非自杀性自伤青少年的情绪调节策略和家庭功能研究

doi:10.11852/zgetbjzz2021-0339

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (9): 946-950.DOI: 10.11852/zgetbjzz2021-0339

非自杀性自伤青少年的情绪调节策略和家庭功能研究

赵天新¹, 钟意娟², 魏莹娟³, 苏艳丽², 党云皓², 吴限亮²

1.陕西中医药大学,陕西咸阳 712046;
2.西安市精神卫生中心;
3.宝鸡教育学院

收稿日期:2021-03-07 修回日期:2021-04-20 发布日期:2021-09-07 出版日期:2021-09-10
通讯作者: 吴限亮,E-mail:tingsongu@163.com
作者简介:赵天新(1995-),女,河南人,硕士学位,主要研究方向为危机干预与青少年心理健康。
基金资助:
西安市科技计划项目[201805099YX7SF33(7)]

Emotion regulation strategies and family function in non-suicidal self-injury adolescents

ZHAO Tian-xin^*, ZHONG Yi-juan, WEI Ying-juan, SU Yan-li, DANG Yun-hao, WU Xian-liang

^*Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China

Received:2021-03-07 Revised:2021-04-20 Online:2021-09-10 Published:2021-09-07
Contact: WU Xian-liang,E-mail:tingsongu@163.com

摘要/Abstract

摘要： 目的研究非自杀性自伤(NSSI)青少年的情绪调节策略和家庭功能特征,为NSSI的预防及干预提供参考。方法采用家庭亲密度和适应性量表(FACES)、情绪调节策略量表(ERQ)、贝克抑郁量表第2版(BDI-2)以及自制的一般情况调查表,于2021年1月以分层抽样的方法对陕西省西安市和宝鸡市12 所中学的7 869名中学生进行调查,筛选存在非自杀性自伤行为的中学生,并对其情绪调节策略和家庭功能进行研究。结果具有非自杀性自伤行为的中学生家庭的亲密度和适应性更低(χ²=176.637、194.786、202.284,P<0.05),更倾向于采用表达抑制的情绪调节策略(t=9.620,P<0.05)。Logistic 回归分析显示,男性、认知重评得分高和家庭亲密度高是非自杀性自伤的保护因素(OR＝0.55、0.65、0.98),表达抑制的情绪调节策略和抑郁得分高是非自杀性自伤的危险因素(OR＝1.27、1.08,P<0.05)。结论青少年非自杀性自伤与情绪调节策略和家庭功能密切相关,对此制定有针对性的心理干预措施有可能让更多的患者和家庭受益。

关键词: 非自杀性自杀, 情绪调节策略, 家庭功能, 表达抑制, 认知重评, 抑郁, 青少年

Abstract: Objective To explore the feature of emotion regulation strategies and family function in adolescents who suffered from non-suicidal self-injury(NSSI),in order to provide reference for the prevention and intervention of NSSI. Methods A total of 7 869 middle school students from Xi'an and Baoji in Shaanxi Province were selected into this study in January 2021, and were asked to fill in the Family Adaptability and Cohesion Evaluation Scales(FACES),Emotion Regulation Questionnaire(ERQ),Beck Depression Inventory-Ⅱ(BDI-Ⅱ)and self-developed general information questionnaire to screen adolescents with NSSI.The emotion regulation strategies and family function of adolescents with NSSI were investigated. Results The adolescents who have reported NSSI tended to use the expressive suppression strategy with lower family adaptability and cohesion(χ²=176.637,194.786,202.284,t=9.620,P＜0.05).Logistic regression analysis showed that male,high cognitive reappraisal score and high family closeness were protective factors for NSSI(OR=0.55,0.65,0.98),while high expressive suppression score and depression were risk factors for NSSI(OR=1.27,1.08,P<0.05). Conclusions NSSI among adolescents is closely related to emotional regulation strategies and family functions.Adolescents and their parents may benefit from psychological interventions focused on emotional regulation strategies and family functions.

Key words: non-suicidal self-injury, emotion regulation strategies, family function, expressive suppression, cognitive reappraisal, depression, teenagers

中图分类号:

R749.94

赵天新, 钟意娟, 魏莹娟, 苏艳丽, 党云皓, 吴限亮. 非自杀性自伤青少年的情绪调节策略和家庭功能研究[J]. 中国儿童保健杂志, 2021, 29(9): 946-950.

