留守初中生抑郁症状对非自杀性自伤行为影响的纵向研究
Association between depression symptoms and non-suicidal self-injury among the left-behind junior high school students:a longitudinal study
尹斐 1姜文龙 2周郁秋 1杨金伟 1杨楠1
作者信息
- 1. 哈尔滨医科大学护理学院,黑龙江 哈尔滨 150081
- 2. 大庆市第三医院,黑龙江 大庆 163712
- 折叠
摘要
目的 评估留守初中生抑郁症状与非自杀性自伤行为变化趋势,探讨二者发展关系及时序效应.方法 通过多阶段分层整群随机抽样,使用儿童抑郁量表(CDS)和青少年非自杀性自伤评定问卷(ANSAQ),对372名留守初中生进行为期1年的3次纵向调查.结果 留守初中生抑郁症状和非自杀性自伤行为呈线性增长.抑郁初始水平正向预测非自杀性自伤初始水平与增长速率(β=0.473,β=0.577;P＜0.01),抑郁增长速率正向预测非自杀性自伤增长速率(β=0.806,P＜0.001);交叉滞后回归分析显示:Tn抑郁可正向预测Tn+1非自杀性自伤行为(β=0.365,β=0.322;P＜0.001),Tn非自杀性自伤行为不能预测Tn+1抑郁(β=0.117,β=0.094;P＞0.05).结论 留守初中生抑郁症状和非自杀性自伤行为随时间不断增长,抑郁症状是非自杀性自伤的前因变量,抑郁症状可预测非自杀性自伤发生.
Abstract
Objective To investigate the changing trend,development partnership and timing effect between de-pression symptoms and non-suicidal self-injury among the left-behind junior high school students.Methods A stratified multi-stage random cluster sampling method was used to conduct a longitudinal survey among 372 left-behind junior high school students,and 3-times follow-up survey was carried out in one year.Children Depression Scale and Adolescent non-suicidal self-injury assessment Questionnaire were used for measurements.Results The depression symptoms and non-sui-cidal self-injury were linearly increasing among left-behind junior high school students.The initial level of depression posi-tively predicted the initial level and growth rate of non-suicidal self-injury(β=0.473,β=0.577;P＜0.01),the growth rate of depression positively predicted growth rate of non-suicidal self-injury(β=0.806,P＜0.001).Cross-lagged re-gression analysis showed that Tn depression significantly predicted Tn+1 non-suicidal self-injury(β=0.365,β=0.322;P＜0.001),Tn non-suicidal self-injury had no significant predictive effect on Tn+1 depression(β=0.117,β=0.094;P＞0.05).Conclusion The depression symptoms and non-suicidal self-injury is increasing in the left-behind junior high school students over time,depression is the antecedent variable of non-suicidal self-injury,and depression predict non-sui-cidal self-injury significantly.
关键词
留守初中生/抑郁/非自杀性自伤/潜变量增长模型/交叉滞后模型Key words
Left-behind junior high school students/Depression/Non-suicidal self-injury/Latent variable growth model/Cross-lagged model引用本文复制引用
基金项目
国家自然科学基金青年基金(72204065)
黑龙江省哲学社会科学研究规划项目(21SHC216)
出版年
2024
NETL
NSTL
万方数据