A study on the correlation between childhood trauma, resilience and non-suicidal self-injury in adolescents
Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 8
Abstract
[Objective] To explore association between childhood trauma, resilience and non-suicidal self-injury in adolescents. [Methods] One hundred and fifty-eight first-episode adolescent patients with mood disorders were selected and divided into NSSI group (n=94) and non-NSSI group (n=64) based on presence or absence of NSSI. The Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA), childhood trauma questionnaire (CTQ-SF) and Connor-Davidson resilience scale (CD-RISC) were used to evaluate the depression and anxiety symptoms, childhood trauma and resilience. [Results] There were more cases of younger age (16.17±1.67 vs. 16.73±1.37), lower education level (30.9% vs.15.6%), left behind experience (48.9% vs. 29.7%), school bullying (46.8% vs. 25.0%), suicide ideation (85.1% vs. 37.5%) and history of attempted suicide (29.8% vs. 6.3%) in the group with NSSI compared to those without NSSI. The HAMD score (27.99±5.94 vs. 24.19±5.19), HAMA score (18.02±5.94 vs. 15.45±4.99), CTQ total score (48.43±15.40 vs. 41.97±9.75), emotional abuse score (12.77±6.06 vs. 10.19±4.06), and emotional neglect score (11.40±5.34 vs. 9.14±3.55) were higher in the group with NSSI, and the differences between the two groups were significant (P<0.05). The total scores of psychological resilience (39.83±10.27 vs. 28.66±12.75), resilience (19.59±4.92 vs. 12.28±6.47), strength (12.03±3.98 vs. 9.99±4.67), and optimism (8.98±2.97 vs. 6.47±3.73) in the group without NSSI were higher than those in the group with NSSI (P<0.05). Logistic regression analysis showed that left behind experience (OR=4.494, 95%CI: 1.192-16.940), school bullying (OR=5.983, 95%CI: 1.329-26.945), suicidal ideation (OR=13.225, 95%CI: 2.908-60.146), history of attempted suicide (OR=16.769, 95%CI: 1.845-152.379), HAMD (OR=1.264, 95%CI: 1.046-1.626), emotional abuse (OR=1.327, 95%CI: 1.093-1.612), and resilience (OR=0.468, 95%CI: 0.266-0.823) were significantly associated with adolescent mood disorders with NSSI (P<0.05). [Conclusion] Left behind experience, campus bullying, suicidal ideation and attempted suicide, emotional abuse, degree of depression, and psychological resilience may be associated with NSSI behavior in adolescents with mood disorders.
Authors and Affiliations
Yuanyuan GAO, Ran WANG, Na LI, Lan WANG, Tianyu ZHAO, Xiaochuan ZHAO, Wenting LU, Yanming JIAO, Congmin ZHANG, Ning LI, Jincheng WANG, Xueyi WANG
Keywords
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- EP ID EP750532
- DOI 10.3969/j.issn.1002-0152.2024.08.005
- Views 36
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