青少年抑郁症患者人格特征与非自杀性自伤行为的相关性分析

doi:10.3969/j.issn.1006-5725.2024.20.006

Abstract

Abstract:

Objective To explore the correlation between personality traits and non suicidal self injury behavior in adolescent depression patients， in order to enhance understanding of the psychological health risks of depression patients. Methods This study was conducted at the Wuhan Mental Health Center from September 2021 to September 2023. A total of 138 patients with first-onset moderate to severe adolescent depression were included. The patients were divided into a group without self injury suicidal behavior （n = 25）， a non suicidal self injury （NSSI） group （n = 78）， and an attempted suicide （SA） group （n = 35）. Collect general information and data on neurotic personality scores， negative life events， emotional states， and social psychological factors using the Hamilton Anxiety Scale （HAMA）， Hamilton Depression Scale （HAMD-24）， and other psychological assessment tools. Using statistical methods for correlation and regression analysis to study the relationship between personality traits and non suicidal self injury behavior. Results There were significant differences in personality traits such as internal and external tendencies， psychoticism， neuroticism， and concealment among the non self injurious suicide behavior group， non suicidal self injurious behavior group， and suicide behavior group. The scores of the non suicidal self injurious behavior group and suicide behavior group were generally higher than those of the non self injurious self injurious behavior group （P < 0.05）； There were significant differences in self injury behavior scores among these three groups， especially in the suicide behavior group， which had the highest score， but there was no significant difference in life event scores； There were significant differences in scores for anxiety， depression， childhood trauma， stressful life events， and self-esteem among the three groups. Among them， the suicide behavior group had the highest scores for anxiety， depression， childhood trauma， and stressful life events， but the lowest score for self-esteem （P < 0.05）； Internal and external tendencies， psychoticism， neuroticism， and concealment are significantly correlated with non suicidal self injury behavior， and multiple regression analysis results show that these factors， as well as anxiety， depression， childhood trauma， stressful life events， and self-esteem， are independent influencing factors of non suicidal self injury behavior. The best predictive threshold for internal and external tendencies is -10.5%. Conclusion This study reveals the correlation between personality traits and non suicidal self injury behavior in adolescent depression patients. Understanding these relationships in clinical practice and intervention strategies can help better identify high-risk groups and provide personalized mental health support.

Key words: teenagers, depression, personality traits, non suicidal self injury behavior, relativity

CLC Number:

C913.5

Xiaojie DONG,Peng WANG,Junhua MA,Jian WANG,Chuandong YAN. Correlation analysis between personality traits and non suicidal self injury behavior in adolescent depression patients[J]. The Journal of Practical Medicine, 2024, 40(20): 2848-2853.

Figures/Tables 6

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References 22

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组别	例数	EPQ
组别	例数	内外倾向	精神质	神经质	掩饰性
无自伤自杀行为组	25	39.82 ± 2.25	50.74 ± 3.61	50.61 ± 3.37	40.23 ± 5.61
NSSI组	78	37.23 ± 3.23^#	55.38 ± 4.71^#	58.37 ± 3.54^#	43.57 ± 5.72^#
SA组	35	35.18 ± 2.57^#?	57.38 ± 4.28^#?	58.38 ± 3.68^#?	45.48 ± 5.12^#?
F值		18.465	16.925	49.044	6.555
P值		< 0.001	< 0.001	< 0.001	< 0.001

组别	例数	自伤行为	生活事件
无自伤自杀行为组	25	1.72 ± 3.17	24.61 ± 5.48
NSSI组	78	2.29 ± 2.46^#	26.87 ± 6.23
SA组	35	3.83 ± 2.35^#?	28.58 ± 6.58
F值		6.014	2.995
P值		0.003	0.053

组别	例数	HAMA	HAMD-24	CTQ	ASLEC	SES
无自伤自杀行为组	25	17.82 ± 4.32	22.28 ± 4.22	43.01 ± 5.48	38.72 ± 13.17	26.61 ± 2.48
NSSI组	78	18.11 ± 4.35^#	25.18 ± 4.44^#	46.19 ± 5.53^#	51.89 ± 20.46^#	21.87 ± 3.23^#
SA组	35	20.38 ± 4.27^#?	28.48 ± 4.67^#?	51.48 ± 5.37^#?	56.83 ± 21.35^#?	16.58 ± 2.58^#?
F值		3.867	14.521	19.161	6.520	86.517
P值		0.023	< 0.001	< 0.001	0.001	< 0.001

指标	内外倾向		精神质		神经质		掩饰性
指标	r值	P值	r值	P值	r值	P值	r值	P值
非自杀性自伤行为	0.462	< 0.001	-0.428	< 0.001	-0.500	< 0.001	-0.291	0.001

影响因素	回归系数	标准差	Wald χ²值	P值	OR值	95%CI
内外倾向	0.186	0.055	11.299	0.001	1.205	1.081 ~ 1.343
精神质	-0.092	0.040	5.330	0.021	0.912	0.843 ~ 0.968
神经质	-0.093	0.041	5.245	0.022	0.911	0.841 ~ 0.987
掩饰性	-0.061	0.025	5.891	0.015	0.941	0.896 ~ 0.988
HAMA	-0.083	0.037	4.974	0.026	0.920	0.855 ~ 0.990
HAMD-24	-0.082	0.041	3.917	0.048	0.922	0.850 ~ 0.999
CTQ	-0.014	0.033	10.272	0.001	0.901	0.845 ~ 0.960
ASLEC	-0.034	0.009	13.881	< 0.001	0.967	0.950 ~ 0.984
SES	0.102	0.050	4.143	0.042	1.108	1.004 ~ 1.223
常量	13.469	4.932	7.457	0.006	-	-

Correlation analysis between personality traits and non suicidal self injury behavior in adolescent depression patients

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