成年抑郁症患者非自杀性自伤行为及其动机的影响因素

doi:10.3969/j.issn.1006-5725.2024.04.005

Abstract

Abstract:

Objective To explore the influencing factors of non-suicidal self-injury behavior and motivation in adult patients with depression. Methods A simple random sampling method was used to select 120 adult patients with depression admitted to our hospital from January 2023 to June 2023 as the research objects. The clinical information of the patients was collected， and their loneliness， frustration and self-injury motivation were evaluated. The influencing factors of non-suicidal self-injury （NSSI） behavior and motivation were statistically analyzed. Results Age， ULS-8 score， DS score， marital status and employment status were the influencing factors of NSSI in adult patients with depression （P < 0.05）. ULS-8 score， DS score， marital status （widowed/divorced） and employment status were independent risk factors for NSSI in adult patients with depression （P < 0.05）. The ULS-8 score was an independent risk factor for patients with 'emotion regulation' as NSSI motivation. Age， DS score and employment （unemployment） were independent risk factors for patients with 'interpersonal boundary' as NSSI motivation （P < 0.05）. Conclusion There are many influencing factors of NSSI and NSSI motivation in adult depression patients， and the influencing factors of different NSSI motivations are different. Clinically， the main motivation and related influencing factors of patients implementing NSSI should be clarified through detailed investigation， so as to facilitate the development of targeted intervention strategies for patients.

Key words: depression, non-suicidal self-injury, motivation for self-injurious behaviour, influencing factors

CLC Number:

R749.4+1

Li LI,Lin. TANG. Analysis of influencing factors of non⁃suicidal self⁃injury behavior and motivation in adult patients with depression[J]. The Journal of Practical Medicine, 2024, 40(4): 466-470.

Figures/Tables 3

Tab.1

Tab.2

Tab.3

References 25

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自变量	非NSSI组（n = 102）	NSSI组（n = 12）	χ²/t值	P值
性别［例（%）］
男	50（49.02）	5（41.67）	0.232	0.630
女	52（50.98）	7（58.33）	0.232	0.630
年龄（岁）	32.29 ± 4.66	28.33 ± 5.38	2.739	0.007
受教育年限（年）	12.12 ± 3.17	12.25 ± 2.26	-0.140	0.889
病程（年）	6.29 ± 2.77	6.42 ± 2.31	-0.147	0.883
ULS-8评分（分）	19.93 ± 3.86	22.50 ± 4.01	-2.170	0.032
DS评分（分）	38.39 ± 5.49	45.92 ± 8.22	-4.240	< 0.001
婚姻情况［例（%）］
未婚	33（32.35）	3（25.00）	6.232	0.044
已婚	58（56.86）	4（33.33）
丧偶/离异	11（10.78）	5（41.67）
月收入［例（%）］
< 3 000元/月	11（10.78）	2（16.67）	0.939	0.816
3 001 ~ 6 000元/月	52（50.98）	6（50.00）
6 001 ~ 9 000元/月	27（26.47）	2（16.67）
> 9 000元/月	12（11.76）	2（16.67）
就业情况［例（%）］
在职	70（68.63）	4（33.33）	4.425	0.035
无业	32（31.37）	8（66.67）	4.425	0.035

自变量	β值	S.E.	Waldχ²	P值	OR值	95% CI
自变量	β值	S.E.	Waldχ²	P值	OR值	下限	上限
常量	-15.796	6.732	5.505	0.019	0.000
ULS-8评分	0.369	0.161	5.249	0.022	1.446	1.055	1.982
DS评分	0.382	0.129	8.789	0.003	1.465	1.138	1.885
婚姻情况			6.526	0.038
婚姻情况（丧偶/离异）	3.072	1.517	4.103	0.043	21.595	1.105	422.107
就业情况（无业）	3.232	1.403	5.303	0.021	25.328	1.618	396.491

因变量	自变量	β值	S.E.	Waldχ²	P值	OR值	95%CI
因变量	自变量	β值	S.E.	Waldχ²	P值	OR值	下限	上限
情绪调节	常量	-6.691	6.362	1.106	0.293
	ULS-8评分	0.316	0.152	4.331	0.037	1.372	1.019	1.849
人际影响	常量	-0.294	6.374	0.002	0.963
人际界限	常量	-19.327	9.117	4.494	0.034
	年龄	0.275	0.137	4.022	0.045	1.317	1.006	1.723
	DS评分	0.257	0.112	5.291	0.021	1.292	1.039	1.608
	就业情况（无业）	3.589	1.602	5.017	0.025	36.211	1.566	837.176

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Analysis of influencing factors of non⁃suicidal self⁃injury behavior and motivation in adult patients with depression

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