抑郁青少年中的攻击行为与非自杀性自伤：心理弹性的中介作用
Aggression and Non-Suicidal Self-Injury among Depressed Youths: The Mediating Effect of Resilience.
作者信息
Zhang Ling, Chen Meiai, Yao Benxian, Zhang Ying
机构信息
Center for Mental Health, Shaoxing University, Shaoxing, China.
School of Tourism and Health, Zhejiang A & F University, Hangzhou, China.
出版信息
Iran J Public Health. 2021 Feb;50(2):288-296. doi: 10.18502/ijph.v50i2.5342.
BACKGROUND
The global spread of COVID-19 not only exerted an enormous impact on the public in different countries but also aggravated depression among youths. The aggressive tendencies of depressed individuals can harm their body and life and threaten those of others. The aggressive and non-suicidal self-injurious behaviors of depressed youths may seriously affect their physical and psychological health if not identified and mediated promptly.
METHOD
A total of 875 young respondents (including college students, community youths, migrant workers, and so on) from three provinces in China were surveyed in 2020 using a depression scale, non-suicidal self-injury scale, aggression scale, and resilience scale.
RESULTS
Depression, non-suicidal self-injury, and aggression are significantly higher among the members of the depression group compared with the members of the healthy control group (<0.001), and the resilience of the members of the former group is remarkably lower than that of the members of the latter group (<0.001). Aggression among the depressed youths exhibits a significant positive correlation with non-suicidal self-injury (= 0.43, <0.01), whereas aggression (= -0.18, <0.05) and non-suicidal self-injury (= -0.20, <0.05) demonstrates significant negative correlations with resilience. The resilience of the youths in the depression group plays a partial mediating role in the relationship between aggression and non-suicidal self-injury.
CONCLUSION
The more aggressive the behaviors of the depressed youths, the more serious their non-suicidal self-injurious symptoms. Furthermore, resilience plays a partial mediating role in the relationship between aggression and non-suicidal self-injury.
背景
新型冠状病毒肺炎（COVID - 19）的全球传播不仅对不同国家的公众产生了巨大影响，还加剧了青少年的抑郁情绪。抑郁个体的攻击倾向会损害自身及他人的身体和生活。抑郁青少年的攻击行为和非自杀性自伤行为若不及时识别和干预，可能会严重影响他们的身心健康。
方法
2020年，使用抑郁量表、非自杀性自伤量表、攻击量表和心理韧性量表，对来自中国三个省份的875名年轻受访者（包括大学生、社区青少年、农民工等）进行了调查。
结果
与健康对照组相比，抑郁组成员的抑郁、非自杀性自伤和攻击水平显著更高（<0.001），且前者的心理韧性明显低于后者（<0.001）。抑郁青少年的攻击行为与非自杀性自伤呈显著正相关（= 0.43，<0.01），而攻击行为（= -0.18，<0.05）和非自杀性自伤行为（= -0.20，<0.05）与心理韧性呈显著负相关。抑郁组青少年的心理韧性在攻击行为和非自杀性自伤行为之间的关系中起部分中介作用。
结论
抑郁青少年的攻击行为越严重，其非自杀性自伤症状越严重。此外，心理韧性在攻击行为和非自杀性自伤行为之间的关系中起部分中介作用。
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