非自杀性自伤青少年的情绪调节策略和家庭功能研究

目的 研究非自杀性自伤(NSSI)青少年的情绪调节策略和家庭功能特征,为NSSI的预防及干预提供参考。方法 采用家庭亲密度和适应性量表(FACES)、情绪调节策略量表(ERQ)、贝克抑郁量表第2版(BDI-2)以及自制的一般情况调查表,于2021年1月以分层抽样的方法对陕西省西安市和宝鸡市12 所中学的7 869名中学生进行调查,筛选存在非自杀性自伤行为的中学生,并对其情绪调节策略和家庭功能进行研究。结果 具有非自杀性自伤行为的中学生家庭的亲密度和适应性更低(χ²=176.637、194.786、202.284,P<0.05),更倾向于采用表达抑制的情绪调节策略(t=9.620,P<0.05)。Logistic 回归分析显示,男性、认知重评得分高和家庭亲密度高是非自杀性自伤的保护因素(OR＝0.55、0.65、0.98),表达抑制的情绪调节策略和抑郁得分高是非自杀性自伤的危险因素(OR＝1.27、1.08,P<0.05)。结论 青少年非自杀性自伤与情绪调节策略和家庭功能密切相关,对此制定有针对性的心理干预措施有可能让更多的患者和家庭受益。

Emotion regulation strategies and family function in non-suicidal self-injury adolescents

Objective To explore the feature of emotion regulation strategies and family function in adolescents who suffered from non-suicidal self-injury(NSSI),in order to provide reference for the prevention and intervention of NSSI. Methods A total of 7 869 middle school students from Xi'an and Baoji in Shaanxi Province were selected into this study in January 2021, and were asked to fill in the Family Adaptability and Cohesion Evaluation Scales(FACES),Emotion Regulation Questionnaire(ERQ),Beck Depression Inventory-Ⅱ(BDI-Ⅱ)and self-developed general information questionnaire to screen adolescents with NSSI.The emotion regulation strategies and family function of adolescents with NSSI were investigated. Results The adolescents who have reported NSSI tended to use the expressive suppression strategy with lower family adaptability and cohesion(χ²=176.637,194.786,202.284,t=9.620,P＜0.05).Logistic regression analysis showed that male,high cognitive reappraisal score and high family closeness were protective factors for NSSI(OR=0.55,0.65,0.98),while high expressive suppression score and depression were risk factors for NSSI(OR=1.27,1.08,P<0.05). Conclusions NSSI among adolescents is closely related to emotional regulation strategies and family functions.Adolescents and their parents may benefit from psychological interventions focused on emotional regulation strategies and family functions.