Psychiatry Department.
Nursing Department, The First Affiliated Hospital of Jinan University, Guangzhou, China.
J Nerv Ment Dis. 2023 Dec 1;211(12):896-901. doi: 10.1097/NMD.0000000000001572. Epub 2023 Aug 24.
The aim of this study was to assess the feature change of nonsuicidal self-injury (NSSI) behaviors in bipolar disorder before and during the pandemic. A total of 115 adolescents with NSSI were evaluated using a Wechsler Intelligence Scale for Children-Fourth Edition, Kiddie Schedule for Affective Disorders and Schizophrenia for School-Aged Children-Present and Lifetime Version, and some related scales. In comparison with the 2017 group, female sex, borderline personality disorder, self-reported internalizing disorders, anxiety/depression, and thinking disorders were all related with the 2021 and 2019 groups. The 2019 group was linked to a variety of somatic issues. Negative life experiences, bullying, eating disorders, social issues, depressed feelings, performance and social anxiety, and rejection sentiments were all linked to NSSI. Both shared and differential features between before and during the pandemic may represent possible change for diagnostic and preventative interventions of NSSI in patients with bipolar disorder. Therefore, the doctor should adjust the treatment strategy based on changing of features between before and during the pandemic.
本研究旨在评估双相情感障碍患者在大流行前后非自杀性自伤（NSSI）行为的特征变化。共对 115 名有 NSSI 的青少年使用韦氏儿童智力量表第四版、儿童情感障碍和精神分裂症诊断性会谈量表及一些相关量表进行评估。与 2017 组相比，女性、边缘型人格障碍、自我报告的内化障碍、焦虑/抑郁和思维障碍均与 2021 组和 2019 组有关。2019 组与各种躯体问题有关。负面生活经历、欺凌、饮食障碍、社会问题、抑郁情绪、表现和社交焦虑以及被拒绝的感觉都与 NSSI 有关。大流行前后的共同和不同特征可能代表了对双相情感障碍患者 NSSI 进行诊断和预防干预的可能变化。因此，医生应根据大流行前后特征的变化调整治疗策略。
