临床误诊误治2025，Vol.38Issue(6)：73-77,5.DOI:10.3969/j.issn.1002-3429.2025.06.014
青少年抑郁症患者非自杀性自伤行为现状及与认知情绪调节和社会支持的相关性分析
Current Status of NSSI and Its Correlation with Cognitive Emotion Regula-tion and Social Support in Adolescent Patients with Depression
摘要
Abstract
Objective To analyze the current status of non-suicidal self-injury(NSSI)and its influencing factors in adolescents with depression,and to explore its correlation with cognitive emotion regulation and social support.Methods A total of 100 adolescent patients with depression who were admitted from March 2021 to February 2023 were enrolled.Accord-ing to the presence or absence of NSSI,they were divided into NSSI group(n=39)and non-NSSI group(n=61).The gen-eral information questionnaire,NSSI rating Questionnaire,Cognitive Emotion Regulation Questionnaire Chinese version(CERQ-C)and social support rating scale(SSRS)were used to investigate the patients.The differences in general informa-tion,CERQ-C score and SSRS score between NSSI group and non-NSSI group were compared.Multivariate logistic regression was used to analyze the related factors affecting the occurrence of NSSI.Results Among the 100 adolescent patients with de-pression,39.00%(39/100)had NSSI.There were significant differences in the degree of depression and anxiety between NSSI group and non-NSSI group(P＜0.05).Compared with the non-NSSI group,the NSSI group had significantly higher scores of rumination,catastrophizing,blaming others,and self-blame and significantly lower scores of acceptance,rational analysis,positive reappraisal,positive refocusing,and refocusing on the plan(P＜0.05,P＜0.01).The NSSI group had significantly lower support utilization score and total SSRS score than the non-NSSI group(P＜0.05).The results of multiva-riate logistic regression analysis showed that the degree of depression,rumination,catastrophizing,blaming others,and self-blame were risk factors for NSSI,and the utilization of support,positive reappraisal,positive refocusing,and refocusing on plans were protective factors for NSSI(P＜0.05,P＜0.01).Conclusion Adolescent patients with depression have a cer-tain risk of NSSI,and the occurrence of NSSI is closely related to cognitive emotion regulation and social support.关键词
抑郁症/青少年/非自杀性自伤行为/认知情绪调节/社会支持/危险因素Key words
Depression/Adolescent/Non-suicidal self-injury/Cognitive emotion regulation/Social support/Risk factors分类
临床医学引用本文复制引用
马立鑫,邓巧恩..青少年抑郁症患者非自杀性自伤行为现状及与认知情绪调节和社会支持的相关性分析[J].临床误诊误治,2025,38(6):73-77,5.基金项目
河北省2024年度医学科学研究项目(20241462) （20241462）
