武汉市部分大学新生应对方式与非自杀性自我伤害行为关系的研究

目的 探讨大学生应对方式和非自杀性自我伤害行为间的关联。方法 采用前瞻性研究方法,通过整群抽样抽取武汉市2所大学大一新生作为研究对象。通过基线调查了解研究对象的人口学特征和应对方式;1年后通过随访调查了解最近1年内非自杀性自我伤害行为的发生情况。结果 该人群非自杀性自我伤害行为的年发生率为2.3%,不同性别间差异无统计学意义。应对方式不同维度得分在自我伤害组与非自我伤害组间的差异有统计学意义,自我伤害组在"自责"维度得分高于非自我伤害组。多因素分析发现,"自责"应对维度得分、宗教信仰、母亲文化程度与自我伤害行为的发生风险有关,其OR值分别为1.30（95% CI：1.06~1.59）、3.55（95% CI：1.50~8.38）和2.46（95% CI：1.25~4.84）。结论 大学生应对方式与自我伤害行为之间存在关联。教育和培养青少年在面对压力时避免使用消极自责的应对方式,有助于预防自我伤害行为的发生。

Association between coping styles and non-suicidal self-injury among undergraduate students in Wuhan

Objective This study aimed to explore the association of non-suicidal self-injury (NSSI) and the coping styles in college undergraduate students.Methods Cluster sampling techniques was used to recruit freshmen students from two universities in Wuhan. Brief COPE scale was used to measure the coping skills at the baseline study. Non-suicidal self-injury was studied one year later through a follow-up program.Results The incidence of NSSI among college students was 2.3%. Students who reported NSSI had higher scores on Self-Blame dimension than those who did not.Results from the multivariate analysis showed that factors as:self-blame coping (OR=1.30, 95% CI:1.06-1.59), religion (OR=3.55, 95% CI:1.50-8.38) and maternal education level (OR=2.46, 95% CI:1.25-4.84) were related to NSSI.Conclusion Coping styles were found to be related to non-suicidal self-injury behavior in undergraduate students. Passive coping such as self-blaming, seemed to have increased the risk of NSSI.