论文部分内容阅读
目的:探讨母亲的依恋模式和述情障碍对青少年非自杀性自伤的影响。方法:选取57例安徽省精神卫生中心门诊及住院存在非自杀性自伤(non-suicidal self-injury，NSSI)行为的青少年及其母亲作为研究组，以53例年龄、性别、受教育程度相匹配的青少年及其母亲作为对照组，采用青少年自我伤害问卷(adolescents self-harm scale)、亲密关系经历量表(experience in close relationship inventory，ECR)、多伦多述情障碍量表(20-item Toronto alexithymia scale，TAS-20)进行测评。使用SPSS 22.0软件对数据进行相关分析和Logistic回归分析。结果:两组母亲在依恋回避[(3.7±0.6)分，(3.0±0.6)分]、依恋焦虑[(4.0±0.7)分，(3.1±0.9)分]、情感辨别不能[(2.9±0.7)分，(2.3±0.7)分]、情感描述不能[(3.0±0.6)分，(2.4±0.5)分]、述情障碍总分[(57.2±8.3)分，(49.5±9.5)分]上均差异有统计学意义(n t＝6.53，5.79，4.01，5.50，4.56，均n P<0.05)；青少年非自杀性自伤行为与母亲依恋焦虑、依恋回避、述情障碍总分、情感辨别不能、情感描述不能呈正相关(n r＝0.487，0.532，0.401，0.360，0.468，均n P<0.05)；Logistic回归分析结果显示母亲存在不安全依恋(n B＝2.57，n OR＝3.07，95%n CI＝1.01～169.54，n P＝0.024)、高述情障碍(n B＝1.95，n OR＝2.14，95%n CI＝1.29～3.58，n P＝0.003)，青少年出现非自杀性自伤风险较大。n 结论:母亲不安全型依恋模式和高述情障碍可能是青少年非自杀性自伤的危险因素。“,”Objective:To explore the influence of maternal attachment and alexithymia on risk of non-suicidal self-injury in adolescents.Methods:Fifty-seven outpatients and inpatients from Anhui Mental Health Center with non-suicidal self-injury (NSSI) and their mothers were involved as the case group, and fifty-three age-, gender-, and education-matched adolescents and their mothers as the normal controls.They were assessed with the experience in close relationship inventory(ECR), the 20-item Toronto alexithymia scale (TAS-20) and the adolescents self-harm scale.SPSS 22.0 software was used for correlation analysis and Logistic regression analysis.Results:There were significant differences in attachment avoidance ((3.7±0.6), (3.0±0.6)), attachment anxiety ((4.0±0.7), (3.1±0.9)), difficulty identifying feelings ((2.9±0.7), (2.3±0.7)), difficulty describing feelings((3.0±0.6), (2.4±0.5)) and alexithymia ((57.2±8.3), (49.5±9.5))between the two mother groups (n t=6.53, 5.79, 4.01, 5.50, 4.56, all n P<0.05). NSSI of adolescents was positively correlated with the scores of attachment anxiety, attachment avoidance, alexithymia, difficulty identifying feelings, difficulty describing feelings(n r=0.487, 0.532, 0.401, 0.360, 0.468, all n P<0.05). Logistic regression analysis showed that unsafe maternal attachment(n B=2.57, n OR=3.07, 95%n CI=1.01-169.54, n P=0.024)and the higher alexithymia level(n B=1.95, n OR=2.14, 95%n CI=1.29-3.58, n P=0.003)could lead to higher risk of NSSI in adolescents.n Conclusion:Unsafe maternal attachment and the higher alexithymia level may be the risk factors for adolescents with NSSI.