The predictive role of childhood trauma and peer environment on non-suicidal self-injurious behavior in adolescents with depression
10.3760/cma.j.cn113661-20211208-00350
- VernacularTitle:童年创伤与同伴环境对青少年抑郁症患者非自杀性自伤行为的预测作用
- Author:
Tiantian ZUO
1
;
Kangcheng WANG
;
Yufei HU
;
Feiyu XU
;
Qiang HE
;
Ying YANG
;
Jintong LIU
Author Information
1. 山东省精神卫生中心（山东大学附属精神卫生中心），济南250014
- Publication Type:Journal Article
- Keywords:
Depressive disorder;
Adolescent;
Nonsuicidal self-injury;
Childhood trauma;
Peer rejection;
Clinical prediction
- From:
Chinese Journal of Psychiatry
2022;55(4):272-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to explore the relationship between non-suicidal self-injurious (NSSI) behaviors and childhood trauma and peer rejection in adolescents with depressive disorders and, to examine whether childhood trauma and peer rejection can predict NSSI behaviors in these adolescents.Methods:A total of 412 depressed adolescents (263 with NSSI and 149 without NSSI) were included in the test data set, while another 161 depressed adolescents (99 with NSSI and 62 without NSSI) were in the validation set. This study firstly analyzed the differences in the scores of the Children's Depression Inventory (CDI), Childhood Trauma Questionnaire (CTQ), and Social Peer Rejection Scale (SPR) between the two groups using the test set. Then, a hierarchical logistic regression model was used to analyze the independent effects of these environmental factors on NSSI behaviors and to determine the diagnostic model. Finally, the diagnostic model was applied using the validation data set to calculate the actual predictive efficacy of the model.Results:Compared to those without NSSI, adolescent patients with NSSI showed significantly higher scores in CDI ( t=10.04, P<0.001), CTQ ( t=9.11, P<0.001), SPR ( t=5.30, P<0.001), and their subscale scores. Then, the scores of the low self-esteem factor of CDI ( OR=1.12, P=0.002), the emotional neglect factor of CTQ ( OR=1.08, P=0.037), and the insult factor ( OR=1.10, P=0.050) and somatic aggression factor ( OR=0.89, P=0.049) of SPR were significantly associated with NSSI behaviors. The diagnostic model was well established (area under the ROC curve=0.84, P<0.001). In addition, in the validation data set, the diagnostic model had a significant predictive effect (area under the ROC curve=0.85, P<0.001). Conclusion:Childhood emotional neglect and peer insult might be crucially influential factors triggering NSSI behaviors among adolescents with depressive disorders. Childhood trauma and peer rejection were of considerable importance when diagnosing and predicting the development of NSSI behaviors in depressive adolescents.
