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| 青少年抑郁症患者非自杀性自伤行为与母亲心理特征的关联 |
| Association between non-suicidal self-injury behavior and maternal psychological characteristics in adolescents with depression |
| 投稿时间：2025-02-27 |
| DOI：10.3969/j.issn.1000-0399.2025.12.004 |
| 中文关键词: 青少年抑郁症 非自杀性自伤 童年期虐待 防御方式 依恋 心理弹性 述情障碍 |
| 英文关键词: Adolescents with depression Non-suicidal self-injury Childhood abuse Defense styles Attachment Psychological resilience Alexithymia |
| 基金项目:安徽医科大学校科研基金项目-青年科学基金项目(编号:2022xkj117); 安徽省哲学社会科学重点实验室开放基金自筹项目(编号:SYS2023C05); 合肥市第四人民医院院内课题(编号:HFSY2023YB15) |
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| 中文摘要: |
| 目的 探索母亲的心理特征与青少年抑郁症患者非自杀性自伤行为（NSSI）的关系。方法 纳入2021年1月至2024年2月在合肥市第四人民医院接受治疗的160名青少年抑郁障碍患者为研究对象。依据是否表现出NSSI行为，将患者划分为有NSSI组（n=80例）与无NSSI组（n=80例）。采用儿童期虐待问卷（CTQ）、亲密关系经历量表（ECR）、心理弹性量表（CD-RISC）、多伦多述情障碍量表（TAS）和防御方式问卷（DSQ）分别评估青少年抑郁症患者母亲童年期虐待得分、依恋得分、心理弹性得分、述情障碍得分和防御方式得分。采用单因素分析及多因素logistic回归模型解析NSSI发生的独立风险因素。结果 单因素分析结果表明，两组母亲在CTQ、TAS、ECR、CD-RISC的各维度及总分，以及DSQ中的不成熟与成熟防御机制得分比较，差异均有统计学意义（P<0.05）。Logistic回归分析进一步证实，母亲采用成熟防御机制为保护因素（OR=0.144,95%CI:0.054～0.356,P<0.001）；高述情障碍（OR=2.682,95%CI:1.137～6.311,P=0.024）、低心理弹性（OR=3.582,95%CI:1.177～10.898,P=0.025）以及童年期虐待（OR=10.743,95%CI:3.047～37.836,P<0.001）经历，均是导致青少年抑郁症患者发生NSSI的独立危险因素（P<0.05）。结论 母亲存在成熟防御机制为青少年抑郁症患者发生NSSI的保护因素，高述情障碍水平，低心理弹性水平和存在童年虐待可能为独立危险因素。 |
| 英文摘要: |
| Objective To explore the relationship between maternal psychological characteristics and non-suicidal self-injury（NSSI） in adolescents with depression. Methods A total of 160 adolescents with depressive disorders who visited the Fourth People's Hospital of Hefei from January 2021 to February 2024 were selected as the subjects and divided into two groups based on the presence or absence of nonsuicidal self-injury（NSSI） behavior: the NSSI group（n=80） and the non-NSSI group（n=80）. Childhood trauma, attachment, psychological resilience, alexithymia, and defense mechanisms of mothers of adolescents with depression were assessed by the Childhood Trauma Questionnaire（CTQ）, the Experiences in Close Relationships Scale（ECR）, the Connor-Davidson Resilience Scale（CD-RISC）, the Toronto Alexithymia Scale（TAS）, and the Defense Style Questionnaire（DSQ）. Risk factors for NSSI in adolescents with depression were identified using univariate analysis and multivariate logistic regression. Results Univariate analysis revealed significant differences between the two groups in scores of CTQ across all dimensions and total score, TAS across all dimensions and total score, ECR across all dimensions and total score, CD-RISC across all dimensions and total score, as well as in immature defense, mature defense,and total defense scores（all P ＜0.05）. Multivariate logistic regression analysis indicated that maternal immature defense mechanisms, high levels of alexithymia, low levels of psychological resilience, and a history of childhood trauma were independent risk factors for NSSI in adolescents with depression. Conclusion Presence of immature defense mechanisms, high levels of alexithymia, low psychological resilience, and a history of childhood trauma in mothers may be independent risk factors for NSSI in adolescents with depression. |
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