负性生活事件与青少年非自杀性自伤动机及行为的 相关性研究
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齐齐哈尔医学院大学生创新创业训练计划(X202211230027);齐齐哈尔医学院社会科学 基金项目(QYSKL2022-03ZD)


Analysis of negative life events and non-suicidal self-injurious behavior operational mechanisms in adolescents
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    摘要:

    目的 探究负性生活事件对青少年非自杀性自伤(NSSI)行为的作用机制。方法 选取 2021 年 1 月— 2022 年 1 月黑龙江省几所城市初一至高二的 1 800 名青少年为研究对象。采用青少年非 自杀性自伤行为评定问卷、青少年生活事件量表进行问卷调查。采用 Spearman 相关分析 NSSI 行为、 NSSI 动机、情绪调节、自我强化、影响人际和青少年负性生活事件的相关性。采用 SPSS 25.0 中 Process 模型 4 和 5 进行中介调节效应分析。结果 最终回收有效问卷 1 666 份,问卷有效回收率为 92.6%。青 少年 NSSI 行为总检出率为 25.0%(416/1 666)。青少年负性生活事件与 NSSI 动机、NSSI 行为呈正相关, NSSI行为与NSSI动机呈正相关(r=0.32、0.26、0.22,均P<0.01)。中介模型分析显示,NSSI的3类动机(情 绪调节、自我强化和影响人际)在负性生活事件与 NSSI 行为之间存在中介效应,效应值为 0.012,占总效 应值的 26.67%;调节效应分析发现性别能够调节负性生活事件对 NSSI 行为的直接效应,即相对男性群 体,负性生活事件对女性青少年 NSSI 行为的正向预测作用更强。结论 重视负性生活事件对青少年的 NSSI 行为的影响及作用机制,尤其要关注青春期早期女性群体。

    Abstract:

    Objective To explore the mechanisms of negative life events on non-suicidal self-injury (NSSI) behavior in adolescents. Methods A total of 1 800 adolescents from the first year of junior high school to second year of senior high school in several cities in Heilongjiang Province were selected as the research subjects from January 2021 to January 2022. Adolescent Non-Suicidal Self-Injury Questionnaire and Adolescent Self-rating Life Events Checklist were applied in the investigation. Spearman correlation analysis was used to investigate the correlation between NSSI behavior, NSSI motivation, emotion regulation, self reinforcement, interpersonal influence, and negative life events in adolescents. Process models 4 and 5 in SPSS 25.0 were used for mediation effect analysis. Results A total of 1 666 valid questionnaires were ultimately collected, with an effective response rate of 92.6%. The overall detection rate of NSSI behavior among adolescents was 25.0% (416/ 1 666). Negative life events in adolescents were positively correlated with NSSI motivation and NSSI behavior, and NSSI behavior was positively correlated with NSSI motivation(r=0.32、0.26、0.22,all P < 0.01). The mediation model analysis showed that the three types of NSSI motivations (emotion regulation, self reinforcement, and interpersonal influence) had a mediating effect between negative life events and NSSI behavior, with an effect value of 0.012, accounting for 26.67% of the total effect value. The moderation effect analysis found that gender could regulate the direct effect of negative life events on NSSI behavior, that is, compared to the male population, negative life events had a stronger positive predictive effect on NSSI behavior in female adolescents. Conclusions It is crucial to acknowledge the role of adverse life events and the mediating function of NSSI motivation in adolescent NSSI behaviors, particularly among female adolescents, to formulate effective prevention strategies.

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张多加,于增艳.负性生活事件与青少年非自杀性自伤动机及行为的 相关性研究[J].神经疾病与精神卫生,2024,24(7):501-506
DOI :10.3969/j. issn.1009-6574.2024.07.008.

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  • 在线发布日期: 2024-08-12