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青少年非自杀性自伤:一个具有社会生态关联性、受欺凌和抑郁的结构模型。

Non-Suicidal Self-Injury Among Adolescents: A Structural Model with Socioecological Connectedness, Bullying Victimization, and Depression.

机构信息

Psychological Sciences and Health Sciences Research Institute, University of California, 5200 N. Lake Rd, Merced, CA, 95343, USA.

RAND Corporation, Santa Monica, CA, USA.

出版信息

Child Psychiatry Hum Dev. 2023 Aug;54(4):1190-1208. doi: 10.1007/s10578-022-01319-6. Epub 2022 Feb 18.

Abstract

The objective was to examine the associations of socioecological connectedness with bullying victimization and depressive symptoms in early adolescence and with non-suicidal self-injury (NSSI) in mid-adolescence, and how these might differ between genders. Diverse adolescents (N = 4115; 49.1% girls) in the 7th grade reported on connections with parents/family, peers, school, and neighborhood, as well as bullying victimization and depressive symptoms, and NSSI in 10th grade (M = 16.1 years). Structural equation modeling with WSLMV indicated that the lower likelihood of NSSI in 10th grade was associated with higher perceptions of connections between adolescents and their families, both directly as well as indirectly through reduced bully victimization and depressive symptoms three years earlier. Higher school connectedness was indirectly associated with the lower likelihood of NSSI through bullying victimization and depressive symptoms. Paths to NSSI varied for girls and boys. Results advance the understanding of developmental pathways leading to NSSI in adolescent girls and boys.

摘要

目的在于探讨社会生态联系与青少年早期受欺凌和抑郁症状的关联,以及与青少年中期非自杀性自伤 (NSSI) 的关联,并探讨这些关联在性别之间可能存在的差异。在 7 年级时,不同的青少年(N=4115;49.1%为女孩)报告了与父母/家庭、同伴、学校和邻里的联系,以及 10 年级时的欺凌受害和抑郁症状以及 NSSI(M=16.1 岁)。使用 WSLMV 的结构方程模型表明,10 年级时 NSSI 的可能性较低与青少年与家人之间的联系感知度较高有关,这种联系既直接相关,也通过三年前减少欺凌受害和抑郁症状间接相关。较高的学校联系通过欺凌受害和抑郁症状与 NSSI 的可能性降低间接相关。NSSI 的途径因女孩和男孩而异。研究结果增进了对导致青少年女孩和男孩 NSSI 的发展途径的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55d8/10272275/67e5bf428f51/10578_2022_1319_Fig1_HTML.jpg

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