青少年消极身体意象潜在类别与自杀意念和非自杀性自伤的关系

doi:10.13481/j.1671-587X.20230429

Abstract

Abstract:

Objective To discuss the potential categories of adolescents’ negative physical intentions， and to further analyze the relationships between different potential categories and suicidal ideation and non-suicidal self-injury of adolescents’ negative physical intentions. Methods In Changchun City of Jilin Province，4 middle schools were randomly selected， and 2 or 3 teaching classes were selected from each grade by using cluster randomly sampling method，and 1 459 students were regarded as the survey subjects， Beck Scale for Suicide Ideation Chinese Version（BSI-CV）， Adolescent Self Harm Scale （ASHS）， and Negative Physical Self Scale （NPSS） were used for the on-the-spot questionnaire survey， and the results were analyzed by latent profile analysis，χ² test，and Logistic regression analysis. Results The adolescents’ negative physical intentions were divided into body satisfaction（65.2%，951 persons），emaciated body dissatisfaction（13.4%，195 persons） and obese appearance dissatisfaction（21.4%，313 persons）.The Logistic regression analysis results showed that only-child（OR=2.43，95%CI：1.21－4.89，P<0.05）， bullying experience（OR=2.43， 95%CI：2.19－5.72，P<0.05），emaciated body dissatisfaction（OR =5.42， 95%CI：2.66－11.05，P<0.01），and obese appearance dissatisfaction（OR=9.34， 95%CI：5.18－16.83，P<0.01） were the risk factors for the adolescents’ suicidal ideation； girls（OR=2.35，95%CI：1.49－3.71，P<0.01），single-parent family（OR=1.99，95%CI：1.11－3.59，P<0.05），bullying experience（OR=5.26， 95%CI：3.42－8.08，P<0.01），emaciated body dissatisfaction（OR=2.34， 95%CI：1.21－4.53，P<0.05），and obese appearance dissatisfaction（OR=5.24， 95%CI：3.31－8.28，P<0.01）were the risk factors for the non-suicidal self-injury of the adolescents. Conclusion The negative physical intentions of the adolescents have heterogeneous；emaciated body dissatisfaction and obese appearance dissatisfaction are the risk factors for the suicidal ideation and non-suicidal self-injury.

Key words: Negative physical intentions, Suicidal ideation, Non-suicidal self-injury, Adolescent

CLC Number:

R395.2

Mingtu XU,Jingyang LI,Cong FU,Runhui TIAN. Relationships between potential categories of adolescents’ negative physical intentions and suicidal ideation and non-suicidal self-injury[J].Journal of Jilin University(Medicine Edition), 2023, 49(4): 1053-1059.

