儿童青少年抑郁障碍住院患者非自杀性自伤检出率及影响因素分析

Detection rate of non-suicidal self-injury in children and adolescents with depressive disorder and its influencing factors

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(5)
作者
作者单位

阜阳市第三人民医院 ;

摘要
目的:探索儿童青少年抑郁障碍住院患者非自杀性自伤(non-suicidal self-injury,NSSI)检出率及相关影响因素。方法:选取在阜阳市第三人民医院住院的符合《国际疾病分类(第10版)》(International Classification of Diseases,tenth edition,ICD-10)抑郁障碍诊断标准的儿童青少年患者,收集一般人口学资料及临床数据。采用相关性分析及回归分析探讨抑郁障碍患者伴NSSI的独立影响因素。结果:抑郁障碍患者伴NSSI检出率为35.2%(266/756)。NSSI行为与性别、总病程、体质指数(body mass index,BMI)、BMI分级和高密度脂蛋白(HDL)水平呈正相关;与年龄、发病年龄、首次住院年龄呈负相关(P<0.05)。回归分析指出,女性(OR=2.02,P<0.001)、肥胖(OR=1.87,P=0.014)是抑郁障碍患儿伴NSSI的危险因素,而发病年龄较大(OR=0.81,P<0.001)是NSSI发生的保护性因素。结论:儿童青少年抑郁障碍住院患者NSSI检出率较高,且与性别、体质指数水平及发病年龄相关。
Abstract
Objective To explore the detection rate of non-suicidal self-injury (NSSI) in children and adolescents with depression disorder and its related influencing factors. Methods Children and adolescents hospitalized in Fuyang Third Peoples Hospital conforming to the International Classification of Diseases, tenth edition (ICD-10) criteria for depressive disorder were selected. General demographic and clinical data were collected. Correlation analysis and regression analysis were used to analyze the independent influencing factors of depressive disorder patients with NSSI. Results The detection rate of NSSI in depressive disorder patients was 35.2% (266/756). NSSI behavior was positively correlated with gender, total course of disease, body mass index (BMI), BMI grading and high-density lipoprotein (HDL) levels, and negatively correlated with age, age of onset and age of first hospitalization (P<0.05). Regression analysis indicated that females (OR=2.02, P<0.001), obesity (OR=1.87, P=0.014) were risk factors for NSSI in children with depressive disorder, and the older age of onset (OR=0.81, P<0.001) was a protective factor for the occurrence of NSSI. Conclusion The detection rate of NSSI in children and adolescents with depressive disorder is higher, and is related to gender, body mass index level and age of onset.
关键词
儿童青少年;抑郁障碍;非自杀性自伤;检出率;影响因素
KeyWord
children and adolescents; depressive disorder; non-suicidal self-injury; detection rate; influencing factor
基金项目
页码 1008-1011
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杨荣春,刘志伟*,孙亮,张静静,马倩茹,姚高峰,刘云. 儿童青少年抑郁障碍住院患者非自杀性自伤检出率及影响因素分析 [J]. 国际精神病学杂志. 2023; 50; (5). 1008 - 1011.

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