The Psychosocial Correlates of Non-suicidal Self-Injury Within a Sample of Adolescents With Mood Disorder

Frontiers in Public Health

Yanni Wang¹  Yongjie Zhou²  Lijuan Huo³  He Bu⁴  Kongliang He⁵  Tiansheng Zheng⁶  Linlin Meng⁷  Ling Qi⁸  Jiezhi Yang⁹  Xiangdong Du^1,10  Diyang Qu^1,11 

[1] 0Department of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, Lanzhou, China;1Shenzhen Mental Health Center, Shenzhen Kangning Hospital, Shenzhen, China;Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China;Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR, China;Hefei Fourth People's Hospital, Hefei, China;Kangning Hospital Affiliated to Wenzhou Medical University, Wenzhou, China;Linyi Mental Health Center, Linyi, China;School of Health Science and Nursing, Wuhan Polytechnic University, Wuhan, China;Shenzhen Health Development Research Center, Shenzhen, China;Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China;Vanke School of Public Health, Tsinghua University, Beijing, China;

关键词: psychosocial factors;    non-suicidal self-injury;    adolescent;    mood disorder;    self-esteem;    family support;   

DOI  :  10.3389/fpubh.2022.768400

来源: DOAJ

【 摘 要 】

BackgroundAccording to the integrated theoretical model, adolescents' behaviors were the outcome of the complex interplay between multiple levels. Non-suicidal self-injury (NSSI) is a serious and high prevalent problem among adolescents with mood disorders. However, a systematic perspective on psychosocial correlates among Chinese clinical adolescents is still rare.MethodThe impact of several factors at the individual (i.e., sex, age, self-esteem, and psychological distress), family (i.e., family structure, family income, and family support), and social level (i.e., living environment, peer support, and teacher support) on the frequency of NSSI behaviors were investigated in the current study. This research included 621 Chinese adolescents with mood disorders from 20 hospitals.ResultsThree-steps hierarchical regression analyses indicated that lower levels of psychological distress and higher levels of self-esteem were most associated with less frequency of NSSI behaviors. In addition, family support was negatively associated with the frequency of NSSI behaviors. After controlling the factors at individual and family levels, no significant association was found between the factors at the social level and the frequency of NSSI behaviors.ConclusionThese findings provide preliminary support for the notion that adolescent self-esteem and family support may effectively shield them from problematic behavior; nevertheless, adolescents suffering from more emotional pain can be even riskier. Thus, further intervention strategies should consider the non-independence of individual capacities, co-combinatory effects of mood disorder, and family environment in treating those vulnerable Chinese adolescents.

【 授权许可】

Unknown