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    张勤, 胡淑文, 曹小梅, 莫大明, 陈彬彬, 钟慧. 青少年抑郁障碍病人非自杀性自伤与童年期心理创伤相关性研究[J]. 蚌埠医科大学学报, 2023, 48(4): 502-506. DOI: 10.13898/j.cnki.issn.1000-2200.2023.04.020
    引用本文: 张勤, 胡淑文, 曹小梅, 莫大明, 陈彬彬, 钟慧. 青少年抑郁障碍病人非自杀性自伤与童年期心理创伤相关性研究[J]. 蚌埠医科大学学报, 2023, 48(4): 502-506. DOI: 10.13898/j.cnki.issn.1000-2200.2023.04.020
    shu
    ZHANG Qin, HU Shu-wen, CAO Xiao-mei, MO Da-ming, CHEN Bin-bin, ZHONG Hui. Study on the correlation between non-suicidal self-injury and childhood psychological trauma in adolescents with depression[J]. Journal of Bengbu Medical University, 2023, 48(4): 502-506. DOI: 10.13898/j.cnki.issn.1000-2200.2023.04.020
    Citation: ZHANG Qin, HU Shu-wen, CAO Xiao-mei, MO Da-ming, CHEN Bin-bin, ZHONG Hui. Study on the correlation between non-suicidal self-injury and childhood psychological trauma in adolescents with depression[J]. Journal of Bengbu Medical University, 2023, 48(4): 502-506. DOI: 10.13898/j.cnki.issn.1000-2200.2023.04.020
    shu

    青少年抑郁障碍病人非自杀性自伤与童年期心理创伤相关性研究

    Study on the correlation between non-suicidal self-injury and childhood psychological trauma in adolescents with depression

      摘要
    • 摘要:
      目的探讨青少年抑郁障碍病人非自杀性自伤行为(NSSI)与其童年期心理创伤之间关系。
      方法选取70例符合DSM-5诊断标准的青少年抑郁障碍病人, 依据有无NSSI, 分为NSSI组和非NSSI组各35例, 并选择性别、年龄和受教育程度与之匹配的正常青少年35人作为健康对照组。通过渥太华自伤量表、童年创伤问卷(CTQ)、汉密尔顿抑郁量表(HAMD-24)进行临床症状评估。
      结果NSSI组情感虐待、情感忽视及CTQ量表总分评分均高于非NSSI组, 且2组上述3个评分及躯体虐待评分均高于健康对照组, 差异均有统计学意义(P < 0.05~P < 0.01), 两抑郁障碍亚组间差异均无统计学意义(P>0.05);NSSI组性虐待、躯体忽视评分均高于健康对照组(P < 0.01)。NSSI组非自杀性自伤频率与CTQ中情感忽视评分、HAMD量表认知障碍评分均呈正相关关系(P < 0.05)。
      结论青少年抑郁障碍病人NSSI与童年期心理创伤存在相关。

       

      Abstract:
      ObjectiveTo explore the relationship between non-suicidal self-injury (NSSI)in adolescents with depression and their childhood psychological trauma.
      MethodsSeventy adolescent patients diagnosed with depressive disorder according to DSM-5 diagnostic criteria were selected.According to the presence or absence of NSSI, they were divided into depression with NSSI group and non-NSSI group, with 35 patients in each group.And 35 normal adolescents matched with gender, age and education level were used as the healthy control group.The Ottawa self-injury scale, the childhood trauma questionnaire (CTQ) and the Hamilton Depression Scale (HAMD-24) were used to evaluate the clinical symptoms.
      ResultsThe scores of emotional abuse, emotional neglect and total score of CTQ in NSSI group were higher than those in non-NSSI group, and the above three scores and physical abuse scores in the two groups were higher than those in the healthy control group, the difference was statistically significant (P < 0.05 to P < 0.01).The scores of sexual abuse and physical neglect in NSSI group were higher than those in healthy control group (P < 0.01).The frequency of non-suicidal self-harm was positively correlated with emotional neglect scores and cognitive impairment scores of HAMD scale in NSSI group (P < 0.05).
      ConclusionsThere is variable correlation between NSSI self-injury behaviors in adolescents with depression and childhood psychological trauma.

       

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