山东省青少年阈下抑郁及精神病性体验与非自杀性自伤的关联
Association between subthreshold depression and psychotic-like experiences with non-suicidal self-irjury among adoles-cents in Shandong Province
闵令桂 1刘小群 2尹训宝 3于悦 1王铮4
作者信息
- 1. 潍坊医学院心理学院,山东 261053
- 2. 中南大学湘雅公共卫生学院儿少卫生与妇幼保健系
- 3. 潍坊学院教师教育学院
- 4. 齐鲁师范学院教师教育学院
- 折叠
摘要
目的 探讨山东省青少年阈下抑郁和精神病性体验(PLEs)及其交互作用与非自杀性自伤(NSSI)行为的关联,为青少年NSSI的预防和早期干预提供参考依据.方法 于2023年3-4月,采用分层整群随机抽样的方法,在山东省沿海和内陆分别各抽取2座城市中6 090名13～22岁大中学生施测.使用非自杀性自伤行为评定问卷、简式版社区心理体验评估问卷(CAPE-P8)、流调中心抑郁量表(CES-D)进行电子问卷调查,采用多因素Logistic回归分析青少年阈下抑郁和PLEs及其交互作用与NSSI的关联.结果 青少年NSSI检出率为21.3％,单因素分析发现年龄在13～15岁青少年NSSI报告率最高(27.9％),有阈下抑郁和PLEs者NSSI报告率分别为49.9％,30.7％.多因素分析结果显示,存在阈下抑郁青少年发生NSSI的风险是无抑郁青少年的3.47倍[OR值(95％CI)=3.47(2.68～4.50)];有PLEs者发生NSSI的风险是未检出者的5.32倍[OR值(95％CI)=5.32(4.10～6.89)],阈下抑郁与PLEs同时存在时发生NSSI的风险是均未检出者的18.47倍[OR值(95％CI)=18.47(14.75～23.13)](P值均＜0.01);超额危险度(RERI)、交互作用归因比(AP)和协同指数(S)分别为11.44,0.61,2.89,即阈下抑郁和PLEs对青少年NSSI的相加交互作用占比为61％.结论 阈下抑郁和精神病性体验与青少年NSSI相关且存在相加交互作用.缓解青少年阈下抑郁并降低精神病性体验,对预防NSSI的发生具有积极作用.
Abstract
Objective To investigate the association between subthreshold depression,psychotic-like experiences(PLEs),and their interactions with non-suicidal self-injury(NSSI)in adolescents from Shandong,so as to provide a reference for the prevention and early intervention of NSSI in adolescents.Methods A random cluster sampling method was used to select a total of 6 090 ado-lescents aged 13-22 from two cities along the coast and inland of Shandong Province.Electronic surveys were administered using the Self-Injurious Behavior Questionnaire,Community Assessment of Psychic Experience-positive 8 items(CAPE-P8),and the Center for Epidemiological Studies Depression Scale(CES-D).The relationship between subthreshold depression,PLEs,and their interac-tion with NSSI was analyzed using multivariate Logistic regression.Results The detection rate of NSSI among adolescents was 21.3％.The highest NSSI reporting rate(27.9％)was found in the age group of 13-15 years.The NSSI reporting rates for those de-tected with subthreshold depression and PLEs were 49.9％and 30.7％,respectively.Multivariate analysis indicated that individuals with subthreshold depression were 3.47 times more likely to engage in NSSI[OR(95％CI)=3.47(2.68-4.50)].Those identified with PLEs had 5.32 times higher risk of engaging in NSSI than those without such experiences[OR(95％CI)=5.32(4.10-6.89)].When both subthreshold depression and PLEs coexist,the risk of engaging in NSSI was 18.47 times higher than in individuals with neither condition[OR(95％CI)=18.47(14.75-23.13)](P＜0.01).The relative excess risk due to interaction(RERI),attributable proportion(AP),and synergy index(S)were 11.44,0.61,and 2.89,respectively,indicating that the combined interaction of sub-threshold depression and PLEs accounted for 61％of adolescent NSSI.Conclusions Subthreshold depression and psychotic-like experiences are associated NSSI in adolescents and exhibit an additive interaction.Alleviating subthreshold depression in adolescents and reducing psychotic experiences may play a positive role in preventing the occurrence of NSSI.
关键词
阈下抑郁/精神病性体验/自我伤害行为/精神卫生/回归分析/青少年Key words
Sub-threshold depression/Psychotic-like experiences/Self-injurious behavior/Mental health/Regression analysis/Adolescent引用本文复制引用
基金项目
山东省教育科学"十四五"规划项目(2021YB048)
湖南省哲学社会科学基金一般项目(22YBA013)
出版年
2024
NETL
NSTL
万方数据