Zhou Jinhui, Zhang Jiazhu, Huang Yilin, Zhao Jiayu, Xiao Yun, Zhang Shibei, Li Yanfeng, Zhao Ting, Ma Jinyu, Ou Nanbing, Wang Shuyi, Ou Qing, Luo Jiaming
School of Psychiatry, North Sichuan Medical College, Nanchong, China.
Nanyang Centre for Public Administration, Nanyang Technological University, Singapore, Singapore.
Front Psychiatry. 2022 Aug 9;13:861917. doi: 10.3389/fpsyt.2022.861917. eCollection 2022.
To investigate the association between coping styles, gender, their interactions and non-suicidal self-injurious (NSSI) behaviors among middle school students in rural western China under COVID-19.
A multicentre cross-sectional study method was used to conduct an online survey of 8,361 students from 23 middle schools in the northern Sichuan region by clustering sampling, using the General Information Questionnaire, the Ottawa Self-Injury Inventory, and the Coping Style Scale for Middle School Students.
The past year prevalence of NSSI among middle school students in rural west China was 5.7%. The differences in scores between those with and without NSSI on all dimensions of coping styles were statistically significant ( < 0.001). Multivariate logistic regression analysis revealed that vocational high school ( = 1.67), girls ( = 2.5), single parent with divorced parents ( = 1.89), remarriage with divorced parents ( = 1.81), and tolerance ( = 1.17), venting emotions ( = 1.15) and fantasy/denial ( = 1.07) in coping styles may increase the risk of NSSI among middle school students, while problem solving ( = 0.9) and seeking social support ( = 0.9) among coping styles may reduce the risk of NSSI among middle school students. The interaction results show that gender has a moderating role in the process of endurance, avoidance, venting of emotions, and fantasy/denial influencing non-suicidal self-injury in middle school students.
There is an association between coping styles and self-injury among middle school students in rural areas in western China, with gender playing a moderating role. Active attention should be paid to students' coping styles and encouraging them to adopt positive coping styles as well as avoid negative coping styles, especially in the case of girls, which can help prevent self-injury.
调查新冠疫情下中国西部农村地区中学生应对方式、性别及其交互作用与非自杀性自伤（NSSI）行为之间的关联。
采用多中心横断面研究方法，通过整群抽样对四川北部地区23所中学的8361名学生进行在线调查，使用一般信息问卷、渥太华自我伤害量表和中学生应对方式量表。
中国西部农村地区中学生过去一年NSSI患病率为5.7%。有NSSI和无NSSI学生在应对方式各维度上的得分差异具有统计学意义（<0.001）。多因素logistic回归分析显示，职业高中（=1.67）、女生（=2.5）、父母离异单亲家庭（=1.89）、父母离异再婚家庭（=1.81）以及应对方式中的容忍（=1.17）、情绪宣泄（=1.15）和幻想/否认（=1.07）可能增加中学生NSSI风险，而应对方式中的解决问题（=0.9）和寻求社会支持（=0.9）可能降低中学生NSSI风险。交互作用结果显示，性别在中学生忍耐、回避、情绪宣泄和幻想/否认影响非自杀性自伤的过程中起调节作用。
中国西部农村地区中学生应对方式与自伤行为之间存在关联，性别起调节作用。应积极关注学生应对方式，鼓励其采用积极应对方式，避免消极应对方式，尤其是女生，这有助于预防自伤行为。
