Peer victimization and non-suicidal self-injury among depressed adolescents: a moderated mediation model.

IF 2.3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Psychology Health & Medicine Pub Date : 2024-12-28 DOI:10.1080/13548506.2024.2439132

Yao Xu, Lan Hong, Jianan Xu, Jie Liu, Shiyao Ma, Siyu Tong, Jinqiu Zhang, Chengqian Jin, Lijun Wang, Mingjing Wu, Hong Chen, Tiansheng Zheng, Ke Zhao

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Abstract

Non-suicidal self-injury (NSSI) among teenagers with depression is a major and pervasive issue. Previous studies have established peer victimization as a risk factor for non-suicidal self-injury. However, little is known about how it influences teenagers to harm themselves non-suicidally. A total of 740 depressive outpatients aged 12-18 years with non-suicidal self-injury were selected. General demographic information was collected using the self-designed scale, and relevant information was collected using the Functional Assessment of Self-Mutilation, the Patient Health Questionnaire-9, the Multidimensional Peer Victimization Scale, and the Borderline Personality Features Scale for Children. After controlling for age and sex, it was discovered that depressive symptoms partially mediated the association between peer victimization and non-suicidal self-injury (p < 0.001). The mediating influence of depressive symptoms was modulated by borderline personality features. Half of the mediating effect is the moderating influence (p = 0.002). The moderated mediation model constructed in this study reveals the internal mechanism between adolescent peer victimization and non-suicidal self-injury, which is of great significance for the prevention and intervention of adolescent non-suicidal self-injury.

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抑郁青少年中的同伴伤害与非自杀性自伤：调节中介模型。

青少年抑郁症患者的非自杀性自伤（NSSI）是一个普遍存在的问题。先前的研究已经确定同伴受害是非自杀性自残的风险因素。然而，人们对它如何影响青少年以非自杀的方式伤害自己知之甚少。选取740例12 ~ 18岁非自杀性自残抑郁症门诊患者。采用自编量表收集一般人口统计信息，采用自残功能评估量表、患者健康问卷-9、多维同伴受害量表和儿童边缘性人格特征量表收集相关信息。在控制了年龄和性别后，我们发现抑郁症状部分介导同伴伤害与非自杀性自残之间的关联（p p = 0.002）。本研究构建的有调节中介模型揭示了青少年同伴伤害与青少年非自杀性自伤之间的内在机制，对青少年非自杀性自伤的预防和干预具有重要意义。

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来源期刊

Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.20

自引率

0.00%

发文量

200

审稿时长

6-12 weeks

期刊介绍： Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management. For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.