青少年非自杀性自伤行为的潜在剖面分析
Latent profile analysis of non-suicidal self-injury behaviors among adolescents
投稿时间:2025-02-18  修订日期:2025-08-22
DOI:
中文关键词:  青少年  非自杀性自伤  潜在剖面分析
英文关键词:Adolescents  Non-suicidal self-injury  Latent profile analysis
基金项目:福建省社会科学规划项目(项目名称:福建省青少年非自杀性自伤问题及团体干预研究,项目编号:FJ2019B173)
作者单位地址
林李琼 福州市第二总医院神经精神病防治院 福州市第二总医院神经精神病防治院
雷千乐 福建医科大学健康学院 
林煌烽 福建医科大学健康学院 
江琴* 福建医科大学健康学院 福建医科大学健康学院
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中文摘要:
      背景 既往关于青少年非自杀性自伤(NSSI)亚组的研究多以社区与学校青少年为研究对象,较少对临床样本展开研究,而识别NSSI青少年属于哪一种NSSI类型对于优化医疗资源分配具有重要意义。目的 探索临床NSSI青少年群体的亚组分型,为干预青少年的NSSI行为提供参考。方法 于2021年5月—2022年4月选取在福建省内6所医院的精神科门诊或心理科门诊就诊的、符合《精神障碍诊断与统计手册(第5版)》(DSM-5)中NSSI诊断标准的青少年192例。采用青少年非自杀性自伤行为评定问卷(ANSAQ)、儿童期创伤问卷(CTQ)、抑郁-焦虑-压力量表简体中文版(DASS-21)、情绪调节困难量表(DERS)进行评定。使用Mplus 8.0进行潜在剖面分析。结果 共192例NSSI青少年完成本研究。临床NSSI青少年群体可以分为三类,分别是“轻度自伤组(50人,26.04%)”、“情绪失调组(81人,42.19%)”和“重度自伤组(61人,31.77%)”;重度自伤组CTQ评分、DASS-21评分与DERS评分均高于轻度自伤组与情绪失调组,差异均有统计学意义(F=8.058、51.414、48.742,P均<0.01),情绪失调组DASS-21评分与DERS评分均高于轻度自伤组,差异均有统计学意义(F=51.414、48.742,P均<0.01)。结论 临床青少年NSSI行为存在3个潜在剖面,即轻度自伤组、情绪失调组与重度自伤组。
英文摘要:
      Background Previous studies on the subgroup of non-suicidal self-injury (NSSI) in adolescents have mainly focused on community and school adolescents, with limited research on clinical samples, and identifying which type of NSSI it belongs to is highly meaningful for optimizing the allocation of medical resources. Objective Exploring the subtypes of NSSI in clinical adolescents, providing theoretical support for future intervention studies on adolescents with NSSI in China. Method From May , 2021 to April , 2022 , 192 adolescents who met the diagnostic criteria for NSSI according to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) were selected from psychiatric or psychological outpatient clinics in six hospitals in Fujian Province. The measurement was conducted using a self-designed questionnaire, Adolescent Non-suicidal Self-injury Assessment Questionnaire (ANSAQ), Childhood Trauma Questionnaire(CTQ), Depression Anxiety Stress Scale (DASS-21), Difficulties in Emotion Regulation Scale(DERS). Latent profile analysis was performed using Mplus 8.0. Result The clinical adolescents with NSSI could be divided into three categories, namely "group with mild NSSI (50 people, 26.04%)", "group with emotional dysregulation (81 people, 42.19%)", and "group with severe NSSI (61 people, 31.77%)".The scores of childhood trauma questionnaire, anxiety depression stress scale, and emotion regulation scale in the severe self injury group were higher than those in the mild self injury group and emotion disorder group, and the differences were statistically significant (F=8.058, 51.414, 48.742, P<0.01). The scores of childhood trauma questionnaire, anxiety depression stress scale, and emotion regulation difficulty scale in the emotion disorder group were higher than those in the mild self injury group, and the differences were statistically significant (F=51.414、48.742,P均<0.01). Conclusion There are three potential profiles of NSSI among clinical adolescents, namely group with mild NSSI, group with emotional dysregulation , and group with severe NSSI.
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