新冠疫情期间中国荆州青年学生的非自杀性自伤行为：心理因素的作用
Non-suicidal self-injury among youth students during COVID-19 pandemic: the role of psychological factors in Jingzhou, China.
作者信息
Zhou Lie, Yu Ye, Liu Bo, Zhou Li-Fang, Sheng Juan, Zhang Xin-Feng, Deng Xiao-Peng, Ran Mao-Sheng
机构信息
Mental Health Center of Yangtze University, Jingzhou, Hubei, China.
Mental Health Institute of Yangtze University, Jingzhou, Hubei, China.
出版信息
Front Psychiatry. 2024 Aug 21;15:1446727. doi: 10.3389/fpsyt.2024.1446727. eCollection 2024.
OBJECTIVE
This study aimed to explore the impact of the COVID-19 pandemic on non-suicidal self-injury (NSSI) among youth students, and the mediating role of psychological factors in the relationship between the COVID-19 pandemic and NSSI.
METHOD
An online survey was conducted at junior and senior high schools, as well as universities located in Jingzhou, Hubei Province, China between June 2021 and January 2022. The COVID-19 Impact Index was constructed using multiple correspondence analysis (MCA) method. The bootstrapping method was used for mediation analysis.
RESULTS
A total of 16025 youth participated in the study and 12507 youth (78.1%) finished the questionnaires. The COVID-19 Impact Index had a significantly positive effect on NSSI (r=0.16, p<0.001). The mediation analysis results showed that the COVID-19 Impact Index had a significant indirect effect on youth' NSSI (β=0.0918, 95% CI [0.0788, 0.1048]), and this indirect effect was mainly achieved through affecting youth' anxiety, depression and post-traumatic stress disorder (PTSD). The mediation effect of anxiety on NSSI was 0.0584, the direct effect was 0.0334, and the mediation proportion was 63.6%. The mediation effect of depression on NSSI was 0.0668, the direct effect was 0.0250, and the mediation proportion was 72.8%. The mediation effect of PTSD on NSSI was 0.0640, the direct effect was 0.0278, and the mediation proportion was 69.7%. All the mediation effects, direct effects and total effects were statistically significant (p<0.001).
CONCLUSION
The higher the impact of the COVID-19 Impact Index, the higher the prevalence of NSSI among youth students. Anxiety, depression and PTSD had mediated the relationship between the COVID-19 Impact Index and NSSI. It is suggested that specific health policies, mental health services and interventions should be developed to reduce the NSSI and improve mental health status among youth students during the COVID-19 pandemic.
目的
本研究旨在探讨新冠疫情对青年学生非自杀性自伤行为（NSSI）的影响，以及心理因素在新冠疫情与NSSI关系中的中介作用。
方法
于2021年6月至2022年1月在中国湖北省荆州市的初中、高中及大学开展在线调查。采用多重对应分析（MCA）方法构建新冠疫情影响指数。运用Bootstrap法进行中介效应分析。
结果
共有16025名青年参与研究，12507名青年（78.1%）完成问卷。新冠疫情影响指数对NSSI有显著正向影响（r = 0.16，p < 0.001）。中介效应分析结果显示，新冠疫情影响指数对青年NSSI有显著间接效应（β = 0.0918，95%CI[0.0788，0.1048]），且该间接效应主要通过影响青年的焦虑、抑郁和创伤后应激障碍（PTSD）来实现。焦虑对NSSI的中介效应为0.0584，直接效应为0.0334，中介比例为63.6%。抑郁对NSSI的中介效应为0.0668，直接效应为0.0250，中介比例为72.8%。PTSD对NSSI的中介效应为0.0640，直接效应为0.0278，中介比例为69.7%。所有中介效应、直接效应和总效应均具有统计学意义（p < 0.001）。
结论
新冠疫情影响指数越高，青年学生中NSSI的患病率越高。焦虑、抑郁和PTSD介导了新冠疫情影响指数与NSSI之间的关系。建议制定具体的健康政策、心理健康服务和干预措施，以减少新冠疫情期间青年学生的NSSI并改善其心理健康状况。
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