Figures/Tables 5

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References 31

1	韦敏，汤永隆，李士颖，等. 重庆市初中生受虐待经历与自杀意念和行为的关联［J］. 中国学校卫生， 2021， 42（11）： 1679-1682， 1687.
2	KIEKENS G， HASKING P， CLAES L， et al. The DSM-5 nonsuicidal self-injury disorder among incoming college students： prevalence and associations with 12-month mental disorders and suicidal thoughts and behaviors［J］. Depress Anxiety， 2018， 35（7）： 629-637.
3	American Psychiatric Association. Diagnostics and Statistical Manual of Mental Disorders［M］.5th ed.Arlington：Am Psychiatry Public， 2013.
4	徐慧琼，万宇辉，许韶君，等. 中学生非自杀性自伤行为与自杀意念和自杀未遂的关联［J］. 中国心理卫生杂志， 2019， 33（10）： 774-778.
5	GOUVEIA-PEREIRA M， DUARTE E， GOMES H S， et al. Exploring the suicidal continuum： deliberate self-harm diversity and severity as predictors of suicidal ideation and suicide attempts［J］. Psychiatry Res， 2022， 309： 114400.
6	余思，刘勤学. 青少年身体不满意与自杀意念的关系：一个有调节的中介模型［J］.心理发展与教育，2019， 35（4）： 486-494.
7	史攀，黄于飞，张翰之，等. 消极身体意象对青少年的负面影响［J］. 心理科学进展， 2020， 28（2）： 294-304.
8	FORRESTER R L， SLATER H， JOMAR K， et al. Self-esteem and non-suicidal self-injury in adulthood： a systematic review［J］. J Affect Disord， 2017， 221： 172-183.
9	NGUYEN D T， WRIGHT E P， DEDDING C， et al. Low self-esteem and its association with anxiety， depression， and suicidal ideation in Vietnamese secondary school students： a cross-sectional study［J］. Front Psychiatry， 2019， 10： 698.
10	BLACK E B， GARRATT M， BECCARIA G， et al. Body image as a predictor of nonsuicidal self-injury in women： a longitudinal study［J］. Compr Psychiatry， 2019， 88： 83-89.
11	MARCO J H， CAÑABATE M， GARCÍA-ALANDETE J， et al. Body image and nonsuicidal self-injury： validation of the Body Investment Scale in participants with eating disorders［J］. Clin Psychol Psychother， 2018， 25（1）： 173-180.
12	HOFFMANN S， WARSCHBURGER P. Patterns of body image concerns in adolescence and early adulthood： a latent profile analysis［J］. Eat Behav， 2018， 29： 28-34.
13	李献云，费立鹏，童永胜，等. Beck自杀意念量表中文版在社区成年人群中应用的信效度［J］. 中国心理卫生杂志， 2010， 24（4）： 250-255.
14	冯玉. 青少年自我伤害行为与个体情绪因素和家庭环境因素的关系［D］. 武汉：华中师范大学， 2008.
15	陈红. 青少年身体自我的理论与实证研究［D］. 重庆：西南大学， 2003.
16	尹奎，彭坚，张君. 潜在剖面分析在组织行为领域中的应用［J］. 心理科学进展， 2020， 28（7）： 1056-1070.
17	KAPOOR A， UPADHYAY M K， SAINI N K. Prevalence， patterns， and determinants of body image dissatisfaction among female undergraduate students of University of Delhi［J］. J Family Med Prim Care， 2022， 11（5）： 2002-2007.
18	REN L L， XU Y Y， GUO X， et al. Body image as risk factor for emotional and behavioral problems among Chinese adolescents［J］. BMC Public Health， 2018， 18（1）： 1179.
19	GANDHI A， LUYCKX K， MAITRA S， et al. Non-suicidal self-injury and identity distress in Flemish adolescents： exploring gender differences and mediational pathways［J］. Pers Individ Differ， 2015， 82： 215-220.
20	刘世宏，许晓璠，章益磊，等. 同伴压力知觉与青少年自杀意念：侵入性反刍和回避应对的链式中介作用［J］. 中国临床心理学杂志， 2019， 27（2）： 321-325， 329.
21	彭小凡，蔡婷婷，桂腾娅，等. 青少年心理素质在学习压力与自杀意念关系中的调节作用［J］. 中国心理卫生杂志， 2021， 35（11）： 919-924.
22	杨晓帆，刘珍珍，贾存显. 家庭矛盾与青少年自杀行为关系的队列研究［J］. 中华流行病学杂志，2021，42（11）：1976-1982.
23	王玉龙. 家庭无效环境对不同家庭类型青少年自伤行为的作用［J］. 中国特殊教育， 2015（5）： 80-84.
24	金凤，刁华，蒲杨，等. 重庆市中学生传统欺凌、网络欺凌与自杀相关心理行为关系［J］. 中国公共卫生， 2022， 38（1）： 39-46.
25	WANG S， JING H L， CHEN L， et al. The influence of negative life events on suicidal ideation in college students： the role of rumination［J］. Int J Environ Res Public Health， 2020， 17（8）： 2646.
26	JOHNSON J， TARRIER N， GOODING P. An investigation of aspects of the cry of pain model of suicide risk： the role of defeat in impairing memory［J］. Behav Res Ther， 2008， 46（8）： 968-975.
27	MALONE K M， OQUENDO M A， HAAS G L， et al. Protective factors against suicidal acts in major depression： reasons for living［J］. Am J Psychiatry， 2000， 157（7）： 1084-1088.
28	PÉREZ S， MARCO J H， CAÑABATE M. Non-suicidal self-injury in patients with eating disorders： prevalence， forms， functions， and body image correlates［J］. Compr Psychiatry， 2018， 84： 32-38.
29	GIGI） L J. Social media and its impact on Chinese’s women body image： the effects of body comparison and motivation for social media use［J］. J Psychol Res， 2022， 12（4）： 7-12.
30	HAZZARD V M， SCHAEFER L M， KEVIN THOMPSON J， et al. Measurement invariance of body image measures by age， gender， sexual orientation， race， weight status， and age： the U.S. Body Project Ⅰ［J］. Body Image， 2022， 41： 97-108.
31	刘宝鹏. 自我伤害后的重复行为、自杀及其他死因的发生率及相关因素研究［D］. 济南：山东大学， 2020.

