| 胡国庆,
，吴贝贝
，杜洋
，陈肖杰
，徐康健
，杨静月
，姚姣
，张佳佳,
，武曦媛,
，焦玉怡,
，季益富,.伴非自杀性自伤青少年抑郁症患者疼痛共情能力研究[J].神经损伤功能重建,2025,(知网首发): |
| 伴非自杀性自伤青少年抑郁症患者疼痛共情能力研究 |
| Study on Pain Empathy Ability in Adolescents Depression Patients with Non-suicidalSelf-injury |
| |
| DOI： |
| 中文关键词: 非自杀性自伤 疼痛 共情 青少年 抑郁症 |
| 英文关键词: non-suicidal self-injury pain empathy teenagers depression |
| 基金项目:2023年度安徽省高校
科学研究项目-重点
项目（青少年抑郁症
ECT 治疗的回顾性队
列研究，No. 2023AH0
50531）；安徽医科大
学校科研基金项目-
青 年 科 学 基 金 项 目
（伴和不伴快感缺失
的青少年抑郁症患者
疼痛共情能力及神经
机制研究，No. 2022xk
j117）；安徽省哲学社
会科学重点实验室依
托项目（基于人工智
能的学生心理健康监
测及服务体系研究，No.
GXXT-2022-101）；安
徽省哲学社会科学重
点实验室开放基金重
大项目（青少年心理健
康与危机智能干预，
No. SYS2023A05）；自
筹项目（青少年非自
杀性自伤中疼痛的情
绪调节机制研究，No.
SYS2023C05） |
|
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| 全文下载次数: 164 |
| 中文摘要: |
| 目的：研究伴非自杀性自伤（NSSI）青少年抑郁症患者疼痛共情能力的特征。方法：纳入青少年抑郁
症伴有 NSSI 的患者 34 例（病例组），以及与患者年龄、性别、受教育水平相匹配的健康对照 27 名（对照
组）。采用青少年自我伤害问卷评估患者自伤频率及严重程度；采用中文版人际反应指针量表（IRI-C）评
估共情能力；采用疼痛共情范式评估疼痛共情能力，以判断任务正确率、反应时和疼痛评级得分作为疼痛
共情指标；采用Pearson相关分析患者疼痛判断和左右判断的正确率、反应时和疼痛评级得分与青少年自
我伤害问卷得分及IRI-C各因子得分的关系。结果：病例组在IRI-C量表的观点选择、想象力因子上得分
均低于对照组（P＜0.05）。在疼痛判断任务上，病例组对疼痛图片判断的正确率低于对照组（P＜0.05）；在
左右判断任务上，病例组对疼痛图片判断的正确率低于对照组（P＜0.05）。病例组青少年自伤问卷得分与
疼痛判断任务中疼痛图片的反应时间呈正相关（P＜0.01），与正确率呈负相关（P＜0.05）；IRI-C中个人痛
苦得分与反应时呈负相关（P＜0.05），观点选择、共情关注、个人痛苦与判断正确率呈正相关（P＜0.01）。
结论：伴NSSI的青少年抑郁症患者疼痛共情能力降低。 |
| 英文摘要: |
| To study the characteristics of pain empathy ability in adolescents with depression and
non-suicidal self-injury (NSSI). Methods: Thirty-four patients with adolescent depression accompanied by
NSSI (case group) and 27 healthy controls matched in age, gender, and education level (control group) were
included. The frequency and severity of self-injury in patients were assessed with the Adolescent Self-Harm
Questionnaire; empathy ability was evaluated using the Chinese version of the Interpersonal Reactivity Index
(IRI-C); pain empathy ability was assessed using a pain empathy paradigm, with task accuracy, reaction time,
and pain rating scores as indicators of pain empathy; Pearson correlation analysis was used to analyze the
relationship between patients’pain judgment and left-right judgment accuracy, reaction time, pain rating
scores, and scores on the Adolescent Self-Harm Questionnaire and IRI-C factors. Results: The case group
scored lower than the control group on the perspective taking and fantasy subscales of the IRI-C scale (P<
0.05). In the pain judgment task, the accuracy of pain picture judgment in the case group was lower than that in
the control group (P<0.05); in the left-right judgment task, the accuracy of pain picture judgment in the case
group was also lower than that in the control group (P<0.05). In the case group, there was a positive correlation
between scores on the Adolescent Self-Harm Questionnaire and reaction time to pain pictures in the pain
judgment task (P<0.01), and a negative correlation with accuracy (P<0.05); in the IRI-C, personal distress
scores were negatively correlated with reaction time (P<0.05, while perspective taking, empathy concern, and
personal distress were positively correlated with judgment accuracy (P<0.01). Conclusion: Adolescents with
depression and NSSI have reduced pain empathy ability. |
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