伴与不伴非自杀性自伤行为青少年抑郁障碍焦虑、应对方式的对比分析及相关性研究
Comparative analysis and correlation study on anxiety and coping styles of adolescent patients with depressive disorder with and without non suicidal self-injury behavior
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2021, 48(6) |
| 作者 |
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| 作者单位 |
苏州市广济医院 ;
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| 摘要 |
【摘要】探讨伴与不伴非自杀性自伤行为（NSSI）青少年抑郁障碍的焦虑情绪、应对方式的差异及其相关性，从而为制定有效的干预措施提供有利依据。方法 选取我院2017年11月至2019年12月期间就诊的符合ICD-10诊断标准的8-18岁抑郁障碍患者，根据有无NSSI分为两组，其中伴NSSI的71名为研究组，不伴NSSI的59名为对照组。两组均使用宗氏抑郁自评量表（SDS）、汉密尔顿抑郁量表（HAMD）评估抑郁症状，状态-特质焦虑问卷（STAI）评估焦虑症状，简易应对方式问卷（SCSQ）评估应对方式。分析两组患者应对方式及焦虑的差异性，并对其积极和消极应对方式与状态焦虑和特质焦虑分别进行相关性分析。结果 伴NSSI组的积极应对评分显著低于不伴NSSI组（P＜0.05），伴NSSI组的消极应对评分显著高于不伴NSSI组（P＜0.05）。伴NSSI组患者无论在状态焦虑情绪还是在焦虑特质方面均显著高于不伴NSSI组患者。患者的状态焦虑与其消极应对方式具有相关性（P＜0.05），但与其积极应对方式并无相关性。而其特质焦虑无论是与积极应对方式还是消极应对方式均无明确相关性。 讨论 在相同抑郁状态下，伴有NSSI的青少年抑郁障碍患者在面对负性生活事件及抑郁、焦虑情绪时更容易采取消极应对方式，焦虑更为明显的患者也更容易采取消极应对方式。提示早期培养积极应对方式，较少消极应对方式，可能减轻焦虑、减少NSSI的发生。
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| Abstract |
[Abstract] Objective: To explore the differences and correlation of anxiety and coping styles in adolescents with depression with and without non suicidal self-injury behavior (NSSI), to provide a favorable basis for formulating effective intervention measures. Methods:Patients aged 8-18 with depressive disorder who met the ICD-10 diagnostic criteria in our hospital from November 2017 to December 2019 were divided into two groups according to the presence or absence of NSSI, of which 71 with NSSI were the study group and 59 without NSSI were the control group. Both groups used Zungs Self- rating Depression Scale (SDS) and Hamilton Depression Scale (HAMD) to evaluate depressive symptoms, State Trait Anxiety Questionnaire (STAI) to evaluate anxiety symptoms, and simple coping style questionnaire (SCSQ) to evaluate coping styles. The differences of coping styles and anxiety between the two groups were analyzed, and the correlation between their positive and negative coping styles and state anxiety and trait anxiety were analyzed respectively. Results:The positive coping score of the group with NSSI was significantly lower than that of the group without NSSI (P < 0.05), and the negative coping score of the group with NSSI was significantly higher than that of the group without NSSI (P < 0.05). The patients with NSSI were significantly higher than those without NSSI in terms of state anxiety and anxiety traits. There was a correlation between state anxiety and its negative coping style (P < 0.05), but there was no correlation between state anxiety and its positive coping style. There was no clear correlation between trait anxiety and positive coping style or negative coping style. Conclusion:In the same depressive state, adolescent depressive patients with NSSI are more likely to adopt negative coping styles in the face of negative life events, depression and anxiety, and patients with more obvious anxiety are also more likely to adopt negative coping styles. It is suggested that early cultivation of positive coping styles and less negative coping styles may reduce anxiety and reduce the occurrence of NSSI.
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| 关键词 |
【关键词】非自杀性自伤；抑郁障碍；青少年；焦虑；应对方式
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| KeyWord |
[Key words] Non suicidal self injury;Depression;Adolescent;anxious;Coping style
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| 基金项目 |
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| 页码 |
980-983 |
刘璐璐,朱峰*.
伴与不伴非自杀性自伤行为青少年抑郁障碍焦虑、应对方式的对比分析及相关性研究 [J].
国际精神病学杂志.
2021; 48; (6).
980 - 983.