Effects of individual and family factors on non-suicidal self-injurious behavior in adolescents with mood disorders
10.3760/cma.j.cn113661-20221017-00284
- VernacularTitle:个体及家庭因素对情绪障碍青少年非自杀性自伤行为的影响
- Author:
Jiaxin YANG
1
;
Yusheng TIAN
;
Jianjun OU
;
Yidong SHEN
;
Xi FU
;
Yamin LI
Author Information
1. 中南大学湘雅二医院临床护理学教研室,长沙410011
- Publication Type:Journal Article
- Keywords:
Adolescent;
Mood disorders;
Non-suicidal self-injury;
Individual factors;
Family factors
- From:
Chinese Journal of Psychiatry
2023;56(4):276-283
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to investigate the impact of individual and family factors on non-suicidal self-injury (NSSI) behaviors in adolescents with mood disorders.Methods:Adolescents with mood disorders were included according to the ICD-10 diagnostic criteria, while the NSSI behaviors were assessed according to the DSM-5. The patients were divided into mood disorders with ( n=147) and without NSSI group ( n=56). Healthy adolescents were included as the control group ( n=107). The General Information Questionnaire, the Generalized Anxiety Disorder-7, the Patient Health Questionnaire-9, the Emotion Regulation Difficulties Scale, the Childhood Trauma Questionnaire, and the Parenting Style Scale were assessed. The three groups were compared using the χ 2 test and the analysis of variance, while the difference between two groups was compared using the t-test. Multiple logistic regression was used to explore the influence of various factors on NSSI behaviors. Results:Patients in the mood disorder with NSSI group scored significantly higher on depression, difficulties in emotion regulation, emotional abuse, and parental control than those in the mood disorder without NSSI group and the healthy control group. The multiple logistic regression analysis revealed that NSSI behaviors were positively correlated with depression ( OR=1.407, P<0.001), emotional abuse ( OR=1.186, P=0.03), and maternal encourage autonomy ( OR=1.302, P=0.035), and negatively correlated with paternal encourage autonomy ( OR=0.805, P=0.038), maternal care ( OR=0.731, P=0.025), and adolescent′s age (OR=0.656, P<0.001); adolescent′s age ( OR=0.851, P=0.042), paternal age ( OR=0.891, P=0.049) and male gender ( OR=0.435, P=0.040) were negatively correlated with NSSI behaviors. Conclusions:Gender, age, depression level, emotion regulation ability, personality traits, and parenting style had significant effects on adolescents′ NSSI behaviors.