儿童青少年心境障碍患者中非自杀性自伤、攻击行为与睡眠的关系研究

doi:10.3969/j.issn.1006-5725.2026.08.009

Abstract

Abstract:

Objective To explore the relationship between non-suicidal self-injurious behavior， aggressive behavior， and sleep in children and adolescents with mood disorders， and to investigate whether there are differences in this relationship between the two genders， so as to improve the early intervention treatment for children and adolescents with mood disorders. Methods A total of 404 child and adolescent patients aged 10 - 19 who were diagnosed with mood disorders were collected from the Psychiatry Department of Huadu District People's Hospital in Guangzhou from January 2023 to January 2025. Self-rating scales were used to assess the clinical severity of the patients， including depressive symptoms， anxiety symptoms， sleep quality， and aggressive behavior. The outpatient doctors noted whether the patients had engaged in self-harming behavior in the past. Results Among all patients， the incidence of previous or current self-harm behavior was 60.64%. Among these self-harm patients， 85.71% were female. Among all pediatric and adolescent patients， there was a correlation between aggressive behavior and sleep. In female patients， this correlation was significant. In male patients， however， only sleep quality was inversely proportional to the score of physical aggression （r = -0.34， P = 0.043）. Conclusion Among children and adolescents with mood disorders， sleep is associated with aggressive behavior， and this association is more significant in females than in males， who also have a higher incidence of non-suicidal self-injurious behavior.

Key words: mood disorder, self-injury, sleep, aggressive behavior, children and adolescents

CLC Number:

R749.4

Junjie WANG,Xuanlin ZENG,Peishan CHEN,Zehao CHEN,Yonghua XIE,Lanlan WU,Hu ZHAO. A study on the relationship between non-suicidal self-injurious behavior， aggressive behavior and sleep in children and adolescents with mood disorder[J]. The Journal of Practical Medicine, 2026, 42(8): 1367-1372.

Figures/Tables 5

Tab.2

Clinical severity： Patients with vs. without self-injury"

项目	有NSSI组（n = 245）	无NSSI组（n = 159）	t/Z值	P值
SDS	76.00（69.00，81.00）	71.00（61.00，78.00）	4.05	< 0.001
SAS	65.00（56.00，74.00）	61.00（48.25，68.00）	4.45	< 0.001
PSQI	12.00（9.00，15.00）	10.00（8.00，13.00）	3.39	< 0.001
AQ（ $x ˉ ? ± ? s$ ）/分	87.11 ± 15.29	78.11 ± 18.77	5.28	< 0.001

Tab.2

Tab.3

Tab.4

Tab.5

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项目	有NSSI组（n = 245）	无NSSI组（n = 159）	t/χ²值	P值
性别/[例（%）]
男	35（14.29）	50（31.45）	17.09	< 0.001
女	210（85.71）	109（68.55）	17.09	< 0.001
年龄/岁	14.36 ± 1.78	14.84 ± 1.75	2.81	0.005
受教育年限/年	8.89 ± 1.80	9.23 ± 1.72	2.11	0.035

项目	睡眠质量	入睡时间	睡眠时间	睡眠效率	睡眠障碍	催眠药物	日间障碍	PSQI总分	身体攻击	言语攻击	愤怒	敌意
入睡时间	0.73^***
睡眠时间	0.49^***	0.55^***
睡眠效率	0.36^***	0.38^***	0.66^***
睡眠障碍	0.63^***	0.62^***	0.43^***	0.25^***
催眠药物	0.30^***	0.31^***	0.19^**	0.17^*	0.31^***
日间障碍	0.54^***	0.55^***	0.45^***	0.28^***	0.55^***	0.28^***
PSQI总分	0.80^***	0.83^***	0.77^***	0.66^***	0.73^***	0.49^***	0.72^***
身体攻击	0.05	0.03	0.13	-0.02	0.14^*	0.06	0.10	0.09
言语攻击	0.03	-0.02	-0.07	-0.15	0.01	0.00	0.01	-0.04	0.48^***
愤怒	0.11	0.07	0.12	0.028	0.12	-0.045	0.17^*	0.11	0.49^***	0.46^***
敌意	0.21^**	0.21^**	0.15^*	0.044	0.29^***	0.104	0.31^***	0.25^***	0.31^***	0.26^***	0.52^***
AQ总分	0.15^*	0.12	0.13^*	-0.015	0.21^**	0.05	0.22^**	0.16^*	0.77^***	0.65^***	0.82^***	0.74^***

项目	睡眠质量	入睡时间	睡眠时间	睡眠效率	睡眠障碍	催眠药物	日间障碍	PSQI总分	身体攻击	言语攻击	愤怒	敌意
入睡时间	0.58^***
睡眠时间	0.49^***	0.54^***
睡眠效率	-0.01	0.25^***	0.46^*
睡眠障碍	0.57^***	0.52^***	0.39^*	-0.03
催眠药物	0.18	0.10	0.01	-0.07	0.19
日间障碍	0.33^*	0.28	051^***	0.19^**	0.44^*	-0.04
PSQI总分	0.72^***	0.78^***	0.80^***	0.46^***	0.69^***	0.26	0.61^***
身体攻击	-0.34^*	-0.27	0.04	0.10	0.03	-0.05	0.03	-0.11
言语攻击	-0.11	-0.20	-0.32	-0.21	-0.01	-0.03	-0.22	-0.27	0.43^*
愤怒	-0.29	-0.10	-0.24	-0.12	0.16	-0.21	0.02	-0.18	0.42^*	0.65^***
敌意	-0.13	-0.06	0.01	-0.17	0.25	0.30	0.19	0.06	0.50^*	0.26	0.40^*
AQ总分	-0.29	-0.20	-0.12	-0.11	0.16	0.03	0.05	-0.13	0.80^***	0.68^***	0.77^***	0.77^***

项目	睡眠质量	入睡时间	睡眠时间	睡眠效率	睡眠障碍	催眠药物	日间障碍	PSQI总分	身体攻击	言语攻击	愤怒	敌意
入睡时间	0.76^***
睡眠时间	0.49^***	0.55^***
睡眠效率	0.42^***	0.40^***	0.69^***
睡眠障碍	0.64^***	0.64^***	0.44^***	0.29^***
催眠药物	0.32^***	0.35^***	0.22^*	0.20^*	0.33^***
日间障碍	0.57^***	0.59^***	0.44^***	0.29^***	0.57^***	0.31^***
PSQI总分	0.81^***	0.84^***	0.77^***	0.68^***	0.74^***	0.52^***	0.73^***
身体攻击	0.12	0.08	0.15^*	-0.04	0.16^*	0.07	0.11	0.12
言语攻击	0.06	0.02	-0.03	-0.14	0.02	0.01	0.04	-0.01	0.49^***
愤怒	0.17^*	0.10	0.18^*	0.05	0.11	-0.03	0.19^*	0.15^*	0.50^***	0.43^***
敌意	0.28^***	0.26^***	0.17^*	0.08	0.29^***	0.08	0.33^***	0.28^***	0.38^***	0.26^***	0.54^***
AQ总分	0.22^*	0.17^*	0.18^*	-0.02	0.22^*	0.05	0.24^***	0.20^*	0.76^***	0.65^***	0.83^***	0.74^***

A study on the relationship between non-suicidal self-injurious behavior， aggressive behavior and sleep in children and adolescents with mood disorder

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