Type	AIC	BIC	nBIC	Entropy	P_BLRT	P_LMRT
1	19 887.25	19 953.57	19 996.71	－	－	－
2	19 668.31	19 752.88	19 702.05	0.81	<0.01	<0.01
3	19 245.27	19 361.55	19 291.66	0.85	<0.01	<0.01
4	19 045.48	19 193.48	19 104.53	0.74	<0.01	<0.01
5	18 778.28	18 957.99	18 849.99	0.79	<0.01	<0.01
6	18 644.94	18 856.36	18 729.29	0.81	<0.01	0.24
“－”：No data.

Variable	n	Suicidal ideation				Non-suicidal self-injury
Variable	n	Yes	No	χ²	P	Yes	No	χ²	P
Gender
Boy	676	32	644	3.74	0.05	37	639	9.58	<0.01
Girl	783	56	727			77	706
Whether one-child
Yes	1 112	78	1 034	7.97	<0.01	91	1 021	0.88	0.350
No	347	10	337			23	324
Whether single-parent family
Yes	121	15	106	9.43	<0.01	20	101	13.91	<0.01
No	1 338	73	1 265			94	1 024
Whether bullying experience
Yes	230	41	189	67.02	<0.01	56	174	103.63	<0.01
No	1 229	47	1 182			58	1 171
Negative physical intention
Body satisfaction	951	16	935	107.76	<0.01	34	917	96.63	<0.01
Emaciated body dissatisfaction	195	17	178			15	180
Obese appearance dissatisfaction	313	55	258			65	248

Variable	Value
Dependent variable
Suicidal ideation	0=No,1=Yes
Non-suicidal self-injury	0=No,1=Yes
Independent variable
Gender	0=Boy,1=Girl
Whether only-child	0=No,1=Yes
Whether single-parent family	0=No,1=Yes
Whether bullying experience	0=No,1=Yes
Negative physical intention	0=Body satisfaction,1=Emaciated body dissatisfaction,2=Obese appearance dissatisfaction

Variable	β	SE	Wald χ²	OR	95%CI	P
Whether one-child
Yes/No	0.89	0.36	6.25	2.43	1.21－4.89	<0.05
Whether single-parent family
Yes/No	0.38	0.33	1.34	1.47	0.76－2.84	0.25
Whether bullying experience
Yes/No	1.27	0.24	26.85	3.55	2.19－5.72	<0.01
Negative physical intention
Emaciated body dissatisfaction/Body satisfaction	1.69	0.36	21.50	5.42	2.66－11.05	<0.01
Obese appearance dissatisfaction/Body satisfaction	2.23	0.31	55.21	9.34	5.18－16.83	<0.01

Variable	β	SE	Wald χ²	OR	95%CI	P
Gender
Girl/Boy	0.85	0.23	13.62	2.35	1.49－3.71	<0.01
Whether single-parent family
Yes/No	0.69	0.30	5.33	1.99	1.11－3.59	<0.05
Whether bullying experience
Yes/No	1.66	0.22	57.58	5.26	3.42－8.08	<0.01
Negative physical intention
Emaciated body dissatisfaction/Body satisfaction	0.85	0.34	6.32	2.34	1.21－4.53	<0.05
Obese appearance dissatisfaction/Body satisfaction	1.66	0.23	50.17	5.24	3.31－8.28	<0.01

Relationships between potential categories of adolescents’ negative physical intentions and suicidal ideation and non-suicidal self-injury

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