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中国青少年非自杀性自伤的相关因素：一项荟萃分析。

Factors Associated With Non-suicidal Self-Injury in Chinese Adolescents: A Meta-Analysis.

作者信息

Fan Yang-Yang, Liu Jing, Zeng Yan-Yan, Conrad Rachel, Tang Yi-Lang

机构信息

Department of Public Administration, School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.

The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.

出版信息

Front Psychiatry. 2021 Nov 30;12:747031. doi: 10.3389/fpsyt.2021.747031. eCollection 2021.

DOI:10.3389/fpsyt.2021.747031
PMID:34916971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8669619/
Abstract

Non-suicidal self-injury (NSSI) in adolescents is an increasing public health problem in China. We conducted a meta-analysis of studies on NSSI in Chinese adolescents (between 10 and 19 years) to examine factors associated with NSSI. Twenty-five papers including 30 separate studies with 186,447 participants were included for analysis. The results from a random-effects model showed a weak, but significant overall prediction of NSSI (OR = 1.734). There were significant associations between the following seven factors and NSSI (ranking by the effect sizes, in descending order): adverse life events (OR = 2.284), negative coping style (OR = 2.040), problematic internet use (OR = 2.023), sleep disturbance (OR = 1.734), traumatic experiences (OR = 1.728), problematic parent-child relationship (OR = 1.585), mental health problems (OR = 1.578). Additionally, NSSI sample type moderated these effects. These findings highlight factors significantly associated with NSSI in Chinese adolescents. Parent-child relationship and mental health of the only children and left-behind children in China deserve more attention. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42019123508.

摘要

青少年非自杀性自伤行为（NSSI）在中国正成为一个日益严重的公共卫生问题。我们对有关中国青少年（10至19岁）NSSI的研究进行了荟萃分析，以探究与NSSI相关的因素。纳入分析的有25篇论文，包括30项独立研究，共186,447名参与者。随机效应模型的结果显示对NSSI有微弱但显著的总体预测作用（OR = 1.734）。以下七个因素与NSSI之间存在显著关联（按效应大小排序，从大到小）：不良生活事件（OR = 2.284）、消极应对方式（OR = 2.040）、网络使用问题（OR = 2.023）、睡眠障碍（OR = 1.734）、创伤经历（OR = 1.728）、亲子关系问题（OR = 1.585）、心理健康问题（OR = 1.578）。此外，NSSI样本类型调节了这些效应。这些发现突出了与中国青少年NSSI显著相关的因素。中国独生子女和留守儿童的亲子关系及心理健康值得更多关注。https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42019123508

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea1/8669619/7b2bb7bc3363/fpsyt-12-747031-g0009.jpg
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