ZHAO Tian-xin, ZHONG Yi-juan, WEI Ying-juan, SU Yan-li, DANG Yun-hao, WU Xian-liang. Emotion regulation strategies and family function in non-suicidal self-injury adolescents[J]. Chinese Journal of Child Health Care, 2021, 29(9): 946-950.

参考文献

[1] Nock MK.Understanding nonsuicidal self-injury:origins,assessment,and treatment[M].Am Psycho,2009:9-18.
[2] Zetterqvist M,Perini I,Mayo LM,et al.Nonsuicidal self-injury disorder in adolescents:clinical utility of the diagnosis using the clinical assessment of nonsuicidal self-injury disorder index[J].Front Psychiatry,2020,11:8.
[3] Lang J,Yao Y.Prevalence of nonsuicidal self-injury in chinese middle school and high school students:a meta-analysis[J].Medicine,2018,97(42):e12916.
[4] De Riggi ME,Moumne S,Heath N L,et al.Non-suicidal self-injury in our schools:a review and research-informed guidelines for school mental health professionals[J].Can J Sch Psychol,2017,32(2):122-143.
[5] Gratz KL,Rosenthal MZ,Tull MT,et al.An experimental investigation of emotion dysregulation in borderline personality disorder[J].J Abnorm psychol,2006,115(4):850-855.
[6] Joormann J,Gotlib IH.Emotion regulation in depression:relation to cognitive inhibition[J].Cogn Emot,2010,24(2):281-298.
[7] Moore SA,Zoellner LA,Mollenholt N.Are expressive suppression and cognitive reappraisal associated with stress-related symptoms?[J].Behav Res Ther,2008,46(9):993-1000.
[8] Heilman RM,Crişan LG,Houser D,et al.Emotion regulation and decision making under risk and uncertainty[J].Emotion,2010,10(2):257-265.
[9] Baetens I,Claes L,Hasking P,et al.The relationship between parental expressed emotions and non-suicidal self-injury:The mediating roles of self-criticism and depression[J].J Child Fam Stud,2015,24(2):491-498.
[10] Morris AS,Silk JS,Steinberg L,et al.The role of the family context in the development of emotion regulation [J].Social development 2007,16(2):361-388.
[11] 王力,柳恒超,李中权,等.情绪调节问卷中文版的信效度研究[J].中国健康心理学杂志,2007,15(6):503-505.
[12] 王力,陆一萍,李中权.情绪调节量表在青少年人群中的试用[J].中国临床心理学杂志,2007,15(3):236-238.
[13] Wang D,Yuan B,Han H,et al.Validity and reliability of emotion regulation questionnaire(ERQ)in Chinese rural-to-urban migrant adolescents and young adults[J].Current Psychology,2020.doi:10.1007/s12144-020-00754-9
[14] Baer L,Blais MA.Handbook of clinical rating scales and assessment in psychiatry and mental health[M].Humana Press,2010:10-11.
[15] 费立鹏,沈其杰,郑延平,等.“家庭亲密度和适应性量表”和“家庭环境量表”的初步评价——正常家庭与精神分裂症家庭成员对照研究[J].中国心理卫生杂志,1991,5(5):198-202,238.
[16] 林丽华,曾芳华,江琴,等.福建省中学生心理弹性家庭亲密度与非自杀性自伤行为的关系[J].中国学校卫生,2020,41(11):70-73.
[17] 杨春燕,李秀玲,张江萍.贵州省初中生非自杀性自伤行为现状与影响因素研究[J].现代预防医学,2020,47(13):2359-2363.
[18] 唐杰,马颖,郭勇,等.广东省中学生情绪管理与自伤行为的相关性[J].中国学校卫生,2014,35(7):967-969.
[19] 韦琳,王萍,覃彦香.城乡中学生伤害与心理社会能力缺陷关系[J].中国公共卫生,2012,28(6):745-749.
[20] 胡燕,徐慧琼,万宇辉,等.安徽省中学生非自杀性自伤行为现状及其影响因素[J].中国疾病控制杂志,2020,24(8):923-928.
[21] Berger E,Hasking P,Martin G.Listen to them':Adolescents' views on helping young people who self-injure[J].J Adolesc,2013,36(5):935-945.
[22] Bakken NW,Gunter WD.Self-cutting and suicidal ideation among adolescents:gender differences in the causes and correlates of self-Injury[J].Deviant Behavior,2012,33(5):339-356.
[23] Bresin K,Schoenleber M .Gender differences in the prevalence of nonsuicidal self-injury:a meta-analysis[J].Clin Psychol Rev,2015,38:55-64.
[24] de Riggi ME,Moumne S,Heath NL.et al.Non-suicidal self-injury in our schools:a review and research-informed guidelines for school mental health professionals[J].Can J Sch Psychol,2017,32(2):122-143.

