青少年非自杀性自伤患者父母人格特征及认知调节情绪策略

  目的  分析青少年非自杀性自伤(non-suicidal self-injury，NSSI)患者父母人格特征、认知调节情绪策略对青少年NSSI行为的影响。  方法  选取2020年1月至2021年1月到山东第一医科大学第二附属医院、泰安市中心医院、泰安市精神病医院就诊的青少年NSSI患者为病例组(60人)，在学校、社区及医院选取健康青少年为对照组(60人)，采用中国大五人格问卷简式版、认知情绪调节问卷中文版(CERQ-C)对其父母进行问卷调查，利用Logistic回归评价青少年NSSI的影响因素。  结果  对照组父母开放性、严谨性人格得分(40.90±6.19)(48.18±6.12)]高于病例组父母(36.88±5.02)(44.12±6.58)](t值分别为3.90，3.50，P值均＜0.05)。对照组父母面对负性事件时在接受、积极再评价、再关注计划、积极再关注、合理分析的策略得分高于病例组父母(t值分别为3.43，3.58，2.36，5.44，3.53，P值均＜0.05)。病例组父母的神经质与合理分析(r=0.31)、灾难性(r=0.37)呈正相关；开放性与积极再关注(r=0.30)、积极再评价(r=0.27)呈正相关；接受与外向性、开放性、严谨性呈负相关(r值分别为-0.29，-0.40，-0.26)；责备他人与外向性(r=-0.35)、宜人性呈负相关(r=-0.36)；外向性与积极再关注呈负相关(r=-0.32)(P值均 < 0.05)。二元Logistic回归分析结果显示，病例组父母的经济水平、受教育年限、接受、积极再评价、合理分析、神经质、开放性、严谨性与NSSI行为呈负相关(OR值分别为0.49，0.60，0.59，0.45，0.53，0.81，0.76，0.74)，自我责难、再关注计划与青少年NSSI行为呈正相关(OR值分别为1.55，2.09)(P值均＜0.05)。  结论  青少年NSSI患者父母的人格特征、面对负性事件时的情绪调节策略影响青少年NSSI行为的发生。

Personality and cognitive reguation emotion strategies among parents of adolescents with non-suicidal self-injury

  Objective  To analyze the association of personality characteristics and cognitive adjustment strategies among parents of adolescents with non-suicidal self-injury(NSSI) with adolescent NSSI.  Methods  Adolescents with NSSI who visited the hospital from January 2020 to January 2021 were recruited as the case group(n=60), and healthy adolescents recruited in the school, community and hospital were selected as the control group(n=60). The participants' parents completed the Chinese Big Five Personality Inventory and the Chinese version of the Cognitive Emotion Regulation Questionnaire (CERQ-C), Logistic regression was used to explore the associations.  Results  Parents of the control group had higher scores of openness (40.90±6.19) and conscientiousness (48.18±6.12) than parents of the case group (36.88±5.02)(44.12±6.58) (t=3.90, 3.50, P < 0.05). In terms of negative events, scores of acceptance, positive reappraisal, refocusing on planning, positive refocusing and putting into perspective were higher among parents of the control group than among parents of the case group (t=3.43, 3.58, 2.36, 5.44, 3.53, P < 0.05). Among parents of the case group, neuroticism was positively correlated with putting into perspective (r=0.31) and catastrophizing (r=0.37). Openness was positively correlated with positive refocusing (r=0.30) and positive reappraisal (r=0.27). Acceptance was negatively correlated with extroversion (r=-0.29), openness (r=-0.40), conscientiousness (r=-0.26), while other-blame was negatively correlated with extroversion (r=-0.35), agreeableness (r=-0.36). Extraversion was negatively associated with positive refocusing (r=-0.32)(P < 0.05). According to binary regression analysis, the income of parents in the case group (OR=0.49), education (OR=0.60), acceptance (OR=0.59), positive reappraisal (OR=0.45), putting into perspective (OR=0.53), neuroticisms (OR=0.81), openness (OR=0.76) and conscientiousness (OR=0.74) were risk factors, whereas refocusing on planning (OR=2.09) and self-blame (OR=1.55) were protective factors of NSSI in the case group(P < 0.05).  Conclusion  When confronted with adverse events, the personality characteristics of parents of children with NSSI, and the emotional regulation strategies adopted by these parents, have influence on the prevalence of NSSI in this population.