四川精神卫生2026，Vol.39Issue(1)：21-26,6.DOI:10.11886/scjsws20250418001
青少年抑郁障碍患者非自杀性自伤行为与冲动性和情绪调节的关系
Relationship between non-suicidal self-injury behaviors,impulsivity,and emotional regulation in adolescents with depressive disorder
摘要
Abstract
Background Adolescents with depressive disorder often engage in non-suicidal self-injury(NSSI)behaviors,which severely impacts their physical and mental health.Impulsivity and emotional regulation are key factors influencing NSSI behaviors.However,research on the mechanisms through which impulsivity and emotional regulation affect NSSI behaviors in adolescent depressive disorder patients with NSSI remains insufficient,limiting the development of effective intervention strategies.Objective To explore the differences in impulsivity and emotion regulation abilities between adolescent patients with depressive disorder accompanied by and without NSSI behaviors,and to analyze the association between NSSI behaviors and impulsivity and emotion regulation abilities in adolescent patients with depressive disorder accompanied by NSSI behaviors.Methods A total of 184 adolescents hospitalized in the child and adolescent psychiatry department of Wuxi Mental Health Center from October 2023 to August 2024,who met the diagnostic criteria for depressive disorder according to the Diagnostic and Statistical Manual of Mental Disorders,fifth edition(DSM-5),were consecutively enrolled as study subjects.Based on the diagnostic criteria for NSSI in DSM-5,patients were divided into NSSI group(n=108)and non-NSSI group(n=76).The Barratt Impulsiveness Scale-11(BIS-11),the Emotion Regulation Questionnaire(ERQ),the Adolescent Self-Harm Questionnaire,and the Positive and Negative Suicide Ideation(PANSI)were used for assessment.Spearman correlation analysis was employed to explore the correlation between the scores of the Adolescent Self-Harm Questionnaire and the scores of BIS-11 and ERQ in the NSSI group.Multiple regression analysis was conducted to examine the effects of impulsivity and emotion regulation on NSSI behaviors in the NSSI group.Results Compared to the non-NSSI group,the NSSI group showed significantly higher scores in BIS-11 non-planned impulsivity(Z=-4.181,P<0.05),action impulsivity(t=4.944,P<0.05),cognitive impulsivity(Z=-3.392,P<0.05),and total score(t=4.763,P<0.05),and lower scores in the cognitive reappraisal of ERQ(t=-4.094,P<0.05)and total score(Z=-2.299,P<0.05),and higher scores in the expression inhibition of ERQ(Z=-3.019,P<0.05).The correlation analysis results showed that the score of the adolescent self-harm questionnaire in the NSSI group was positively correlated with the behavioral impulsivity factor score in the BIS-11(r=0.434,P<0.05).Multiple regression analysis indicated that action impulsivity factor was a significant correlate of self-injury behaviors in the NSSI group(B=0.855,P<0.05),explaining 22.30%of the total variance.Conclusion Adolescent patients with depressive disorder accompanied by NSSI behaviors exhibit higher levels of impulsivity and poorer emotional regulation abilities.Action impulsivity may play a significant role in the mechanism of NSSI behaviors.关键词
青少年/非自杀性自伤/抑郁障碍/冲动性/情绪调节Key words
Adolescents/Non-suicidal self-injury/Depressive disorder/Impulsivity/Emotional regulation分类
医药卫生引用本文复制引用
张鸣斐,陈新宇,梁芳,陈哲,钱璐,李志佳..青少年抑郁障碍患者非自杀性自伤行为与冲动性和情绪调节的关系[J].四川精神卫生,2026,39(1):21-26,6.基金项目
无锡市卫生健康委科研项目(项目名称:基于数字化平台筛查儿童青少年非自杀性自伤的风险因素及其临床应用,项目编号:Q202320) Funded by Wuxi Municipal Health Commission Research Project(number,Q202320) （项目名称:基于数字化平台筛查儿童青少年非自杀性自伤的风险因素及其临床应用,项目编号:Q202320）
