首页|基于潜在剖面分析探究青少年非自杀性自伤的精神病理特征及影响因素

基于潜在剖面分析探究青少年非自杀性自伤的精神病理特征及影响因素

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目的 基于潜在剖面分析(LPA)探讨青少年非自杀性自伤(NSSI)行为的精神病理特征及影响因素.方法 选取NSSI青少年223例,采用自制调查表收集一般资料,Bech-Rafaelsen躁狂量表(BRMS)、症状自评量表(SCL-90)、艾森克人格问卷(EPQ)评估患者的躁狂状态、精神病理特征和人格特征.通过潜在剖面分析(LPA)和Logistic回归等统计方法,对数据进行深入分析.结果 青少年NSSI的精神病理特征可以被归类为四个不同的类别:重度组占24%,较重组占40%,中度组占30%,以及轻度组占6%.年龄、躁狂程度和精神质对青少年NSSI精神病理特征潜在类别具有预测效应.与重度组相比,年龄越高,成为轻度组的可能性增加1.545倍(P<0.05),与轻度组相比,年龄越大,成为中度组的概率为0.684(P<0.01);成为较重组的概率为0.694(P<0.01);与轻度组相比,躁狂程度越明显,成为中度组的可能性增加2.174倍(P<0.05);与重度组相比,精神质程度越高的患者,落在较重组的概率为0.963(P<0.01).结论 青少年NSSI精神病理特征具有显著的群体异质性和个体差异性,为青少年NSSI的个性化干预策略提供了重要的参考依据.
Psychopathology and its influencing factors in adolescents with non-suicidal self-injury behavior based on latent profile analysis
Objective To explore the psychopathological characteristics and influencing factors in adolescents with non-suicidal self-injury(NSSI)behavior based on latent profile analysis(LPA).Methods A total of 223 adolescents with NSSI were selected and assessed with self-designed general information questionnaire,Bech-Rafaelsen Mania Rating Scale(BRMS),Symptom Checklist-90(SCL-90),and Eysenck Personality Questionnaire(EPQ).The data were studied in depth using statistical approaches such as LPA and logistic regression.Results The psychopathological characteristics of adolescents with NSSI could be categorized into four separate categories:24%in more severe group,40%in severe group,30%in moderate group,and 6%in mild group.Age,degree of mania and psychoticism exhibited a strong predictive effect on possible categories of psychopathological features in adolescents with NSSI.Compared to more severe group,the higher the age,the higher the likelihood of being in mild group(OR=1.545,P<0.05).Compared to mild group,the higher the age,the higher the probability of being in moderate group(OR=0.684,P<0.01),and the probability of being in severe group was 0.694(P<0.01).Compared to mild group,the more pronounced the degree of mania,the likelihood of becoming in moderate group increased(OR=2.174,P<0.05).Compared to more severe group,the more pronounced the degree of psychoticism,the probability of being in severe group was 0.963(P<0.01).Conclusion The psychopathological aspects of adolescents with NSSI exhibit high group heterogeneity and individual variability,which provides an essential reference for tailored intervention strategies for adolescent NSSI.

Latent profile analysisAdolescentsNon-suicidal self-injuryPsychopathology

王瑞琦、李庚亮、刘怡然、田峰

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030000 山西太原,山西医科大学第二临床医学院

山西医科大学人文社会科学学院

潜在剖面分析 青少年 非自伤性自杀 精神病理特征

2024

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(4)