目的 探讨青少年心境障碍患者非自杀性自伤（NSSI）与依恋和归因风格之间的关系。方法 采取便利抽样法选取2023年9月至2024年1月广州市某三甲医院精神科即将出院的232例10~24岁青少年心境障碍患者,采用渥太华自我伤害调查表中文修订版（OSI-CRV）、亲密关系经历量表（ECRS）、归因风格问卷（ASQ）、汉密尔顿抑郁量表-17项（HAMD-17）和杨氏躁狂量表（YMRS）评估其NSSI、依恋、归因风格、抑郁和躁狂症状,采用回归方程检验中介作用。结果 232例患者中NSSI检出率为78.4%;依恋回避是积极情境归因的负向预测因素（β=-0.404,P=0.031）和消极情境归因的正向预测因素（β=0.430,P=0.031）,依恋焦虑是消极情境归因的正向预测因素（β=0.659,P<0.001）;消极情境归因是NSSI的危险因素（OR=1.191,P=0.026）,消极情境归因在依恋回避、依恋焦虑与NSSI中起中介效应。结论 青少年心境障碍患者的依恋可通过归因风格影响NSSI。
Abstract
Objective To explore the relationships among non-suicidal self-injury (NSSI), attachment, and attribution styles in adolescents with mood disorders. Methods A total of 232 adolescents aged 10 to 24 years with mood disorders who were about to be discharged from the psychiatry department of a hospital in Guangzhou were selected by the convenience sampling method. The Ottawa Self-injury Inventory-Chinese Revised Version(OIS-CRV), experiences in closed relationships scale(ECRS), attributional styles questionnaire(ASQ), 17-item Hamilton depression rating scale(HAMD-17), and the Young Manic rating scale(YMRS)were used to measure their NSSI, attachment, attribution style, depression, and mania symptoms. Regression equations were used to test the mediating effect. Results The detection rate of NSSI among the 232 patients was 78.4%;Attachment avoidance was a negative predictor of positive situation attribution (β = -0.404, P = 0.031) and a positive predictor of negative situation attribution (β = 0.430, P = 0.031), and attachment anxiety was a positive predictor of negative situation attribution (β = 0.659, P < 0.001); Negative situation attribution was a risk factor for NSSI (OR = 1.191, P = 0.026) Negative situation attribution plays a mediating role in attachment avoidance, attachment anxiety, and NSSI. Conclusion Adolescents with mood disorders' attachment influences NSSI through attribution style.
关键词
心境障碍 /
非自杀性自伤 /
依恋 /
归因风格 /
青少年
Key words
Mood disorders /
Non-suicidal self-injury /
Attachment /
Attribution style /
Adolescents
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基金
福建省科技创新联合资金项目（2025Y9768）; 福建省科技计划项目（2025D026）
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