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青少年抑郁症患者非自杀性自伤行为成瘾的影响因素

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目的:研究青少年抑郁症患者非自杀性自伤(non-suicidal self-injury,NSSI)行为成瘾性的影响因素.方法:纳入昆明医科大学第一附属医院精神科2021年至2022年住院的青少年抑郁症患者171例,采集一般人口学资料及临床资料,使用渥太华自伤量表(Ottawa self-injury inventory,OSI)评估患者NSSI的成瘾特征得分,根据总分将其分为高成瘾性组100例,低成瘾性组71例,使用童年创伤量表、青少年生活事件量表、社会支持量表探究影响因素.结果:高成瘾性组在所有量表总分及多数因子得分上均较高,差异均具有统计学意义(P均<0.05),且与各影响因素建立方程:y=15.030-0.707 ×首次自伤年龄+0.392 ×人际关系+0.468 ×健康与适应-0.220 ×支持利用度,R2=0.389.结论:首次自伤的年龄小、有精神病性症状、不良的人际关系和适应能力、不健康的身心是青少年抑郁症患者NSSI行为成瘾的危险因素,良好的支持利用度是保护因素.
The influencing factors of addiction to non-suicidal self-injury in adolescent depression patients
Objective:To study the influencing factors of addiction to non-suicidal self-injury(NSSI)in adolescent depression patients.Method:A total of 171 adolescent depression patients from the Department of Psychiatry at the First Affiliated Hospital of Kunming Medical University from 2021 to 2022 were included.General demography data and basic clinical information were collected.The Ottawa self-injury inventory(OSI)was used to evaluate the addiction characteristics of NSSI in patients,based on which the patients were categorized into a high-addiction group with 100 cases and a low-addiction group with 71 cases.The adolescent self-rating life events checklist,childhood trauma questionnaire and adolescent social support scale were used to explore influencing factors.Results:The group with high scores on addiction characteristics had higher scores on all scales as well as scores on most factors,with statistically significant differences(P<0.05),and an equations:y=15.030-0.707 × first self-injury age+0.392 × interpersonal relationships+0.468 × health and adaptation-0.220 × support utilization were established for each influencing factor,R2=0.389.Conclusion:The younger age of the first self-injury,psychotic symptoms,poor interpersonal relationships and adaptability,and unhealthy physical and mental health are the risk factors of the addiction of NSSI in adolescent depression patients,while good support utilization is the protective factor.

depressionnon-suicidal self-injuryaddictionchildhood traumanegative life events

何尧苇、姜红燕、何慧萍、李葆罗

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650031 昆明医科大学第一附属医院

抑郁症 非自杀性自伤 成瘾 童年创伤 负性生活事件

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(6)