Department of Maternal, Child& Adolescent Health, School of Public Health, Anhui Medical University, China; Anhui Provincial Key Laboratory of Population Health &Aristogenics, 81 Meishan Road, Hefei, 230032, Anhui, China; Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.
Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.
Child Abuse Negl. 2020 Jun;104:104470. doi: 10.1016/j.chiabu.2020.104470. Epub 2020 Mar 29.
The impact of positive coping style on non-suicidal self-injury in adolescents remains unclear, while negative coping style increases the risk of non-suicidal self-injury (NSSI). There is less investigation on gender differences in the impacts of positive coping style and negative coping style on NSSI. It is unknown whether the impacts vary with different levels of adverse childhood experiences (ACEs).
To identify gender differences in the impacts of positive coping style and negative coping style on NSSI, and investigate the impacts at different levels of ACEs.
An adolescent health survey was conducted in 15 schools in China between November 2013 and January 2014. 9704 students aged 11-19 years completed standard questionnaires to record the details of coping style, NSSI and ACEs.
38.5 % of adolescents had ≥1 NSSI over the past 12 months. NSSI was significantly increased with the low positive coping style in girls with ≥3 ACEs, but not with 0 and 1-2 ACEs, and not in boys with any levels of ACEs. NSSI was increased with high negative coping style in both girls and boys across all ACEs. The negative coping style impact was stronger in girls than in boys (odds ratio 1.66, p < 0.05), especially in those with 1-2 ACEs.
Adolescents at high risk of NSSI in relation to coping styles should be targeted accordingly. Reducing negative coping style in girls and boys and improving positive coping style in girls who have high ACEs could help prevent NSSI in adolescents.
积极应对方式对青少年非自杀性自伤的影响尚不清楚，而消极应对方式会增加非自杀性自伤（NSSI）的风险。关于积极应对方式和消极应对方式对 NSSI 的影响在性别差异方面的研究较少。尚不清楚这些影响是否因不同程度的不良童年经历（ACEs）而异。
确定积极应对方式和消极应对方式对 NSSI 的影响在性别差异方面的差异，并探讨不同 ACEs 水平下的影响。
于 2013 年 11 月至 2014 年 1 月在中国的 15 所学校进行了一项青少年健康调查。9704 名 11-19 岁的学生完成了标准问卷，记录了应对方式、NSSI 和 ACEs 的详细信息。
38.5%的青少年在过去 12 个月内有≥1 次 NSSI。在有≥3 ACEs 的女孩中，低水平的积极应对方式与 NSSI 显著增加，但在有 0 和 1-2 ACEs 的女孩中则没有，在任何 ACEs 水平的男孩中也没有。在所有 ACEs 水平的女孩和男孩中，高水平的消极应对方式均会增加 NSSI。女孩的消极应对方式影响大于男孩（比值比 1.66，p<0.05），尤其是在有 1-2 ACEs 的女孩中。
应针对与应对方式相关的 NSSI 高风险青少年进行相应的干预。减少女孩和男孩的消极应对方式，提高高 ACEs 女孩的积极应对方式，有助于预防青少年的 NSSI。
