儿童期虐待对青少年首发抑郁症患者非自杀性自伤行为的影响

  目的  探讨儿童期虐待对青少年首发抑郁症患者的非自杀性自伤行为（non-suicidal self-injury，NSSI）的影响。  方法  纳入2022年1～8月在云南省精神病医院住院治疗的136例12～18岁的抑郁症患者，使用一般人口学问卷、青少年非自杀性自伤行为问卷、儿童期创伤问卷进行调查。根据近1 a NSSI存在与否，分成NSSI组和无NSSI组，比较组间差异。儿童期虐待对NSSI的影响使用Logistic多因素回归。  结果  与无NSSI组比较，NSSI组的情感虐待、情感忽视发生率更高，差异有统计学意义（P < 0.05）；Logistic多因素回归分析示，在校正性别、受教育程度、父母是否离异、精神病家族史后，情感虐待与青少年抑郁症患者NSSI显著正相关（OR = 3.015，95%CI:1.200～7.578）；情感忽视与NSSI显著正相关（OR = 2.446，95%CI:1.089～5.496）。  结论  情感虐待、情感忽视与NSSI密切相关。

Effect of Childhood Abuse on Non-suicidal Self-injury in Adolescents with First-episode Depression

  Objective  To explore the effects of childhood abuse on Non-suicidal Self-injury（NSSI） in patients with first-episode adolescent depression in the Yunnan Provincial Psychiatric Hospital.   Methods  A total of 136 depressed patients aged 12 to 18 years hospitalized in our hospital from January to August 2022 were included, and the general demographic questionnaire, Adolescent non-suicidal self-injury behavior questionnaire, and Childhood Trauma Questionnaire were used. The patients were divided into NSSI group and non-NSSI group according to the presence or absence of NSSI behavior in the past and the investigation results were compared between the two groups. Multivariate logistic regression analysis was used to analyze the impact of childhood maltreatment on NSSI.   Results  Compared with the non-NSSI group, the incidence of emotional abuse and emotional neglect in the NSSI group were higher, and the differences were significant （P < 0.05）. After adjusting for gender, education, parental divorce, and family history of mental illness, emotional abuse and emotional neglect were significantly positively associated with NSSI （OR = 3.015, 95%CI: 1.200～7.578; OR = 2.446, 95%CI: 1.089～5.496）.   Conclusion  Emotional abuse, emotional neglect are strongly associated with NSSI.