青少年抑郁障碍患者非自杀性自伤与冲动性及情绪调节的关系研究

Study on the relationship between non-suicidal self-injury, impulsivity, and emotional regulation in adolescents with major depressive disorder

中文关键词:  青少年  非自杀性自伤 抑郁障碍  冲动性 情绪调节

英文关键词:adolescents  non-suicidal self-injury  major depressive disorder  impulsivity  emotional regulation

中文摘要:

      目的：旨在探究伴非自杀性自伤（Non-suicidal self-injury, NSSI）行为与不伴NSSI行为的青少年抑郁障碍患者在冲动性及情绪调节能力方面的差异，并进一步分析伴NSSI的青少年抑郁障碍患者的冲动性及情绪调节能力对其自伤行为的影响。 方法：本研究共纳入184名罹患抑郁障碍的青少年患者作为研究对象，依据其是否存在NSSI行为，将其分为伴NSSI组（108名）和不伴NSSI组（76名）。分别采用Barratt冲动性量表第11版（Barratt Impulsiveness Scale-11th version, BIS-11）及情绪调节问卷（Emotion Regulation Questionnaire, ERQ）对所有被试进行冲动性及情绪调节能力的评估。首先对比分析两组被试在冲动性及情绪调节能力上的差异；并运用相关分析探讨伴NSSI组的自伤行为与冲动性、情绪调节能力的相关性；此外，进一步采用多元回归分析，揭示伴NSSI组冲动性及情绪调节变量对自伤行为的预测作用。 结果：与不伴NSSI组相比，伴NSSI组的BIS-11、ERQ总分及各子量表得分均存在显著差异（p<0.05）；此外，在伴NSSI组中，自伤行为与自杀意念、BIS-11及ERQ各子量表得分均存在显著的相关性（p<0.05）；进一步多元回归分析发现，BIS-11中的行动冲动性因子对伴NSSI组的自伤行为最具预测效能（p<0.05）。 结论：本研究为深入理解青少年抑郁障碍患者自伤行为与冲动性及情绪调节的关系，及其干预策略的制定提供了重要依据。

英文摘要:

      This study aims to explore the differences in impulsivity and emotional regulation abilities between adolescents with major depressive disorder (MDD) who exhibit non-suicidal self-injury (NSSI) and those who do not. Additionally, it analyzes the impact of impulsivity and emotional regulation on self-injury behaviors in adolescents with MDD who exhibit NSSI. Methods: A total of 184 adolescents diagnosed with MDD were included in this study. Based on the presence or absence of NSSI behaviors, participants were divided into two groups: the NSSI group (108 participants) and the non-NSSI group (76 participants). The Barratt Impulsiveness Scale-11th version (BIS-11) and the Emotion Regulation Questionnaire (ERQ) were used to assess impulsivity and emotional regulation abilities in all participants. The two groups were first compared regarding their levels of impulsivity and emotional regulation. Correlation analysis was then conducted to explore the relationships between self-injury behaviors, impulsivity, and emotional regulation in the NSSI group. Furthermore, multiple regression analysis was conducted to reveal the predictive effects of impulsivity and emotional regulation variables on self-injury behaviors in the NSSI group. Results: The NSSI group showed significant differences compared to the non-NSSI group in BIS-11, ERQ total scores, and all subscale scores (p < 0.05). Additionally, in the NSSI group, self-injury behaviors were significantly correlated with suicidal ideation, BIS-11 scores, and ERQ subscale scores (p < 0.05). Moreover, multiple regression analysis indicated that motor impulsiveness of the BIS-11 had the strongest predictive power for self-injury behaviors in the NSSI group (p < 0.05). Conclusion: This study provides important evidence for a deeper understanding of the relationship between self-injury behaviors, impulsivity, and emotional regulation in adolescents with MDD and can guide the development of more effective intervention strategies.