Liu Richard T, Frazier Elisabeth A, Cataldo Andrea M, Simon Valerie A, Spirito Anthony, Prinstein Mitchell J
a Department of Psychiatry and Human Behavior , Brown University Alpert Medical School , East Providence , Rhode Island , USA.
Arch Suicide Res. 2014;18(3):251-8. doi: 10.1080/13811118.2013.824835.
Although life stressors have been implicated in the aetiology of various forms of psychopathology related to non-suicidal self-injury (NSSI), particularly depression and suicidal behavior, they have rarely been examined in relation with NSSI. The objective of the current study was to assess the association between life stressors and NSSI in adolescent inpatients. Adolescent inpatients (n = 110) completed measures of life events, NSSI, and depressive symptoms at 3 time-points over a 9-month period. Higher rates of life stressors were significantly associated with greater NSSI. This finding held even after covarying concurrent depressive symptoms and gender. Life stressors may have a unique role in the pathogenesis of NSSI. Directions for future research and clinical implications are discussed.
尽管生活应激源被认为与各种形式的与非自杀性自伤(NSSI)相关的精神病理学病因有关,尤其是抑郁症和自杀行为,但它们很少与NSSI相关联进行研究。本研究的目的是评估青少年住院患者生活应激源与NSSI之间的关联。青少年住院患者(n = 110)在9个月的时间内分3个时间点完成了生活事件、NSSI和抑郁症状的测量。生活应激源发生率较高与更严重的NSSI显著相关。即使在对同时存在的抑郁症状和性别进行协变量调整后,这一发现仍然成立。生活应激源可能在NSSI的发病机制中具有独特作用。文中讨论了未来研究方向和临床意义。