首页|不同依恋维度对青少年抑郁障碍患者非自杀性自伤行为的影响

不同依恋维度对青少年抑郁障碍患者非自杀性自伤行为的影响

The influence of different attachment dimensions on non-suicidal self-injury behavior in adolescents with depressive disorder

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目的 探讨伴与不伴非自杀性自伤(NSSI)行为青少年抑郁障碍患者的不同依恋维度,为NSSI的预防及干预提供参考.方法 选取95 例青少年抑郁障碍患者,依据诊断标准将患者分为伴有NSSI行为组(NSSI组)和不伴NSSI行为组(不伴NSSI组).采用青少年非自杀性自伤行为问卷(ANSAQ)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、亲密关系体验-关系结构量表(ECR-RS)对患者进行评估,比较两组差异,并使用二元Logistic回归分析探究影响NSSI行为的影响因素.结果 95 例青少年抑郁障碍患者中有 59 例存在NSSI,检出率为 62.11%.NSSI组SDS、SAS及ECR-RS对父亲的依恋焦虑、对母亲的依恋焦虑、对母亲依恋回避维度评分均高于不伴NSSI组(P<0.05).回归分析结果显示,SAS评分、对父亲的依恋焦虑及对母亲的依恋回避是青少年抑郁障碍患者发生NSSI的危险因素(P<0.05).结论 本研究提示青少年抑郁障碍患者NSSI发生率较高,过度焦虑、对父亲的依恋焦虑及对母亲的依恋回避是其NSSI行为发生的危险因素.因此,临床中除了改善患者的情绪外,还需注意改善患者与父母等重要他人的依恋关系,以减少NSSI行为的发生.
Objective To explore the different attachment dimensions in depressive adolescents with non-suicidal self-injury(NSSI)behavior or without NSSI,and provide consult for prevention and intervention to NSSI.Methods A total of 95 adolescents with depressive disorder were selected and divided into NSSI group(with NSSI behavior)and nNSSI group(without NSSI behavior)according to the diagnostic criteria of NSSI.All subjects were assessed with Adolescent Non-suicidal Self-injury Assessment Questionnaire(ANSAQ),Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),Experiences in Close Relationships-Relationship Structures Scale(ECR-RS).The differences between two groups were compared,and NSSI behavior's influencing factors were explored through binary logistic regression analysis.Results Among 95 patients,59 cases were detected with NSSI,and the detection rate was 62.11%.The total scores of SDS,SAS,and factor scores of attachment anxiety to father,attachment anxiety to mother and attachment avoidance to mother of ECR-RS in NSSI group were all higher than those in nNSSI group(P<0.05).Binary logistic regression analysis suggested that SAS score,attachment anxiety to father and attachment avoidance to mother were risk factors for NSSI behavior in depressive adolescents(P<0.05).Conclusion This study suggests that the incidence of NSSI is high in adolescents with depressive disorder.Excessive anxiety,attachment anxiety to father and attachment avoidance to mother are risk factors for NSSI in depressive adolescents.In addition to improving the patients'mood,attention should also be paid to improving attachment relationships with parents or other important people to reduce the occurrence of NSSI behavior.

AdolescentDepressive disorderAttachment dimensionInsecure attachmentNon-suicidal self-injury

李隽逸、朱菊红、苗懿、司夏樱、董强利、张兰

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730030 甘肃兰州,兰州大学第二临床医学院

兰州大学第二医院

青少年 抑郁障碍 依恋维度 不安全依恋 非自杀性自伤

甘肃省科技计划甘肃省科技计划兰州大学第二医院"萃英科技创新"计划兰州大学医学卓越师资团队建设与教学名师培育项目兰州市科技局项目

21JR1RA12521JR11RA101CY2021-BJ-A15lzuyxcx-2022-2052020-XG-62

2024

10.3969/j.issn.2095-9346.2024.01.007

精神医学杂志
山东省精神卫生中心

精神医学杂志

CSTPCD
影响因子：1.45
ISSN：1009-7201
年,卷(期)：2024.37(1)
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