抑郁障碍青少年自伤行为影响因素分析

  目的  探讨分析抑郁障碍青少年自伤行为影响因素，为开展临床干预和治疗提供参考。  方法  选取2015年1月至2017年1月在第904医院门诊就诊的80例14~18岁抑郁障碍青少年，采用艾森克人格问卷、父母养育方式量表、自伤行为评定量表进行问卷调查。  结果  男性抑郁障碍患者(76.74%)自伤行为报告率较女性高(54.05%)，母亲文化程度高的患者自伤行为报告率较高(77.78%)(χ2值分别为4.58，6.11，P值均 < 0.05)。存在自伤行为的患者内外向性因子得分(5.22±2.82)低于无自伤行为的患者(8.85±2.93)，神经质、精神质、掩饰性等因子得分(14.53±3.94)(5.60±1.58)(12.94±0.54)]均高于无自伤行为的患者(11.55±5.71)(3.13±1.43)(12.09±0.55)](t值分别为-5.37，2.74，6.82，6.31，P值均 < 0.05)；存在自伤行为的患者“父亲惩罚严厉”“父亲过分干涉”“父亲拒绝否认”“母亲拒绝否认”等因子得分(21.57±4.65)(21.73±4.38)(14.25±5.08)(20.34±4.64)]均高于无自伤行为的患者(18.50±7.53)(18.77±3.55)(11.58±2.97)(16.55±6.32)](t值分别为2.25，3.04，2.96，3.05，P值均 < 0.05)；Logistic回归分析结果显示，男性、母亲文化程度高及艾森克人格问卷中内外向性、神经质、精神质因子得分 < 38.5及 > 61.5分与抑郁障碍青少年患者发生自伤行为均呈正相关(OR值分别为1.99，2.31，1.71，2.52，1.98，P值均 < 0.05)。  结论  性别、母亲文化程度及症状自评为抑郁障碍青少年自伤行为的影响因素，应引起家庭、社会和学校的重视。

Associated factors of non-suicidal self-injury behavior in adolescents with depression disorder

  Objective  To explore associated factors of non-suicidal self-injury in adolescents with depression, and to provide a reference for clinical intervention and treatment.  Methods  A cross-sectional survey was conducted among 80 adolescents aged 14-18 years with depressive disorder who visited an outpatient clinic in the PLA 904nd Hospital from January 2015 to January 2017. Eysenck Personality Questionnaire(EPQ), Egma Minnenav Bsrdndosnauppforstran (EMBU), non-suicidal self-injury behavior rating scale were used to investigate them.  Results  Male patients with depression had more non-suicidal self-injury than female patients(76.74% vs. 54.05%), and patients with highly educated mothers had more non-suicidal self-injury(77.78%)(χ2=4.58, 6.11, P < 0.05). Self-injury behavior in patients with internal and external (E) the orientation factor score (5.22±2.82) was lower than the score of the patients without self-injury behavior(8.85±2.93)(t=-5.37, P < 0.05), neuroticism (N), while psychoticism (P) and hide(L) score (14.53±3.94) (5.60±1.58) (12.94±0.54)] were higher than patients without self-injury behavior (11.55±5.71) (3.13±1.43) (12.09±0.55)](t=2.74, 6.82, 6.31, P < 0.05); Factors such as "severe paternal punishment" "paternal excessive interference" "paternal refusal to deny" "maternal refusal to deny" and other factors in patients with non-suicidal self-injury (21.57±4.65) (21.73±4.38) (14.25±5.08) (20.34±4.64)] were all higher than those without non-suicidal self-injury (18.50±7.53) (18.77±3.55) (11.58±2.97) (16.55±6.32)](t=2.25, 3.04, 2.96, 3.05, P < 0.05); Logistic regression analysis showed that males, mothers with high educational level, and E, N, P (< 38.5 and > 61.5) were associated with non-suicidal self-injury behavior in adolescents with depression(OR=1.99, 2.31, 1.71, 2.52, 1.98, P < 0.05).  Conclusion  Gender, maternal education and symptom score were the important factors influencing non-suicidal self-injury.It is necessary to arouse the attention of the family, society and school.