PDF(Pubmed)
Abstract：
UNASSIGNED: Family environment is the primary environment for adolescent growth and development, which is believed to have an important impact on the occurrence of non-suicidal self-injury (NSSI) behavior in adolescents. This study aimed to explore the effects of family environment cognition and cognitive differences perceived by adolescents and their parents on the treatment effects of NSSI in adolescents and to provide more potential perspectives for NSSI treatment.
UNASSIGNED: A one-year prospective longitudinal sub-cohort investigation was carried out among 199 adolescents engaged in NSSI and one of their important guardians from the Longitudinal Psychosomatic Disease Study (LoPDS). The NSSI behaviors of adolescents were evaluated at 3 months, 6 months and 1 year after enrollment. The family environment scale (FES) and NSSI Behavior Questionnaire were used as assessment tools for family environment and adolescents NSSI behaviors. Multiple linear regression was used to investigate the role of family environment perception difference in the treatment effect of adolescent NSSI.
UNASSIGNED: After one year of follow-up, the perceived self-injury impulse score in recent 2 weeks, self-injury impulse frequency in recent 2 weeks, total number of self-injury in recent 2 weeks decreased significantly. The higher the adolescent family cohesion (Beta: 1.130, 95% CI: 0.886,1.373; p=0.032), parental family expressiveness (Beta: 0.818, 95% CI: 0.375,1.260; p=0.037) and parental family active-recreational orientation score (Beta: 0.609, 95% CI: 0.236,0.981; p=0.048), the better the treatment effect. However, higher adolescent family conflict (Beta: -0.838, 95% CI: -1.377,-0.298; p=0.024) were associated with lower treatment outcomes. The greater the cognitive difference between parents and adolescents in family cohesion (Beta: -1.307, 95% CI: -2.074,-0.539; p=0.014) and family conflict(Beta: -0.665, 95% CI: -0.919,-0.410; p=0.037), the worse the therapeutic effect of NSSI might be.
UNASSIGNED: There were certain differences in the cognition of family relationships between parents and adolescents, and subjective family relationship cognition and cognitive differences had a significant effect on the treatment effect of NSSI in adolescents. Helping them identify the cause of cognitive differences and conducting systematic family therapy from the points of difference may be another perspective to improve the treatment effect of NSSI in adolescents.
UNASSIGNED: A one-year prospective longitudinal sub-cohort investigation was carried out among 199 adolescents engaged in NSSI and one of their important guardians from the Longitudinal Psychosomatic Disease Study (LoPDS). The NSSI behaviors of adolescents were evaluated at 3 months, 6 months and 1 year after enrollment. The family environment scale (FES) and NSSI Behavior Questionnaire were used as assessment tools for family environment and adolescents NSSI behaviors. Multiple linear regression was used to investigate the role of family environment perception difference in the treatment effect of adolescent NSSI.
UNASSIGNED: After one year of follow-up, the perceived self-injury impulse score in recent 2 weeks, self-injury impulse frequency in recent 2 weeks, total number of self-injury in recent 2 weeks decreased significantly. The higher the adolescent family cohesion (Beta: 1.130, 95% CI: 0.886,1.373; p=0.032), parental family expressiveness (Beta: 0.818, 95% CI: 0.375,1.260; p=0.037) and parental family active-recreational orientation score (Beta: 0.609, 95% CI: 0.236,0.981; p=0.048), the better the treatment effect. However, higher adolescent family conflict (Beta: -0.838, 95% CI: -1.377,-0.298; p=0.024) were associated with lower treatment outcomes. The greater the cognitive difference between parents and adolescents in family cohesion (Beta: -1.307, 95% CI: -2.074,-0.539; p=0.014) and family conflict(Beta: -0.665, 95% CI: -0.919,-0.410; p=0.037), the worse the therapeutic effect of NSSI might be.
UNASSIGNED: There were certain differences in the cognition of family relationships between parents and adolescents, and subjective family relationship cognition and cognitive differences had a significant effect on the treatment effect of NSSI in adolescents. Helping them identify the cause of cognitive differences and conducting systematic family therapy from the points of difference may be another perspective to improve the treatment effect of NSSI in adolescents.
摘要：
■家庭环境是青少年生长发育的主要环境,这被认为对青少年非自杀性自我伤害（NSSI）行为的发生具有重要影响。本研究旨在探讨家庭环境认知和青少年及其父母认知差异对青少年NSSI治疗效果的影响，为NSSI治疗提供更多潜在视角。
■一项为期一年的前瞻性纵向子队列调查对199名从事NSSI的青少年及其来自纵向心身疾病研究（LoPDS）的重要监护人之一进行。在3个月时评估青少年的NSSI行为，入学后6个月和1年。采用家庭环境量表（FES）和NSSI行为问卷作为家庭环境和青少年NSSI行为的评估工具。采用多元线性回归分析家庭环境感知差异对青少年NSSI治疗效果的影响。
■经过一年的随访，最近2周的自我伤害冲动评分，近2周自我伤害冲动频率,近2周自我损伤总例数明显减少。青少年家庭凝聚力越高(Beta:1.130,95%CI:0.886,1.373;p=0.032),父母家庭表达能力（Beta：0.818，95％CI：0.375,1.260;p=0.037）和父母家庭积极娱乐方向得分（Beta：0.609，95％CI：0.236,0.981;p=0.048），治疗效果越好。然而,较高的青少年家庭冲突(β:-0.838,95%CI:-1.377,-0.298;p=0.024)与较低的治疗结局相关.父母和青少年在家庭亲密度(β:-1.307,95%CI:-2.074,-0.539;p=0.014)和家庭冲突(β:-0.665,95%CI:-0.919,-0.410;p=0.037)方面的认知差异越大,NSSI的治疗效果可能越差。
■父母与青少年对家庭关系的认知存在一定差异,主观家庭关系认知和认知差异对青少年NSSI治疗效果有显著影响。帮助他们识别认知差异的原因，从差异的角度进行系统的家庭治疗可能是提高青少年NSSI治疗效果的另一个角度。
■一项为期一年的前瞻性纵向子队列调查对199名从事NSSI的青少年及其来自纵向心身疾病研究（LoPDS）的重要监护人之一进行。在3个月时评估青少年的NSSI行为，入学后6个月和1年。采用家庭环境量表（FES）和NSSI行为问卷作为家庭环境和青少年NSSI行为的评估工具。采用多元线性回归分析家庭环境感知差异对青少年NSSI治疗效果的影响。
■经过一年的随访，最近2周的自我伤害冲动评分，近2周自我伤害冲动频率,近2周自我损伤总例数明显减少。青少年家庭凝聚力越高(Beta:1.130,95%CI:0.886,1.373;p=0.032),父母家庭表达能力（Beta：0.818，95％CI：0.375,1.260;p=0.037）和父母家庭积极娱乐方向得分（Beta：0.609，95％CI：0.236,0.981;p=0.048），治疗效果越好。然而,较高的青少年家庭冲突(β:-0.838,95%CI:-1.377,-0.298;p=0.024)与较低的治疗结局相关.父母和青少年在家庭亲密度(β:-1.307,95%CI:-2.074,-0.539;p=0.014)和家庭冲突(β:-0.665,95%CI:-0.919,-0.410;p=0.037)方面的认知差异越大,NSSI的治疗效果可能越差。
■父母与青少年对家庭关系的认知存在一定差异,主观家庭关系认知和认知差异对青少年NSSI治疗效果有显著影响。帮助他们识别认知差异的原因，从差异的角度进行系统的家庭治疗可能是提高青少年NSSI治疗效果的另一个角度。