非自杀性自伤青少年的情绪调节策略和家庭功能研究

Emotion regulation strategies and family function in non-suicidal self-injury adolescents

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	孙燕, 郭菲, 陈祉妍. 家庭阅读和母子亲密对情绪调节策略代际传递的链式中介作用[J]. 中国儿童保健杂志, 2023, 31(6): 606-611.
[2]	胡婷婷, 朱晓瑞, 张庆娥, 陈旭, 周娇娇, 董思鑫, 冀杨. 贫困地区青少年网络成瘾现状调查及相关因素分析[J]. 中国儿童保健杂志, 2023, 31(6): 612-616.
[3]	宾雅棣, 付佳蕾, 兰楠, 贾艺玮, 陈丽, 雷晓梅. 瘦素对慢性束缚应激导致青春期抑郁和学习记忆障碍的改善及机制研究[J]. 中国儿童保健杂志, 2023, 31(6): 629-633.
[4]	缪宇铃, 林青敏, 姜艳蕊, 赵瑾, 张云婷, 王广海, 江帆. 上海市青少年24小时活动与负性情绪的相关研究[J]. 中国儿童保健杂志, 2023, 31(5): 475-480.
[5]	尹翠平, 王楠, 刘然. 儿童青少年骨折发生影响因素的剂量-反应Meta分析[J]. 中国儿童保健杂志, 2023, 31(5): 529-534.
[6]	廖晶, 朱琳. 人体测量学指标预测13~16岁肥胖青少年血脂异常风险的列线图模型[J]. 中国儿童保健杂志, 2023, 31(4): 379-384.
[7]	叶夕霞, 朱之心, 陈明明, 张雅琴, 周静, 曹文婷. 儿童与青少年血清维生素D水平与骨折风险相关性研究的Meta分析[J]. 中国儿童保健杂志, 2023, 31(4): 416-421.
[8]	吴巧玲, 徐健, 赵正言, 彭咏梅, 龚春丹. 超敏C反应蛋白与儿童青少年代谢综合征的相关性[J]. 中国儿童保健杂志, 2023, 31(4): 427-432.
[9]	蔡文萍, 郭妮娅. 乌鲁木齐市中小学生膳食模式与超重肥胖的相关性研究[J]. 中国儿童保健杂志, 2023, 31(4): 433-437.
[10]	杨柳, 刘玉山, 吴宁渤, 孙静. 青少年抑郁症首发患者血清25-羟基维生素D₃、维生素D结合蛋白水平变化及临床意义[J]. 中国儿童保健杂志, 2023, 31(3): 259-262.
[11]	刘丹, 肖泽萍. 青少年自伤现象的研究进展[J]. 中国儿童保健杂志, 2023, 31(3): 294-298.
[12]	彭莲华, 刘冬冬, 龙楠楠, 徐萍, 陈阳, 毛平. 童年不良经历青少年执行功能现状及影响因素研究进展[J]. 中国儿童保健杂志, 2023, 31(3): 299-303.
[13]	宝红升, 孙元芳, 唐丽燕, 郭英杰. 浙江省儿童青少年超重肥胖影响因素分析[J]. 中国儿童保健杂志, 2023, 31(3): 341-345.
[14]	中华医学会儿科分会发育行为学组, 中国医师协会儿科分会儿童保健学组. 居家隔离/线上学习期间儿童青少年心理行为问题预防和心理支持专家建议(第二版)[J]. 中国儿童保健杂志, 2023, 31(2): 117-122.
[15]	张小甜, 张悦, 邓梁琼, 赵蓉蓉, 李容, 张风华, 徐韬. 母亲抑郁情绪对3月龄婴儿发育影响的关联性分析[J]. 中国儿童保健杂志, 2022, 30(9): 947-951.