青少年NSSI中的羞耻和内的时间动态:一个门诊评估研究
Andreas Goreis1,2,3, Rahel L van Eickels4, Dorothy Chang1
1Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Frontiers in psychiatry
|March 5, 2026
概括
青少年的羞耻感和内感与当前的非自杀性自我伤害 (NSSI) 冲动有关,而不是未来的冲动. 在NSSI行为后,羞耻感会增加,这表明它在维持行为方面发挥了作用.
科学领域:
- 心理学 心理学 心理学
- 青少年健康 青少年健康
- 心理健康研究 心理健康研究
背景情况:
- 非自杀性自我伤害 (NSSI) 是青少年的一个重大问题.
- 羞耻和内在驱动日常NSSI冲动中的确切作用尚未完全理解.
研究的目的:
- 调查羞耻,内和青少年瞬间的NSSI冲动之间的关系.
- 为了检查这些情绪在NSSI行为之前和之后如何波动,使用户外评估设计.
主要方法:
- 招募了25名青少年 (平均年龄15.9岁) 报告羞耻,内和NSSI敦促.
- 使用基于智能手机的生态瞬间评估 (EMA) 进行了7天,并为NSSI提供了事件相关提示.
- 采用线性混合效应模型来分析并发和滞后的关联以及与事件有关的变化.
主要成果:
- 羞耻和内都与同时出现的NSSI冲动有积极的相关性.
- 羞耻表现出时间变化 (周日/晚上更高),NSSI后增加.
- 罪恶感没有显示出一致的每日/每周模式,并且在NSSI后没有改变;情绪也没有预测未来的冲动.
结论:
- 羞耻和内与青少年的高NSSI冲动同时发生,而不是预测他们短期.
- 羞耻似乎在维持NSSI中发挥着作用,而内则会追踪行为后的冲动,但不会改变.
- 实时监测羞耻和内的峰值可以为临床干预提供信息;非耻辱化的语言对于寻求帮助至关重要.
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