Effects of life events,family environment and coping style on self-injury behavior in adolescents with first-episode depression
Objective To explore the effects of life events,family environment and coping style on self-injury behavior in adolescents with first-episode depression.Methods From July 2019 to December 2022,a total of 110 adolescent patients with first-episode depression were selected in the Psychiatry Depart-ment of the First Affiliated Hospital of Zhengzhou University.According to whether the patients had self-inju-ry behavior,the patients were divided into group without self-injury(n=54)and group with self-injury(n=56).Patients in the two groups were evaluated by a general clinical data questionnaire,adolescent self-rating life events checklist(ASLEC),family environment scale-Chinese version(FES-CV),simplified coping style questionnaire(SCSQ),24 items Hamilton depression scale(HAMD-24),Hamilton anxiety scale(HAMA)and 90 symptom checklist-90(SCL-90).Statistical analysis including t-test,x2 test and binary Logistic re-gression analysis were performed on the enrolled data by SPSS 25.0 statistical software.Results Among 110 patients,there were 56 patients(50.9％)exhibited self-injury behavior.The scores of ASLEC(51.04±5.99,48.02±6.86),intimacy(3.70±1.85,4.59±1.60),emotional expression(3.84±1.80,4.69±1.96),positive coping styles(15.84±5.85,18.22±4.84),negative coping styles(12.50±3.23,11.06±3.64),and HAMA(20.63±2.86,19.48±2.55)showed statistically significant differences between the group with and without self-injury(t=-2.46,2.72,2.36,2.32,-2.20,-2.21,all P＜0.05).Binary Logistic regression a-nalysis showed that life events(B=0.079,OR=1.083,95％CI=1.008-1.163,P=0.030),negative coping style(B=0.173,OR=1.188,95％CI=1.033-1.367,P=0.016),HAMA(B=0.225,OR=1.252,95％CI=1.057-1.482,P=0.009)were risk factors for self-injury,while intimacy(B=-0.264,OR=0.768,95％CI=0.593-0.995,P=0.046)and positive coping styles(B=-0.092,OR=0.912,95％CI=0.834-0.997,P=0.044)were protective factors for self-injury.Conclusion The self-injury behavior of adolescents with first-episode depression may be related to negative life events,early adverse family environment and coping style.
NETL
NSTL
万方数据
