Stressful Life Events as a Predictor for Nonsuicidal Self-Injury in Southern Chinese Adolescence: A Cross-Sectional Study.
Stressful Life Events as a Predictor for Nonsuicidal Self-Injury in Southern Chinese Adolescence: A Cross-Sectional Study.
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DOI：
10.1097/md.0000000000002637
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发表时间：
2016-03
期刊：
影响因子：
1.6
通讯作者：
Yu YZ
中科院分区：
文献类型：
--
作者：
Tang J;Yang W;Ahmed NI;Ma Y;Liu HY;Wang JJ;Wang PX;Du YK;Yu YZ
应激性生活事件与非自杀性自伤（nonsuicidal self-injury，NSSI）相关的各种精神病理学的病因学有关，然而，很少有研究直接在中国学校青少年中探讨NSSI与应激性生活事件之间的关联。在本研究中，我们的目的是估计患病率的NSSI，并探讨其与压力性生活事件在中国南方的青少年。从广东省3个城市的12所学校随机抽取了4405名10 ~ 22岁的学生。采用结构式问卷调查，测量了NSSI、压力性生活事件、自尊、情绪管理和应对方法。采用多项logistic回归分析研究NSSI与应激性生活事件的关系。结果显示，1年自我报告的NSSI为29.2%，其中22.6%从事“轻微”NSSI（包括打自己，拉头发，咬自己，在指甲或皮肤下插入物体，在伤口处采摘）和6.6%从事“中度/重度”NSSI（包括切割/雕刻，燃烧，自我纹身，刮擦和擦除皮肤）。青少年中最常见的NSSI类型是自打（15.9%）、拔头发（10.9%）和将物体插入指甲或皮肤采摘区域以止血（18.3%）。研究结果还表明，即使调整了性别、年龄、居住地、自尊、应对方式和情绪管理等因素，中国南方青少年的“轻度NSSI”与人际、损失和健康适应方面的压力性生活事件相关，而“中度/重度NSSI”与人际、健康适应方面的压力性生活事件相关。结果进一步表明，在那些有良好的情绪管理能力的人中，压力性生活事件与较低的NSSI风险显着相关。
Stressful life events have been implicated in the etiology of kinds of psychopathology related to nonsuicidal self-injury (NSSI); however, few studies have examined the association between NSSI and stressful life events directly in Chinese school adolescents. In this study, we aim to estimate the prevalence rate of NSSI and examine its association with stressful life events in Southern Chinese adolescents. A total sample of 4405 students with age ranged from 10 to 22 years was randomly selected from 12 schools in 3 cities of Guangdong Province, China. NSSI, stressful life events, self-esteem, emotional management, and coping methods were measured by structured questionnaires. Multinomial logistic regression was used to examine the association of NSSI with stressful life events. Results showed the 1 year self-reported NSSI was 29.2%, with 22.6% engaged in “minor” NSSI (including hitting self, pulling hair, biting self, inserting objects under nails or skin, picking at a wound) and 6.6% in “moderate/sever” NSSI (including cutting/carving, burning, self-tattooing, scraping, and erasing skin). Self-hitting (15.9%), pulling hair out (10.9%), and self-inserting objects under nails or skin picking areas to dram blood (18.3%) were the most frequent types of NSSI among adolescents. Results also showed that “Minor NSSI” was associated with stressful life events on interpersonal, loss and health adaption, and “moderate/severe NSSI” was associated with life events on interpersonal, health adaption in Southern Chinese adolescents, even after adjusted for sex, age, residence, self-esteem, coping style, and emotional management. Results further suggested stressful life events were significantly associated with less risk of NSSI in those who had good emotional management ability.