Huang Wei, Zhou Yong-Jie, Zou Hong-Yu, Yang Xing, Xu Hong, Li Guo-Hua, Wang Yan-Ni, Li Rui-Fen, Zeng Ling-Yun
Shenzhen Mental Health Center/Department of Pingshan Physiotherapy, Shenzhen Kangning Hospital, Shenzhen, Guangdong 518118, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2022 Jul 15;24(7):806-811. doi: 10.7499/j.issn.1008-8830.2201106.
To investigate the differences in non-suicidal self-injury (NSSI) behaviors between only-child and non-only-child adolescents with mood disorders.
A three-stage sampling method was used to perform a cross-sectional survey of 529 adolescents, aged 12-18 years, who had mood disorders and NSSI behaviors. These adolescents were sampled from the outpatient service of 20 mental hospitals in 9 provinces of China from August to November 2020. A self-made questionnaire was used to collect general demographic data. The Functional Assessment of Self-Mutilation, Beck Scale for Suicide Ideation, Kessler Psychological Distress Scale, Stress Mindset Measure-General, Multidimensional Scale of Perceived Social Support, Multidimensional Students' Life Satisfaction Scales, and Rosenberg Self-Esteem Scale were used to collect the information on self-injury behaviors and psychological factors in these adolescents.
A total of 529 adolescents with mood disorders and NSSI behaviors were surveyed, among whom 375 were only-child adolescents and 154 were non-only-child adolescents. Compared with the non-only-child group, the only-child group had a significantly higher total score of Functional Assessment of Self-Mutilation (<0.05) .The type and frequency of self-injury in the only-child group were significantly higher than those in the non-only-child group (<0.05). Psychological analysis showed that compared with the non-only-child group, the only-child group had a significantly lower score of self-esteem (<0.05) and significantly higher scores of psychological distress and depressive symptoms (<0.05). The multiple linear regression analysis showed that the score of suicidal ideation was positively correlated with the frequency of NSSI behaviors in both only-child and non-only-child adolescents with mood disorders (<0.05); in the only-child adolescents, the level of self-esteem was negatively correlated with the frequency of NSSI behaviors (<0.05), and the score of stress perception was positively correlated with the frequency of NSSI behaviors (<0.05); in the non-only-child adolescents, the score of anxious emotion was positively correlated with the frequency of NSSI behaviors (<0.05).
Among the adolescents with mood disorders and NSSI behaviors, the only-child adolescents tend to have a higher frequency of self-injury and poorer mental health, and therefore, the only-child adolescents with mood disorders and NSSI behaviors need more attention.
探讨患有情绪障碍的独生子女与非独生子女青少年在非自杀性自伤（NSSI）行为上的差异。
采用三阶段抽样方法，对529名年龄在12 - 18岁、患有情绪障碍和NSSI行为的青少年进行横断面调查。这些青少年于2020年8月至11月从中国9个省份20家精神病医院的门诊中抽取。使用自制问卷收集一般人口统计学数据。采用自残功能评估量表、贝克自杀意念量表、凯斯勒心理困扰量表、压力心态测量 - 通用版、多维感知社会支持量表、多维学生生活满意度量表和罗森伯格自尊量表，收集这些青少年的自伤行为及心理因素信息。
共对529名患有情绪障碍和NSSI行为的青少年进行了调查，其中375名是独生子女青少年，154名是非独生子女青少年。与非独生子女组相比，独生子女组的自残功能评估总分显著更高（<0.05）。独生子女组的自伤类型和频率显著高于非独生子女组（<0.05）。心理分析表明，与非独生子女组相比，独生子女组的自尊得分显著更低（<0.05），心理困扰和抑郁症状得分显著更高（<0.05）。多元线性回归分析显示，在患有情绪障碍的独生子女和非独生子女青少年中，自杀意念得分与NSSI行为频率呈正相关（<0.05）；在独生子女青少年中，自尊水平与NSSI行为频率呈负相关（<0.05），压力感知得分与NSSI行为频率呈正相关（<0.05）；在非独生子女青少年中，焦虑情绪得分与NSSI行为频率呈正相关（<0.05）。
在患有情绪障碍和NSSI行为的青少年中，独生子女青少年往往自伤频率更高，心理健康状况更差，因此，患有情绪障碍和NSSI行为的独生子女青少年需要更多关注。
