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积极青少年发展与非自杀性自伤之间的关联:2019 - 2021年中国西南部儿童和青少年的纵向调查

Association between positive youth development and non-suicidal self-injury: A longitudinal survey of children and adolescents in southwest China, 2019-21.

作者信息

Chen Yuxin, Luo Jingsong, Jiang Lihua, Shi Wei, Jia Peng, Zhang Jinquan, Zhao Li

机构信息

West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China; Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong.

Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong.

出版信息

J Affect Disord. 2024 Apr 1;350:755-760. doi: 10.1016/j.jad.2024.01.072. Epub 2024 Jan 9.

Abstract

BACKGROUND

Non-suicidal self-injury (NSSI) could lead to serious problems (exp. suicidal attempts) among children and adolescents. Positive youth development (PYD) focuses on comprehensive development instead of a single problem. This study aims to explore the longitudinal relationship between NSSI and PYD among Chinese children and adolescents.

METHODS

The longitudinal study used the three-wave dataset from the Chengdu Positive Child Development (CPCD) in southwest China between 2019 and 2021, including 10,370 participants. The parallel process Latent Growth Curve Model (LGCM) was utilized to analyze the relationship between PYD and NSSI across time.

RESULTS

The study results demonstrated that the initial level of NSSI is negatively associated with the initial value (β = -0.730, p < 0.01) and the growth rate (β = -0.012, p < 0.01) of PYD, and the development rate of the two variables are negatively related to each other(β = -0.120, p < 0.01).

LIMITATIONS

The specific relationships between PYD attributes and NSSI should be explored in the future. And the cultural variation among countries deserves more research. Moreover, the dynamic cohort research leads to a relatively high loss of participants.

CONCLUSIONS

PYD and NSSI are closely associated among children and adolescents. Instead of playing a protective role, PYD tends to be predicted by NSSI behaviors over time.

摘要

背景

非自杀性自伤(NSSI)可能会在儿童和青少年中导致严重问题(例如自杀未遂)。积极青少年发展(PYD)关注的是全面发展而非单一问题。本研究旨在探讨中国儿童和青少年中NSSI与PYD之间的纵向关系。

方法

这项纵向研究使用了2019年至2021年中国西南部成都积极儿童发展(CPCD)的三波数据集,包括10370名参与者。采用并行过程潜在增长曲线模型(LGCM)来分析PYD和NSSI随时间的关系。

结果

研究结果表明,NSSI的初始水平与PYD的初始值(β = -0.730,p < 0.01)和增长率(β = -0.012,p < 0.01)呈负相关,且这两个变量的发展率彼此呈负相关(β = -0.120,p < 0.01)。

局限性

未来应探索PYD属性与NSSI之间的具体关系。各国之间的文化差异值得更多研究。此外,动态队列研究导致参与者流失相对较高。

结论

PYD与儿童和青少年中的NSSI密切相关。随着时间的推移,PYD并非起保护作用,反而往往由NSSI行为预测。

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