伴非自杀性自伤行为青少年抑郁症患者述情和家庭教育方式研究
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A study on parenting style and alexithymia of depressive adolescent with non-suicidal self-injury behavior
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    摘要:

    目的 了解青少年抑郁症患者非自杀性自伤行为的现状,并对比分析伴或不伴非自杀性 自伤行为患者的述情方式和家庭教育方式差异。方法 回顾性连续纳入 2018 年 1 月至 2019 年 2 月四川 大学华西医院心理卫生中心收治的 241 例青少年抑郁症患者为调查对象,采用多伦多述情障碍量表、家 庭教育方式量表、患者健康问卷抑郁量表对其进行调查,并对比伴非自杀性自伤行为(研究组)和不伴非 自杀性自伤行为(对照组)患者的差异。结果 241 例患者中,44.8%(108/241)的青少年抑郁症患者有非 自杀性自伤行为。与对照组(133例)比较,研究组家庭教育方式量表中父亲的惩罚/严厉[(24.80±7.36)分 比(21.41±6.89)分]、过 分 干 涉[(23.56±5.02)分 比(21.74±4.66)分]、拒 绝 / 否 认[(13.44±4.39)分 比 (11.35±3.81)分]、过度保护因子[(12.56±3.28)分比(11.20±2.94)分]得分较高,差异均有统计学意义(均 P< 0.05),母亲的过分干涉 / 保护[(42.23±8.06)分比(37.73±7.80)分]、拒绝 / 否认[(18.65±5.85)分比 (15.70±5.72)分]、惩罚 / 严厉因子[(19.13±6.52)分比(15.97±6.20)分]得分较高,差异均有统计学意义 (均P< 0.05)。在述情障碍量表中,研究组难以识别自己的情感及难以描述自己的情感因子得分高于对 照组[分别为(25.19±6.23)分比(22.12±7.09)分,(18.06±4.19)分比(15.90±4.52)分],差异均有统计学 意义(均P< 0.05)。结论 青少年抑郁症患者中,伴非自杀性自伤行为的发生率较高,其述情方式和家 庭教育方式与不伴非自杀性自伤行为患者存在差异。

    Abstract:

    Objective To understand the status quo of non-suicide self-injury behavior(NSSI) of adolescent with depression, and the difference of alexithymia and parenting style in depressive adolescent with and without NSSI. Methods A total of 241 adolescent depressive patients admitted to the Mental Health Center of West China Hospital from January 2018 to February 2019 were recruited as the research subjects. The Toronto Alexithymia Scale,EgmaMinnenavBardndosnauppforstran (EMBU) and Patients' Health Questionnaire-9 were applied in the investigation to explore the difference between NSSI group and non-NSSI group. Results Among 241 patients, 44.8% (108/241) adolescent had NSSI. Compared with patients without NSSI (n=133), patients with NSSI showed significantly higher factor scores in punishment, over intervention,rejection/denying, and over protection from their fathers [(24.80±7.36) vs (21.41±6.89), (23.56±5.02) vs (21.74±4.66), (13.44±4.39) vs (11.35±3.81), (12.56±3.28) vs (11.20±2.94), P< 0.05],and over intervention/protection, rejection/denying, punishment from their mothers[(42.23±8.06) vs (37.73±7.80), (18.65±5.85) vs (15.70±5.72), (19.13±6.52) vs (15.97±6.20), P< 0.05]. In the Toronto Alexithymia Scale, the factor scores of difficult to identify and describe their emotions were significantly higher in patients with NSSI than those without[(25.19±6.23) vs (22.12±7.09), (18.06±4.19) vs (15.90±4.52), P < 0.05]. Conclusions NSSI has a high incidence in adolescents with depression. The alexithymia and parenting style was different between patients with and without NSSI.

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沈晓玲 董再全 罗珊霞 郝燕妮.伴非自杀性自伤行为青少年抑郁症患者述情和家庭教育方式研究[J].神经疾病与精神卫生,2020,20(2):
DOI :10.3969/j. issn.1009-6574.2020.02.005.

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  • 在线发布日期: 2020-05-24