The relationship between depressive mood and non-suicidal self-injury among secondary vocational school students: the moderating role of borderline personality disorder tendencies

Frontiers in Psychiatry

Psychiatry

Yang Zhou¹  Mo Chen¹  Shu Yan¹  Lianzhong Liu²  Taimin Wu³  Zhaoyuan Lu⁴  Weixi Deng⁵ 

[1] Department of Psychiatry, Wuhan Mental Health Center, Wuhan, China;Department of Psychiatry, Wuhan Mental Health Center, Wuhan, China;Affiliated Wuhan Mental Health Center, Jianghan University, Wuhan, China;Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China;Institute of Education, China University of Geosciences (Wuhan), Wuhan, China;School of Medicine, Jianghan University, Wuhan, China;Department of Psychiatry, Wuhan Mental Health Center, Wuhan, China;Affiliated Wuhan Mental Health Center, Jianghan University, Wuhan, China;Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China;

关键词: non-suicidal self-injury (NSSI);    depression;    personality disorder;    adolescent;    personality tendencies;    moderating effect;   

DOI  :  10.3389/fpsyt.2023.1187800

 received in 2023-03-17, accepted in 2023-09-19,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundNon-suicidal self-injury (NSSI) has become an important public health issue of global concern, often occurring in adolescents, and depressive mood is closely related to NSSI. In addition, NSSI is considered a symptom of borderline personality disorder. It has been found that adolescents in secondary vocational schools are more vulnerable to behavior and emotional disorders than those in general high schools. This study investigated the risk factors associated with NSSI affecting secondary vocational school students and analyzed the role of borderline personality disorder tendencies in promoting the occurrence of NSSI among students with depressive moods.MethodsA total of 1,848 Chinese secondary vocational students completed a self-report questionnaire. The homemade NSSI behavior questionnaire, Patient Health Questionnaire-9 and Personality Diagnostic Questionnaire-4 were used in this survey. Binary logistic regression and PROCESS software analysis were used to explore the influencing factors associated with NSSI and to test for moderating effects.ResultsFemale (OR = 3.412, 95% CI 2.301–5.060), drinking history (OR = 2.007, 95% CI 1.383–2.911), history of suicidal death exposure (OR = 3.161, 95% CI 1.999–4.999), depressive mood (OR = 2.436, 95% CI 1.668–3.558) and borderline personality disorder tendencies (OR = 2.558, 95% CI = 1.764–3.711) were independent risk factors for NSSI. Borderline personality disorder tendencies (B = 0.047, p = 0.000) moderated the relationship between depressive mood and NSSI. The stronger the borderline personality tendencies, the more NSSI behavior occurred when they were depressive.ConclusionsBorderline personality disorder tendencies in secondary vocational school adolescents significantly enhance the association of depressive mood with NSSI. There is a moderating role for borderline personality disorder tendencies in depressive mood and NSSI.

【 授权许可】

Unknown   
Copyright © 2023 Lu, Chen, Yan, Deng, Wu, Liu and Zhou.