Liu Cai-Rui, Wan Li-Peng, Liu Bao-Peng, Jia Cun-Xian, Liu Xianchen
Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University and Shandong University Center for Suicide Prevention Research, Jinan, Shandong, China.
Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University and Shandong University Center for Suicide Prevention Research, Jinan, Shandong, China.
J Affect Disord. 2022 May 15;305:213-219. doi: 10.1016/j.jad.2022.03.008. Epub 2022 Mar 10.
Non-suicidal self-injury (NSSI) is a significant public health concern. Authoritarian parenting is a common parenting style in China. Authoritarian parenting is associated with NSSI in adolescents. Little is known about the mechanism underlying this association. This study was to investigate the mediating effect of depressive symptoms on the association between maternal authoritarian parenting and NSSI among Chinese adolescents.
A total of 7072 adolescents who participated in the 1-year follow-up of Shandong Adolescent Behavior & Health Cohort (SABHC) were included for the analysis. A self-administered questionnaire was used to assess authoritarian parenting, depressive symptoms, non-suicidal self-injury, and family demographics in November-December in 2015. One year later, a follow-up survey was carried out to assess participants' depressive symptoms and NSSI.
Of the sample, mean age was 14.58 (SD = 1.46) and 3536 (50%) were female at baseline. 19.4% adolescents reported having ever NSSI over the past 12 months at baseline, and 8.8% reported having ever NSSI at 1-year follow-up. The association of maternal authoritarian parenting with subsequent NSSI was at least partially mediated by depressive symptoms. Mediation analyses showed that effect size was 0.194 in the entire sample, 0.192 in females and 0.193 in males, respectively.
All variables were measured based on self-report.
Maternal authoritarian parenting style is a significant predictor of NSSI and its association with NSSI is partially mediated by depressive symptoms among Chinese adolescents. It may be important to intervene poor parenting styles and depression to reduce the risk of NSSI in Chinese adolescents.
非自杀性自伤行为（NSSI）是一个重大的公共卫生问题。专制型教养方式是中国常见的一种教养方式。专制型教养方式与青少年的非自杀性自伤行为有关。对于这种关联背后的机制，人们知之甚少。本研究旨在探讨抑郁症状在母亲专制型教养方式与中国青少年非自杀性自伤行为之间的关联中所起的中介作用。
共有7072名参与山东青少年行为与健康队列（SABHC）1年随访的青少年纳入分析。2015年11月至12月，采用自填式问卷评估专制型教养方式、抑郁症状、非自杀性自伤行为和家庭人口统计学特征。一年后，进行随访调查以评估参与者的抑郁症状和非自杀性自伤行为。
样本的平均年龄为14.58岁（标准差=1.46），基线时3536名（50%）为女性。19.4%的青少年在基线时报告在过去12个月内曾有过非自杀性自伤行为，在1年随访时8.8%的青少年报告曾有过非自杀性自伤行为。母亲专制型教养方式与后续非自杀性自伤行为的关联至少部分由抑郁症状介导。中介分析显示，在整个样本中的效应量为0.194，女性为0.192，男性为0.193。
所有变量均基于自我报告进行测量。
母亲专制型教养方式是中国青少年非自杀性自伤行为的重要预测因素，其与非自杀性自伤行为的关联部分由抑郁症状介导。干预不良教养方式和抑郁症可能对降低中国青少年非自杀性自伤行为的风险很重要。
