后疫情期间温州市中学生自伤行为及其相关危险因素调查研究
The Study of Self-Injury Behavior among Middle School Students in Wenzhou during the Post-COVID-19 Outbreak and Its Related Risk Factors
摘要: 目的:探讨2020下半年~2021上半年期间温州市中学生自伤行为的发生及其相关危险因素。方法:随机抽取8所中学初中或者高中一、二年级学生共计483名学生作为调查对象,采用中学生自伤行为问卷、抑郁自评量表(PHQ-9)、焦虑自评量表(GAD-7)、症状自评量表(SCL-90)、自编一般情况调查问卷进行调查。根据有无自伤行为进行分组比较分析。结果:自伤行为发生率为10.35%,其中初中生占68%,高中生占32%。两组比较在性别、学习成绩、学习压力、校园欺凌、父母关系、父母教育方式、能交流的朋友数、抑郁焦虑评分、SCL-90中人际敏感、敌对因子评分等方面有显著性差异(p < 0.05、p < 0.01)。结论:1) 该时期温州市中学生自伤行为低于国内其他地区调查结果;2) 中学生自伤行为发生的危险因素有:性别、学习成绩、学习压力、校园欺凌、父母关系、父母教育方式、能交流的朋友数、抑郁焦虑评分、SCL-90中人际敏感、敌对因子评分。
Abstract:
Objective: To study of self-injury behavior among middle school students in Wenzhou during the post-COVID-19 outbreak (2020 to 2021) and its related risk factors. Methods: A total of 483 students from grade 1 and 2 of the junior school one and senior high school were randomly selected. Use the questionnaire as of self-injury in middle school student, depression self-rating scALE (PHQ-9) and anxiety self-rating scale (GAD-7), symptom self-assessment scale (SCL-90), and self-compiled genera situation questionnaire. Groups were compared and analyzed according to the presence or absence of self-injury behavior. Results: The incidence of self-injury was 10.35%, including 68% in junior, 32% in senior. The two groups showed significant differences in gender, academic performance, study stress, school bullying, parental relationship, parental teaching-style, number of friends, depression and anxiety score, interpersonal sensitivity, and hostile factor score in SCL-90. Conclusion: 1) During this period, the self-injury behavior of middle school students in Wenzhou was lower than the survey results in other regions in China. 2) The risk factors for self-injury behavior are: gender, academic performance, learning stress, school bullying, parental relationship, parental teaching-style, number of friends, depression and anxiety score, interpersonal sensitivity, hostile factor score in SCL-90.
参考文献
|
[1]
|
American Psychiatric Association (2013) DSM-5TM. American Psychiatric Publishing, Washing DC, 803-806.
|
|
[2]
|
Gratz, K.L. and Gunderson, J.G. (2006) Preliminary Data on an Acceptance-Based Emotion Regulation Group Intervention for Deliberate Self-Harm among Women with Borderline Personality Disorder. Behaviour Therapy, 37, 25-35. [Google Scholar] [CrossRef] [PubMed]
|
|
[3]
|
Ross, S. and Heath, N. (2002) A Study of the Fre-quency of Self-Mutilation in a Community Sample of Adolescents. Journal of Youth and Adolescence, 31, 67-77. [Google Scholar] [CrossRef]
|
|
[4]
|
唐记华, 王高华, 王晓萍, 等. 抑郁障碍青少年自伤行为、自杀观念相关因素剖析[J]. 中国心理卫生杂志, 2005, 19(8): 536-538
|
|
[5]
|
郑莺. 武汉市中学生自伤行为流行病学调查及其功能模型[D]: [硕士学位论文]. 武汉: 华中师范大学, 2006.
|
|
[6]
|
凌霄. 自伤青少年冲动控制的EPRs研究[D]: [硕士学位论文]. 武汉: 华中师范大学, 2009.
|
|
[7]
|
苏静, 陈静, 万宇辉. 童年期虐待经历与中学生自伤行为的关联性[J]. 中国学校卫生, 2015, 36(9): 1326-1329.
|
|
[8]
|
石小盼, 罗红, 房茹, 等. 新冠肺炎疫情下湖北省大学生焦虑抑郁现状及影响因素[J]. 河南预防医学杂志, 2021, 32(9): 657-659.
|
|
[9]
|
杨娟, 夏良伟, 姚树桥, 等. 城乡青少年抑郁症状的人际易感性-应激模型: 多时段追踪研究[J]. 中国临床心理学杂志, 2015, 23(1): 71-75.
|
|
[10]
|
Shingleton, R.M., Eddy, K.T., Keshaviah, A., et al. (2013) Binge/Purge Thoughts in Nonsuicidal Self-Injurious Adolescents: An Ecological Momentary Analysis. International Journal of Eating Disorders, 46, 684-689. [Google Scholar] [CrossRef] [PubMed]
|
|
[11]
|
陆林, 于欣, 主编. 精神障碍诊疗规范[M]. 北京: 人民卫生出版社, 2020.
|