中国非自杀性自伤青少年患者的自伤行为、经验性回避、认知融合、焦虑和抑郁之间的关系。
Relationship among self-injury, experiential avoidance, cognitive fusion, anxiety, and depression in Chinese adolescent patients with nonsuicidal self-injury.
机构信息
Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China.
School of Public Administration, Nanchang University, Nanchang, Jiangxi Province, China.
出版信息
Brain Behav. 2021 Dec;11(12):e2419. doi: 10.1002/brb3.2419. Epub 2021 Nov 24.
Abstract
OBJECTIVE
To explore relationship among self-injury behavior, experiential avoidance, cognitive fusion, anxiety, and depression in Chinese adolescent patients with nonsuicidal self-injury (NSSI).
METHODS
Cognitive fusion questionnaire (CFQ), Acceptance and Action Questionnaire-2nd edition (AAQ-II), adolescent nonsuicidal self-injury behavior questionnaire (ANSAQ), Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD) were used as research tools to investigate 120 subjects with NSSI and 130 healthy controls.
RESULTS
The scores of CFQ and AAQ-II in the NSSI group were significantly higher than those in the healthy control group (p < .001). The results of regression analysis showed that the experiential avoidance score of patients with NSSI could predict the score of self-injury questionnaire (β = 0.585, p < .001); when predicting anxiety, only CFQ (β = 0.361, p < .001) entered the equation, with an explanatory variation of 12.3%; when predicting depression, CFQ (β = 0.287, p < .01) entered the equation, with an explanatory variation of 7.4%.
CONCLUSION
A high level of cognitive fusion and experiential avoidance may be important factors for the maintenance of self-injury behavior in patients with NSSI.
摘要
目的
探讨中国青少年非自杀性自伤（NSSI）患者自伤行为、体验回避、认知融合、焦虑和抑郁之间的关系。
方法
使用认知融合问卷（CFQ）、接纳与行动问卷第二版（AAQ-II）、青少年非自杀性自伤行为问卷（ANSAQ）、汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD），对 120 名 NSSI 患者和 130 名健康对照组进行研究。
结果
NSSI 组 CFQ 和 AAQ-II 评分均显著高于健康对照组（p<.001）。回归分析结果显示，NSSI 患者的体验回避得分可预测自伤问卷得分（β=0.585，p<.001）；在预测焦虑时，只有 CFQ（β=0.361，p<.001）进入方程，解释变异为 12.3%；在预测抑郁时，CFQ（β=0.287，p<.01）进入方程，解释变异为 7.4%。
结论
较高的认知融合和体验回避水平可能是非自杀性自伤患者自伤行为维持的重要因素。
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2
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3
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9
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10
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