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基本心理需求满足、情绪失调与青少年非自杀性自伤行为:自我决定理论的应用

Basic Psychological Need Satisfaction, Emotion Dysregulation, and Non-suicidal Self-Injury Engagement in Young Adults: An Application of Self-Determination Theory.

作者信息

Emery A Ann, Heath Nancy L, Mills Devin J

机构信息

Department of Educational and Counselling Psychology, McGill University, 3700 McTavish St, Montreal, QC, H3A 1Y2, Canada.

出版信息

J Youth Adolesc. 2016 Mar;45(3):612-23. doi: 10.1007/s10964-015-0405-y. Epub 2015 Dec 19.

Abstract

Non-suicidal self-injury (NSSI) is a public health concern that affects young adults at alarming rates. The present study examines the role of satisfaction of self-determination theory's three basic needs for autonomy, competence, and relatedness in young adults' NSSI engagement. University students who reported ever having engaged in NSSI (n = 40, 85 % female; Mage = 20.10, SD = 1.66) reported significantly lower levels of the satisfaction of all three needs, as well as more difficulties with all aspects of emotion regulation (non-acceptance of emotional responses, difficulty engaging in goal directed behavior, impulse control, lack of emotional awareness, limited access to regulation strategies, lack of emotional clarity), compared to students with no history of NSSI (n = 46, 91 % female; Mage = 19.79, SD = 1.37). Results of a logistic regression analysis revealed that need satisfaction added to the prediction of NSSI group membership after controlling for the effects of emotion regulation. Satisfaction of the need for competence and limited access to emotion regulation strategies accounted for significant variance in NSSI in the final model. The findings suggest that self-determination theory may be a useful framework under which to conceptualize NSSI and that the need for competence may be particularly salient for University students.

摘要

非自杀性自伤行为(NSSI)是一个公共卫生问题,以惊人的速度影响着年轻人。本研究探讨了自我决定理论中自主性、能力和关联性这三种基本需求的满足在年轻人NSSI行为中的作用。报告曾有过NSSI行为的大学生(n = 40,85%为女性;年龄中位数 = 20.10,标准差 = 1.66)与无NSSI行为史的学生(n = 46,91%为女性;年龄中位数 = 19.79,标准差 = 1.37)相比,所有三种需求的满足水平显著更低,并且在情绪调节的各个方面(不接受情绪反应、难以参与目标导向行为、冲动控制、缺乏情绪意识、调节策略获取有限、缺乏情绪清晰度)也有更多困难。逻辑回归分析结果显示,在控制了情绪调节的影响后,需求满足增加了对NSSI行为组别的预测。在最终模型中,能力需求的满足和情绪调节策略获取有限在NSSI行为中解释了显著的变异。研究结果表明,自我决定理论可能是一个用于概念化NSSI行为的有用框架,并且能力需求对大学生可能尤为突出。

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