摘要
目的 探讨青少年非自杀性自伤(non-suicidal self-injury, NSSI)行为与抑郁症状的相关性,为针对性改善青少年身心健康提供理论依据。方法 采用随机整群抽样法在上海、乌鲁木齐、长沙、昆明4座城市选择共8 102名12~17岁青少年,采用流调中心用抑郁量表(CES-D)和青少年非自杀性自伤行为评定问卷调查被试者的抑郁症状以及NSSI行为发生情况。采用χ2检验、单因素分析以及Logistic回归分析对NSSI行为与抑郁症状的关系进行分析。结果 青少年NSSI总体检出率为24.6%,其中男生(23.1%)检出率低于女生(26.2%)(χ^(2)=10.97,P<0.05),初中和高中总体检出率分别为24.7%和24.6%,差异无统计学意义(χ^(2)=0.01,P>0.05)。伴NSSI组青少年抑郁症状总体检出率为49.7%,不伴NSSI组的检出率为17.7%,差异有统计学意义(χ^(2)=808.80,P<0.01)。在不同性别和年龄段中,伴NSSI组(男生:44.0%,女生:54.7%;初中:49.6%,高中:49.8%)与不伴NSSI组(14.2%,21.4%,14.3%,21.0%)青少年抑郁症状检出率差异均有统计学意义(χ2值分别为385.58,412.44,520.60,313.78,P值均<0.01)。Logistic回归模型在调整性别和年龄因素后,偶发自伤行为和频发自伤行为青少年的抑郁症状检出率分别为无自伤行为者的2.65倍(95%CI=2.27~3.09)和7.28倍(95%CI=6.34~8.37)。NSSI状态与抑郁症状间的关联未见性别差异(性别交互作用P>0.05)。结论 青少年NSSI行为与抑郁症状呈正相关,应关注青少年身心健康以减少NSSI的发生。
Objective To explore the correlation between non-suicidal self-injury(NSSI)behaviors and depressive symptoms in adolescents and to provide a theoretical basis for improvement of adolescent physical and mental health.Methods A total of 8102 adolescents aged 12-17 years were selected by random cluster sampling method in Shanghai,Urumqi,Changsha and Kunming,using the Center for Epidemiologic Studies Depression Scale(CES-D)and the Adolescent Non-Suicidal Self-Injurious Behavior Assessment Questionnaire.Depressive symptoms and the occurrence of NSSI behaviors were assessed.The relationship between NSSI behaviors and depressive symptoms was analyzed using Chi-square test,one-way analysis and Logistic regression analysis.ResultsThe overall detection rate of NSSI in adolescents,24.6%,with a significantly lower detection rate in boys(23.1%)than in girls(26.2%)(χ^(2)=10.97,P0.05),and 24.7%,24.6%in the middle school and high school segments,respectively,but the difference was not statistically significant(χ^(2)=0.01,P0.05).The overall detection rate of adolescent depressive symptoms was 49.7%in the group with NSSI and 17.7%in the group without NSSI,with statistically significant differences(χ^(2)=808.80,P0.01).The detection rates of adolescent depressive symptoms in the group with NSSI(male:44.0%,female:54.7%,middle school:49.6%,high school:49.8%)and the group without NSSI(male:14.2%,female:21.4%,middle school:14.3%,high school:21.0%)were statistically significant by sex and age groups(χ^(2)=385.58,412.44,520.60,313.78,P0.01).Logistic regression models,after adjusting for gender and age,the risk for depressive symptoms was 2.65 times(95%CI=2.27-3.09)and 7.28 times(95%CI=6.34-8.37)more frequently in adolescents with episodic self-injurious behavior and frequent self-injurious behavior,respectively,compared to those without self-injurious behavior.The association between NSSI status and depressive symptoms did not show sex differences(P0.05).Conclusion Adolescent NSSI behavior is positively associated with depressive symp
作者
袁勇
干敏雷
尹小俭
吴慧攀
申晋波
马渊源
侯宇欣
李勇
张冬茹
刘媛
YUAN Yong;GAN Minlei;YIN Xiaojian;WU Huipan;SHEN Jinbo;MA Yuanyuan;HOU Yuxin;LI Yong;ZHANG Dongru;LIU Yuan(Physical Education Department of University of Shanghai for Science and Technology,Shanghai(200093),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2023年第5期659-663,共5页
Chinese Journal of School Health
基金
2023年度上海市教育科学研究项目(C2023267)。
关键词
自我伤害行为
抑郁
回归分析
青少年
精神卫生
Self-injurious behavior
Depression
Regression analysis
Adolescent
Mental health
