Relationship between parent-child attachment and deliberate self-harm behaviors in middle school students.

Abstract

Abstract: Objective To describe the prevalence of deliberate self-harm (DSH) behaviors,and determine the relationship between parent-child attachment and DSH behaviors in middle school students. Methods A total of 14 221 middle school students were selected using cluster sampling method in Shenyang,Xinxiang,Chongqing and Guangzhou city.Inventory of Parent and Peer Attachment (IPPA) and DSH items were used to assess sleep quality and psychosomatic symptoms,respectively.Spearman correlation analysis was used to analyze the relationship between the dimensions of parent-child attachment.The relationship between the parent-child attachment with DSH was analyzed using Pearson Chi-square and logistic regression. Results A total of 3 546 (24.9%) students reported that they had harmed themselves deliberately in the past 12 months.The act of DSH behaviors occurring 1~2 and ≥3 times accounted for 8.5% and 16.4% of all respondents,respectively.The act of DSH was reported significantly higher among boys than girls.It suggested that the incidence of the DSH behaviors among students with poor parent-child attachment (trust,communication,alienation with parents) was significantly higher than students with better parent-child attachment.Multivariable logistic regression analysis found that parent-child attachment dimensions (except for father-child trust) were independent risk factors for DSH behaviors. Conclusions These results indicate that different parent-child attachment dimensions are related to the presence or absence of DSH behaviors.Improvement of parent-child attachment could help preventing DSH behaviors among middle school students.

Key words: deliberate self-harm behaviors, middle school student, parent-child attachment

摘要： 目的了解中学生故意自伤行为的发生情况,分析不同形式的亲子依恋对自伤行为发生的影响。方法分层整群选取我国4省市14 221名在校城乡中学生为研究对象,比较不同性别及不同亲子依恋程度间自我伤害行为检出率的差异;以Spearman相关分析亲子依恋各维度的相关性;并建立多因素Logistic回归模型,分析亲子依恋对中学生自我伤害行为发生的影响。结果中学生故意自伤行为的检出率为24.9%,偶发自伤检出率为8.5%,反复自伤检出率为16.4%。男生自伤行为和反复自伤行为的检出率高于女生,差异有统计学意义(P<0.05)。父/母子依恋是中学生自伤行为发生的重要影响因素,受性别、年级、户口所在地、父母文化程度、是否独生子女、自评家庭经济条件、亲密的朋友数量个数等指标的影响较小。高母子信任水平和高父/母子沟通水平是中学生自伤行为发生的保护因素,而高父/母子疏离程度会增加自伤行为发生的风险。结论亲子依恋是中学生自伤行为发生的重要影响因素,积极改善亲子关系,对中学生自伤行为的防控具有十分重要的意义。

关键词: 自伤行为, 中学生, 亲子依恋

CLC Number:

R749.94

WAN Yu-hui,CHEN Jing,SUN Ying,HU Chuan-lai,TAO Fang-biao.. Relationship between parent-child attachment and deliberate self-harm behaviors in middle school students.[J]. journal1, 2013, 21(12): 1239-1242.

万宇辉,陈静,孙莹,胡传来,陶芳标. 中学生亲子依恋与故意自我伤害行为的相关性研究[J]. 中国儿童保健杂志, 2013, 21(12): 1239-1242.

References

[1] Hawton K,Saunders KE,O'Connor RC.Self-harm and suicide in adolescents[J].Lancet,2012,379(9834):2373-2382.
[2] 万宇辉,高荣,陶兴永,等.大学生故意自伤行为与自杀行为的相关性研究[J].中华流行病学杂志,2012,33(5):474-477.
[3] Honkalampi K,Tolmunen T,Hintikka J,et al.The prevalence of alexithymia and its relationship with Youth Self-Report Problem Scales among finnish adolescents[J].Compr Psychiatry,2009,50(3):263-268.
[4] Wan YH,Hu CL,Hao JH,et al.Deliberate self-harm behaviors in Chinese adolescents and young adults[J].Eur Child Adolesc Psychiatry,2011,20(10):517-525.
[5] Adrian M,Zeman J,Erdley C,et al.Emotional dysregulation and interpersonal difficulties as risk factors for nonsuicidal self-injury in adolescent girls[J].J Abnorm Child Psychol,2011,39(3):389-400.
[6] Saldias A,Power K,Gillanders DT,et al.The mediatory role of maladaptive schema modes between parental care and non-suicidal self-injury[J].Cogn Behav Ther,2013,42(3):244-257.
[7] Taliaferro LA,Muehlenkamp JJ,Borowsky IW,et al.Factors distinguishing youth who report self-injurious behavior:a population-based sample[J].Acad Pediatr,2012,12(3):205-213.
[8] Armsden GC,Greenberg MT.The inventory of parent and peer attachment:Individual differences and their relationship to psychological well-being in adolescence[J].J Youth Adolesc,1987,16:427-453.
[9] 包克冰,徐琴美.中马两国青少年的父母和同伴依恋关系的比较研究[J].中国临床心理学杂志,2006,14(2):172-174.
[10] Moran P,Coffey C,Romaniuk H,et al.The natural history of self-harm from adolescence to young adulthood:a population-based cohort study[J].Lancet,2012,379(9812):236-243.
[11] Yates TM,Tracy AJ,Luthar SS.Nonsuicidal self-injury among "privileged" youths:longitudinal and cross-sectional approaches to developmental process[J].J Consult Clin Psychol,2008,76(1):52-62.
[12] Morey C,Corcoran P,Arensman E,et al.The prevalence of self-reported deliberate self harm in Irish adolescents[J].BMC Public Health,2008,8:79-85.
[13] Shin YM,Chung YK,Lim KY,et al.Childhood predictors of deliberate self-harm behavior and suicide ideation in korean adolescents:a prospective population-based follow-up study[J].J Korean Med Sci,2009,24(2):215-222.
[14] Hilt LM,Nock MK,Lloyd-Richardson EE,et al.Longitudinal study of nonsuicidal self-injury among young adolescents:Rates,correlates and preliminary test of an interpersonal model[J].J Early Adolesc,2008,28(3):455-469.
[15] 王艳辉,张卫,彭家欣.亲子依恋、自我概念与大学生自我伤害的关系[J].心理学探新,2009,29(5):56-61.
[16] Bureau JF,Martin J,Freynet N,et al.Perceived dimensions of parenting and non-suicidal self-injury in young adults[J].J Youth Adolesc,2010,39(5):484-494.
[17] Wedig MM,Nock MK.Parental expressed emotion and adolescent self-injury[J].J Am Acad Child Adolesc Psychiatry,2007,46(9):1171-1178.
[18] Berger E,Hasking P,Martin G.'Listen to them':Adolescents' views on helping young people who self-injure[J].J Adolesc,2013,36(5):935-945.
[19] Klonsky ED.The functions of deliberate self-injury:a review of the evidence[J].Clin Psychol Rev,2007,27(2):226-239.
[20] Nock MK.Why do people hurt themselves?New insights into the nature and functions of self-Injury[J].Curr Dir Psychol Sci,2009,18(2):78-83.
[21] Crowell SE,Beauchaine TP,McCauley E,et al.Parent-child interactions,peripheral serotonin,and self-inflicted injury in adolescents[J].J Consult Clin Psychol,2008,76(1):15-21.