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

Frontiers in Public Health

article

Linlin Meng¹  Diyang Qu²  He Bu³  Lijuan Huo⁴  Ling Qi⁵  Jiezhi Yang⁶  Tiansheng Zheng⁷  Xiangdong Du⁸  Kongliang He⁹  Yanni Wang^1,10  Yongjie Zhou^1,11 

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

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

DOI  :  10.3389/fpubh.2022.768400

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background According 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. Method The 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. Results Three-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. Conclusion These 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】

CC BY