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| 伴非自杀性自伤青少年抑郁症患者疼痛共情能力研究 |
| Study of empathy for pain in adolescent depression patients with non-suicidal self-injury |
| 投稿时间：2024-12-30 修订日期：2024-12-30 |
| 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: NSSI Pain Empathy Teenager Depression |
| 基金项目:-青年科学(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2022xkj117)；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SYS2023C05) |
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| 中文摘要: |
| 目的：研究伴非自杀性自伤青少年抑郁症患者疼痛共情能力的特征。方法：纳入34名伴非自杀性自伤青少年抑郁症患者,以及与患者年龄、性别、受教育水平相匹配的27名健康对照。采用疼痛共情范式来评估两组的疼痛共情能力,即判断疼痛和中性图片中人物是否疼痛,并进行疼痛等级评定,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。采用中文版人际反应指针量表(Chinese version of interpersonal reactivity index,IRI-C)评估两组共情能力。结果：病例组在判断疼痛图片的正确率低于对照组[(0.46±0.17)vs(0.61±0.22)],差异有统计学意义(P＜0.05)；病例组IRI-C的PT[(11.06±5.71)vs(19.15±3.55)]、FS[(14.88±6.01)vs(18.33±2.92)]因子得分均小于对照组,差异有统计学意义(P＜0.05)；患者自伤程度与疼痛反应时间呈正相关(r=0.37 ,P＜0.01)与正确率呈负相关(r=-0.29 ,P＜0.05),IRI-C各因子中PD与反应时呈负相关(r=-0.27 ,P＜0.05)。结论：伴非自杀性自伤青少年抑郁症患者疼痛共情能力降低。 |
| 英文摘要: |
| Objective: To investigate the capability of empathy for pain in adolescent depression patients with non-suicidal self-injury (NSSI). Methods: A total of 34 adolescent depression patients with NSSI were included, along with 27 healthy controls matched for age, gender, and educational level. The empathy for pain paradigm was used to assess the pain empathy capabilities of the two groups, in which neutral and pain-related images were randomly presented. The accuracy of the judgment tasks, reaction times, and pain rating scales were used as indicators of empathy for pain. The Chinese version of the Interpersonal Reactivity Index (IRI-C) was used to assess empathy capabilities in both groups. Results: The patient group had a lower accuracy rate in identifying pain-related images compared to the control group [0.46±0.17 vs. 0.61±0.22 (P<0.05)]. Patients showed lower scores in the factors of Perspective Taking [(11.06±5.71) vs. (19.15±3.55)], Fantasy [(14.88±6.01) vs. (18.33±2.92)] in the IRI-C (P<0.05). The patients" degree of self-harm was positively correlated with the response time to pain (r=0.37, P<0.01) and negatively correlated with accuracy rate (r=-0.29, P<0.05). Among the IRI-C factors, Personal Distress was negatively correlated with response time (r=-0.27, P<0.05). Conclusion: Adolescent depression patients with NSSI has deficit in the capabilities of empathy for pain.【Keyword】NSSI; Pain; Empathy; Teenager; Depression |
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