
Objective:To investigate the mediating role of emotion regulation strategy in the frequency of anxiety and non-suicidal self-injury(NSSI).Method:252 patients with depressive episodes were collected,and the frequency of self-injury and functional assessment of self-mutilation,self-rating anxiety scale,emotional regulation scale and self-compiled demographic questionnaire were used for evaluation.The correlation between anxiety,emotion regulation and NSSI frequency in depressive episodes were analyzed,and the mediation effect was tested.Results:The incidence of patient NSSI was 47.6%.Anxiety status(r=0.358,P<0.001)and expression suppression strategy(r=0.411,P<0.001)in the NSSI group was positively correlated with NSSI frequeny;cognitive reassessment strategy was negatively correlated with NSSI frequency(r=-0.397,P<0.001).The emotion regulation strategy had some mediation effect between anxiety state and NSSI frequency,with the effect proportion of 21.74%-33.33%.Conclusion:The emotion regulation strategy of patients with depressive episodes plays a mediating role in the frequency of anxiety degree and NSSI,suggesting that attention should be paid to the anxiety state of patients with depressive episodes and cognitive reevaluation.

depressionnon-suicidal self-injuryanxietyemotion regulationmediation effect

张燕、徐柳柳、端木欣荣、李扬扬、王珣

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210029 南京医科大学附属脑科医院精神科

抑郁 非自杀性自伤 焦虑 情绪调节 中介效应

2018年省级重点研发计划

BE2018609

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(5)