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非自杀性自伤青少年的积极心理资源网络比较研究

Comparative Study of the Positive Psychological Resources Network of Adolescents With Non-Suicidal Self-Injury

  • 摘要:
    目的 探究不同学段学生在有无非自杀性自伤(non-suicidal self-injury, NSSI)行为的积极心理资源方面的差异。
    方法 2023年9–10月,收集四川省成都市56870名9至18岁学生测评数据。利用R软件程序包评估网络结构和症状中心性,对比不同学段有无NSSI行为学生网络全局强度和结构差异。
    结果 中小学生NSSI发生率为12.21%,初中最高(14.22%),高中次之(13.66%),小学最低(10.17%)。小学网络结构中无论有无NSSI行为,网络强度最强均为主观支持,接近中心性最强均为家庭功能;初中无NSSI行为学生网络强度最强为主观支持,有NSSI行为学生为自尊水平,接近中心性最强均为主观支持;高中有无NSSI行为学生网络强度最强均为自尊水平,高中无NSSI行为学生接近中心性最强为主观支持,有NSSI行为学生为表达抑制。小学边权重差异较大为家庭功能-自尊(E=0.093)、家庭功能-客观支持(E=0.087),初中差异较大为客观支持-主观支持(E=0.131)、家庭功能-冲动控制(E=0.109),高中差异较大为冲动控制-家庭功能(E=0.133)、主观支持-支持利用度(E=0.130)(P<0.05)。
    结论 小学家庭过度介入和高中表达抑制可能是NSSI行为重要影响因素,缺少社会支持对初高中学生影响程度更高,主观支持、客观支持和对支持利用度联系强度是重要指标。

     

    Abstract:
    Objective  To explore the differences in positive psychological resources among elementary and secondary school students with and without non-suicidal self-injury (NSSI) behaviors.
    Methods  Between September and October 2023, the assessment data of 56870 students aged 9 to 18 years in Chengdu, Sichuan Province were collected. The R software package was used to evaluate the network structure and symptom centrality, and the global strength and structural differences of the networks of students with and without NSSI behaviors in elementary, junior high, and senior high schools were compared.
    Results  The prevalence of NSSI among elementary and secondary school students stands at 12.21%. Specifically, it peaks in junior high school students, reaching 14.22%, followed by that in senior middle school students at 13.66%, and is lowest in elementary school students at 10.17%. Regarding the network structure in elementary school students, irrespective of the presence or absence of NSSI behavior, subjective support exhibits the strongest network strength, and family functioning demonstrates the highest closeness centrality. Among junior high school students without NSSI behaviors, the strongest network strength was observed in subjective support, whereas for those with NSSI behaviors, self-esteem showed the strongest network strength. In addition, subjective support exhibited the highest closeness centrality in both groups. In senior high school students, self-esteem was the factor with the strongest network strength for students with or without NSSI behaviors. For senior high school students without NSSI, subjective support had the highest closeness centrality, while for those with NSSI, expressive suppression showed the highest closeness centrality. The edge weights differed significantly among elementary school students in family functioning-self-esteem (E = 0.093) and family functioning-objective support (E = 0.087). For junior high school students, significant differences were found in objective support-subjective support (E = 0.131) and family functioning-impulse control (E = 0.109). Among senior high school students, significant differences were observed in impulse control-family function (E = 0.133) and subjective support-utilization of support (E = 0.130) (P < 0.05).
    Conclusion  Excessive family involvement in elementary school students and expressive suppression in senior high school students may be important influencing factors for NSSI behaviors. The lack of social support has a greater impact on junior and senior high school students. The strength of the connection among subjective support, objective support, and utilization of support is an important indicator.

     

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