行为抑制/激活系统与初中生非自杀性自伤的关系:抑郁的中介效应
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Correlation between behavioral inhibition/activation systems and adolescent non-suicidal self-injury:mediating effect of depression
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    摘要:

    目的 探讨初中生非自杀性自伤(NSSI)、抑郁情况,分析抑郁在行为抑制 / 激活系统(BIS/ BAS)与 NSSI 之间的中介作用。方法 采用整群抽样法,于 2022 年 6 月选取山东省济宁市泗水县 3 所 中学 2 900 名初中生为研究对象,采用青少年自伤行为问卷、BIS/BAS 量表和抑郁自评量表(SDS)进行 问卷调查。采用 Pearson 相关分析各变量之间的相关性。采用 SPSS Amos 24.0 软件构建结构方程模 型并进行中介效应检验。本研究共发放问卷 2 900 份,回收有效问卷 2 429 份,有效回收率为 83.76%。 结果 2 429名初中生的NSSI年发生率为37.55%(912/2 429),抑郁发生率为32.73%(795/2 429)。根据是否 有过NSSI行为分为有NSSI组(n=912)和无NSSI组(n=1 517)。有NSSI组初中生的青少年自伤行为问卷得分 为(33.01±21.24)分。有NSSI组初中生的BIS、BAS-愉悦追求、SDS得分分别为(11.08±2.93)、(7.15±2.58)、 (53.17±10.67)分,高于无 NSSI 组的(10.16±3.15)、(6.52±2.55)、(43.16±9.77)分,差异有统计学意义(t= -7.312、-5.838、-23.098;P< 0.001);有 NSSI 组初中生的 BAS-奖赏反应得分为(11.64±2.53)分,低于无 NSSI 组的(12.16±2.24)分,差异有统计学意义(t=5.084,P< 0.001)。相关分析显示,有 NSSI 初中生的抑 郁程度与 NSSI 严重程度、BIS 敏感性、BAS-愉悦追求敏感性呈正相关(r=0.484、0.184、0.128;P< 0.01); BAS-奖赏反应敏感性与NSSI严重程度、抑郁程度呈负相关(r=-0.203、-0.239;P<0.01)。回归分析显示, 抑郁对 NSSI 有正向影响(β=0.461,P< 0.001),而 BAS-奖赏反应对 NSSI 有负向影响(β=-0.093,P< 0.01)。 结构方程模型结果显示,抑郁在 BIS、BAS-愉悦追求与 NSSI 之间起完全中介作用,完全中介效应分别为 0.121 和 0.104,占总效应的 86.4%、72.7%;在 BAS-奖赏反应与 NSSI 之间起部分中介作用,部分中介效应 为 -0.199,占总效应的 58.2%。结论 初中生 NSSI 发生率较高,抑郁在 BIS 和 BAS-愉悦追求与 NSSI 间 起完全中介作用,在 BAS-奖赏反应与 NSSI 之间起部分中介作用。

    Abstract:

    Objective To explore the situation of non-suicide self-injury (NSSI) and depression among junior high school students in Shandong Province, and analyze the intermediary role of depression between behavior inhibition/activation system (BIS/BAS) and NSSI. Methods In June 2022, a total of 2 900 students from 3 middle schools in Sishui County, Jining City, Shandong Province were recruited by cluster sampling method. Adolescent Self-Harm Behaviors Questionnaire,Behavioral Inhibition/Activation Systems Scales (BIS/ BAS scales),and Self-Rating Depression Scale (SDS) were used for investigation. Pearson correlation was used to analyze the correlation between variables. SPSS Amos 24.0 software was used to construct the structural equation model and carry out the intermediary effect test. A total of 2 900 questionnaires were distributed in this study, and 2 429 valid questionnaires were recovered, with an effective recovery rate of 83.76%. Results The annual incidence of NSSI in 2 429 junior high school students was 37.55% (912/2 429), and the incidence of depression was 32.73% (795/2 429). All the students were divided into NSSI group (n=912) and non-NSSI group (n=1 517) according to whether there was NSSI behavior. The score of Adolescent Self-Harm Behaviors Questionnaire in NSSI group was (33.01±21.24). The score of BIS, BAS-Fun Seeking, and SDS in NSSI group was (11.08±2.93), (7.15±2.58) and (53.17±10.67), all higher than those in non-NSSI group(10.16±3.15), (6.52±2.55) and (43.16±9.77), respectively, and the differences were statistically significant (t=-7.312, -5.838,-23.098; P < 0.001). The score of BAS-Reward Responsiveness in NSSI group was (11.64±2.53), lower than that in non-NSSI group (12.16±2.24), and the difference was statistically significant (t=5.084,P< 0.001). Pearson correlation analysis showed that the degree of depression of junior high school students with NSSI was positively correlated with the severity of NSSI, BIS Sensitivity and BAS-Drive Sensitivity (r=0.484, 0.184,0.128; P< 0.01); BAS-Reward Responsiveness sensitivity is negatively correlated with the severity of NSSI and the degree of depression (r=-0.203,-0.239;P< 0.01). Regression analysis showed that depression had a positive impact on NSSI (β=0.461,P< 0.001), while behavioral activation system-reward response had a negative impact on NSSI (β=-0.093,P< 0.01). Results of the structural equation model showed that depression played a completely mediating role between BIS as well as BAS-Fun Seeking and NSSI,and the estimates of complete mediating effects were 0.121 and 0.204 respectively, accounting for 86.4% and 72.7% of the total effect. Depression played a partially mediating role between BAS-Reward Responsiveness and NSSI, and the estimate of the partial mediating effect was -0.199, accounting for 58.2% of the total effect. Conclusions The incidence of adolescent NSSI is relatively high. Depression plays a complete mediating role between BIS,BASFun Seeking and NSSI,and plays a partial mediating role between BAS-Reward Responsiveness and NSSI.

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汪芷伊,蒋忠良,何强,马祎涵,杨静,程小菁,陈洁,田耕,刘金同.行为抑制/激活系统与初中生非自杀性自伤的关系:抑郁的中介效应[J].神经疾病与精神卫生,2023,23(1):
DOI :10.3969/j. issn.1009-6574.2023.01.005.

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  • 在线发布日期: 2023-03-10