摘要
目的调查河南省洛阳市城区中学生抑郁症患者非自杀性自伤行为(NSSI)现状,并分析其影响因素。方法2023年3—5月,采用分阶段整群随机抽样方法对洛阳市中学生抑郁症患者中NSSI进行筛查,比较不同特征中学生抑郁症患者中NSSI发生率差异,采用1ogistic多因素回归模型分析NSSI发生的影响因素。结果1498名中学生中,抑郁症患者151名,抑郁症检出率为10.08%。抑郁症患者中伴有NSSI者36例,NSSI发生率为23.84%。其中,女性、单亲/离异/重组家庭各24例(66.67%),家庭月收入≤6000元26例(72.22%),童年创伤经历、问题家庭各23例(63.89%),中度抑郁16例(44.44%)。多因素logistic分析显示,童年创伤经历(OR=12.219,95%CI:3.959~37.711)、问题家庭(OR=0.096,95%CI:0.030~0.302)、中度抑郁(OR=4.351,95%CI:1.290~14.681)和重度抑郁(OR=8.184,95%CI:1.980~33.825)是中学生抑郁症患者发生NSSI的影响因素。结论洛阳市城区中学生抑郁症患者NSSI发生与童年创伤经历、家庭环境、抑郁症状严重度等有关,应综合评估中学生抑郁症患者的病情特点,制定针对性的心理干预措施和治疗方案。
Objective To investigate the current status of non-suicidal self-injury(NSSI)in high-school students with depression in urban area of Luoyang,and analyze its influencing factors.Methods From March-May,2023,the cluster random sampling method was used to screen the cases of NSSI in high-school students with depression in Luoyang;the detection rates in different characteristics were compared;multivariate logistic regression model was used to analyze the influencing factors of NSSI.Results Of 1498 middle school students,151 cases of depression were screened out,with the detection rate of 10.08%;of the depression cases,36 had NSSI,accounting for 23.84%.Among them,24 cases were female,and 24 cases were from singleparent or divorced or reorganized families(66.67%);26 cases had monthly family incomes≤6000 yuan(72.22%);23 cases had childhood trauma experience,and 23 cases were from dysfunctional family(63.89%);16 cases suffered from moderate depression(44.44%).Multivariate logistic regression analysis showed that childhood traumatic experience(OR=12.219,95%CI:3.959-37.711),dysfunctional family(OR=0.096,95%CI:0.030-0.302),moderate depression(OR=4.351,95%CI:1.290-14.681)and severe depression(OR=8.184,95%CI:1.980-33.825)were the influencing factors of NSSI in high-school students with depression.Conclusions The occurrence of NSSI in high-school students with depression is associated with the traumatic experience of childhood,personal family environment and the severity of depression symptom,etc.It is necessary to comprehensively assess the characteristics of depression in high-school students and formulate targeted psychological intervention measures and treatment programs.
作者
潘振山
张鹏媛
刘倩倩
孙宪波
崔永霞
刘向军
PAN Zhenshan;ZHANG Pengyuan;LIU Qianqian;SUN Xianbo;CUI Yongxia;LIU Xiangjun(The Fifth People's Hospital of Luoyang City,Luoyang,Henan 471000,China)
出处
《现代疾病预防控制》
2024年第8期621-625,共5页
MODERN DISEASE CONTROL AND PREVENTION
基金
洛阳市2023年度医疗卫生指导性科技计划项目(2302029Y)。
关键词
中学生
抑郁症
非自杀性自伤行为
童年创伤经历
抑郁程度
High-school students
Depression
Non-suicidal self-injury behavior
Childhood traumatic experience
Depression level
作者简介
通信作者:潘振山,副主任医师,本科,研究方向:情感性精神病、儿童抑郁症,成瘾性精神障碍的诊疗,E-mail:panzhenshan2006@163.com。
