非自杀性自伤与运动：与成瘾的关联

Non-Suicidal Self-Injury and Exercise: Associations With Addiction.

作者信息

Lee Han-Sung, Rhee Sang Jin, Kang Dae Hun, Min Sooyeon, Hong Minseok, Lee Hyunju, Ahn Yong Min

机构信息

Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea.

Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea.

出版信息

J Korean Med Sci. 2025 Aug 4;40(30):e176. doi: 10.3346/jkms.2025.40.e176.

DOI:10.3346/jkms.2025.40.e176

PMID:40762593

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12322591/

Abstract

BACKGROUND

The prevalence of addictive disorders has surged globally, exacerbated by the coronavirus disease 2019 pandemic, leading to increased consumption of alcohol, nicotine, and engagement in other addictive behaviors. Considering this alarming trend, this study examined the prevalence and associated factors of addictive disorders-specifically alcohol use disorder, tobacco use disorder, and internet gaming disorder-using data from the 2021 National Mental Health Survey of Korea.

METHODS

The study analyzed data from 5,511 adults aged 18-79, assessing socio-demographic information, mental diseases, physical activity levels, and non-suicidal self-injury (NSSI) through standardized interviews and self-reported questionnaires. Complex-sample logistic regression identified significant factors associated with addictive disorders.

RESULTS

NSSI emerged as the most significantly associated factor, increasing the likelihood of addiction over 9-fold (odds ratio [OR], 9.26; 95% confidence interval [CI], 4.52-18.93). While walking was associated with lower odds of addiction (OR, 0.98; 95% CI, 0.96-1.00), moderate-to-high exercise (OR, 1.01; 95% CI, 1.00-1.03) was linked to increased odds of addictive disorders.

CONCLUSION

Addictive behaviors, such as NSSI and excessive exercise, are significantly associated with an increased risk of addictive disorders.

摘要

背景

成瘾性障碍的患病率在全球范围内激增，2019年冠状病毒病大流行使其更加恶化，导致酒精、尼古丁的消费量增加以及其他成瘾行为的出现。考虑到这一惊人趋势，本研究利用2021年韩国全国心理健康调查的数据，调查了成瘾性障碍——特别是酒精使用障碍、烟草使用障碍和网络游戏障碍——的患病率及相关因素。

方法

该研究分析了5511名18 - 79岁成年人的数据，通过标准化访谈和自我报告问卷评估社会人口统计学信息、精神疾病、身体活动水平和非自杀性自伤（NSSI）情况。复杂样本逻辑回归确定了与成瘾性障碍相关的显著因素。

结果

NSSI是最显著的相关因素，成瘾可能性增加了9倍多（优势比[OR]，9.26；95%置信区间[CI]，4.52 - 18.93）。虽然步行与较低的成瘾几率相关（OR，0.98；95% CI，0.96 - 1.00），但中度至高强度运动（OR，1.01；95% CI，1.00 - 1.03）与成瘾性障碍几率增加有关。