[在青少年和年轻人的非-自杀自伤行为中进行生态瞬间评估]
Xiaoqin Su1, Tengwei Chen2, Yuedong Chen2
1Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410013. 236911044@csu.edu.cn.
概括
年轻人的非自杀性自我伤害 (NSSI) 往往是由需要调节情绪所驱动的. 了解这些情绪转变是开发NSSI有效干预措施的关键.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 发展心理学 发展心理学
背景情况:
- 非自杀性自我伤害 (NSSI) 是一个重要的公共卫生问题,尤其在被诊断患有情绪障碍的青少年和年轻人中普遍存在.
- 了解NSSI的情境触发因素和情感动态对于有效的临床干预至关重要.
研究的目的:
- 调查与青少年和年轻成年人NSSI相关的发生,动机和现实生活背景因素.
- 检查NSSI发作之前,期间和之后的动态情绪变化.
主要方法:
- 在135名有NSSI冲动或行为史的参与者中,在14天内利用生态瞬间评估 (EMA) 的观察性研究.
- 通过基于微信的EMA小程序收集的数据,通过3,976次评估捕捉NSSI,环境因素和情绪状态.
- 线性混合效应模型用于分析与NSSI发生有关的情绪轨迹.
主要成果:
- 31.9%的参与者报告至少有一次NSSI事件,切割是最常见的方法.
- NSSI最常发生在家中,休息期间,以及参与者独自一人时.
- 在NSSI之前,负面影响显著增加,积极影响下降,随后在NSSI后负面影响下降,积极影响反弹.
结论:
- NSSI与情绪波动密切相关,累积的负面情绪作为前体.
- 情绪调节被认为是NSSI的主要动机.
- 专注于情绪调节策略的干预措施有望减少NSSI发生率.
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