文章摘要
青少年抑郁障碍非自杀性自伤行为成瘾特征及相关因素分析
Analysis of Related Factors and Addiction of Non-Suicidal Self-Injury Behavior in Adolescents with Depressive Disorder
投稿时间:2024-07-16  修订日期:2024-07-16
DOI:
中文关键词: 青少年  抑郁障碍  非自杀性自伤  行为成瘾  生活事件  家庭功能  述情障碍  边缘型人格特质
英文关键词: Adolescents  Depressive disorder  Non-suicidal self-injury  Behavioral addiction  Life events  Family function  Alexithymia  Borderline personality traits
基金项目:创伤聚焦的认知行为治疗在精神科的应用
作者单位邮编
丁鹏锦 贵州医科大学附属医院 550000
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中文摘要:
      目的:了解就诊我院的青少年抑郁障碍患者非自杀性自伤(NSSI)行为的成瘾特征及其相关影响因素。方法:选取我院精神科门诊152例青少年抑郁障碍患者分为NSSI组和无NSSI组,采用汉密尔顿抑郁量表(HAMD)、青少年自我伤害问卷(ASH)、渥太华自伤问卷(OSI)、青少年生活事件量表(ASLEC)、多伦多述情障碍量表(TAS)、儿童边缘特质量表(BPFS-C)及家庭功能障碍问卷(Family APGAR)进行分析,所得数据使用SPSS 22.0进行统计分析。 结果:NSSI组55.29%的患者NSSI行为具有成瘾性,且OSI成瘾性总分与HAMD、NSSI严重程度、ASLEC、BPFS-C及Family APGAR总分具有相关性(P<0.01)。另外,NSSI组HAMD、BPFS-C、ASLEC及TAS总分高于无NSSI组,Family APGAR总分低于NSSI组(P<0.05)。 结论:青少年抑郁障碍患者NSSI行为具有一定的成瘾性,严重抑郁、严重NSSI、边缘人格特质、家庭功能障碍及不良生活事件可能是导致NSSI行为成瘾的危险因素。比较无NSSI行为患者,伴NSSI行为青少年抑郁障碍患者更可能具有边缘型人格特质、不良生活事件、家庭功能障碍及述情障碍的特点。
英文摘要:
      Objective:To investigate the addictive characteristics and related influencing factors of non-suicidal self-injury (NSSI) in adolescent patients with depressive disorder.  Methods:  A total of 152 adolescent patients with depressive disorder in psychiatric outpatients of our hospital were selected and divided into NSSI group and non-NSSI group.  Hamilton Depression Rating Scales (HAMD), Adolescents Self-Harm Scale (ASH), Ottawa Self-Injury Questionnaire (OSI), Adolescent Self-Rating Life Events Checklist (ASLEC), Toronto Alexithymia Scale (TAS), Borderline Personality Feature Scale-Children (BPFS-C) and Family APGAR was used for analysis, and the data were analyzed by SPSS 22.0.  Results:  In the NSSI group, 55.29% of the patients’ NSSI behaviors had addictive characteristics, and The OSI addiction score was correlated with HAMD, NSSI severity, ASLEC, BPFS-C and Family APGAR score (P< 0.01). In addition, the total scores of HAMD, BPFS-C, ASLEC and TAS in the NSSI group were higher than those in the non-NSSI group, and the total scores of Family APGAR in the NSSI group were lower than those in the NSSI group (P< 0.05).  Conclusion: NSSI behavior in adolescents with depressive disorder has certain addictive characteristics. Severe depression, severe NSSI, borderline personality traits, family dysfunction and adverse life events may be the risk factors for NSSI behavior addiction. Compared with patients without NSSI behavior, adolescents with NSSI behavior are more likely to have borderline personality traits, adverse life events, family dysfunction and alexithymia.
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