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青少年心理韧性与非自杀性自伤行为的关系:有调节的中介模型

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目的:探讨青少年心理韧性与非自杀性自伤(non-suicidal self-injury,NSSI)行为的关系,以及孤独感的中介作用和睡眠问题的调节作用.方法:采用分层整群抽样的方法,选取长沙市1100名在校中学生,通过问卷调查测量中学生的抑郁程度、焦虑程度、NSSI行为、心理韧性、孤独感水平、睡眠问题及反刍思维等,共回收有效问卷1011份.结果:多变量logistic回归表明,居住类型、抑郁程度、焦虑程度、孤独感和睡眠问题与NSSI行为的发生显著相关.孤独感在心理韧性与NSSI之间的中介作用显著,且孤独感对NSSI行为的影响受到睡眠问题的调节.结论:提高青少年的心理韧性、减轻孤独感并保证青少年拥有较高的睡眠质量将有助于青少年NSSI行为的预防.
The Relationship between Resilience and Non-Suicidal Self-Injury Behaviors in Adolescents:A Moderated Mediation Model
Objective:To explore the relationship between psychological resilience and non-suicidal self-injury(NSSI)behaviors in adolescents,as well as the mediating role of loneliness and the moderating effect of sleep problems.Methods:Using a stratified cluster sampling method,1100 middle school students in Changsha were selected.A questionnaire survey was conducted to measure demographic information,depression,anxiety,NSSI behaviors,psychological resilience,loneli-ness,sleep problems,and rumination.A total of 1011 valid questionnaires were collected.Results:Multivariate logistic re-gression showed that living arrangements,depression,anxiety,loneliness,and sleep problems were significantly associated with NSSI behaviors.In the mediation-moderation model,loneliness significantly mediated the relationship between psycho-logical resilience and NSSI,and the effect of loneliness on NSSI behaviors was moderated by sleep problems.Conclusion:Strengthening the resilience of adolescents,reducing their loneliness,and ensuring their sleep quality will contribute to the prevention of NSSI behaviors in adolescents.

Non-suicidal self-injuryResilienceLonelinessSleepAdolescents

袁睿、杨燕贻、王梓懿、宋振山、张凌风、郭子航、余海韬、鞠玉朦、冯志凌

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中南大学湘雅二医院,长沙 410011

中南大学湘雅公共卫生学院,长沙 410078

非自杀性自伤行为 心理韧性 孤独感 睡眠 青少年

2030科技创新—脑科学与类脑研究重大项目国家自然科学基金国家社会科学基金项目

2021ZD02020008210161221BGL141

2024

中国临床心理学杂志
中国心理卫生协会

中国临床心理学杂志

CSTPCDCSSCI北大核心
影响因子:1.474
ISSN:1005-3611
年,卷(期):2024.32(4)