史开天, 韦晓亮, 高淇, 刘涛生. 军人非自杀性自伤与儿童期受虐的关系[J]. 解放军医学院学报, 2022, 43(9): 982-987. DOI: 10.3969/j.issn.2095-5227.2022.09.013
引用本文: 史开天, 韦晓亮, 高淇, 刘涛生. 军人非自杀性自伤与儿童期受虐的关系[J]. 解放军医学院学报, 2022, 43(9): 982-987. DOI: 10.3969/j.issn.2095-5227.2022.09.013
SHI Kaitian, WEI Xiaoliang, GAO Qi, LIU Taosheng. The relationship between non-suicidal self-injury and childhood maltreatment in soldiers[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2022, 43(9): 982-987. DOI: 10.3969/j.issn.2095-5227.2022.09.013
Citation: SHI Kaitian, WEI Xiaoliang, GAO Qi, LIU Taosheng. The relationship between non-suicidal self-injury and childhood maltreatment in soldiers[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2022, 43(9): 982-987. DOI: 10.3969/j.issn.2095-5227.2022.09.013

军人非自杀性自伤与儿童期受虐的关系

The relationship between non-suicidal self-injury and childhood maltreatment in soldiers

  • 摘要:
      背景  作为特殊群体,军人具有较高的自杀可能性,而非自杀性自伤(non-suicidal self-injury,NSSI)不仅与临床急诊、功能障碍的发生相关,还是自杀企图的高风险因素。随着美国《精神疾病诊断与统计手册》第5版(DSM-5)新增了NSSI的诊断标准,NSSI逐渐成为精神医学领域关注的热点。
      目的  探讨军人非自杀性自伤与儿童期受虐的关系,以及边缘性人格在儿童期受虐与非自杀性自伤关联中的中介效应。
      方法  2021年11 - 12月抽取某部队1 530名人员,其中男性1 500名,女性30名,平均年龄(25.96±5.15)岁。采用儿童期受虐问卷(CTQ-SF)、人格诊断问卷(PDQ-4+)边缘性人格障碍分量表和DSM-5定式障碍临床检查分别测量儿童期受虐经历、边缘性人格特征和自伤行为情况。
      结果  儿童期受虐得分与边缘性人格得分呈正相关(r=0.239,P<0.01),与自伤行为呈正相关(r=0.123,P<0.01),边缘性人格得分与自伤行为也呈正相关(r=0.167,P<0.01);边缘性人格在儿童期受虐与NSSI行为的关联中起部分中介效应,中介效应占总效应的比例为20.94%。此外,在儿童期受虐各因子中,除了性虐待,边缘性人格在情感虐待、情感忽视、身体虐待、身体忽视与NSSI行为关联中的中介效应显著,中介效应占总效应的比例为13.70% ~ 37.56%。
      结论  军人NSSI行为与儿童期受虐、边缘性人格有关,边缘性人格在儿童期受虐与NSSI行为的关联中存在部分中介效应,征兵应注重边缘人格的筛查。

     

    Abstract:
      Background  As a special group, soldiers are more likely to commit suicide. Non-suicidal self-injury (NSSI) is not only associated with clinical emergency department, the onset of dysfunction, but also a high-risk factor for suicide attempts. With the addition of diagnostic criteria of NSSI in the 5th edition of The Diagnostic and Statistical Manual of Mental Disorder (DSM-5), NSSI has gradually become a hot topic in the field of psychiatry.
      Objective  To explore the relationship between NSSI behavior of soldiers and childhood maltreatment and the mediating effect of borderline personality on the association between childhood maltreatment and NSSI.
      Methods  From November 2021 to December 2021, a total of 1530 people, including 1500 males and 30 males with an average age of 25.96±5.150 years, were selected from a military unit. Childhood abuse experience, borderline personality trait and NSSI were measured by CTQ-SF, PDQ-4 + and SCID-5-CV, respectively.
      Results  There was a positive correlation between childhood maltreatment score and borderline personality score(r=0.239, P<0.01) and positively correlated with NSSI(r=0.123, P<0.01). Borderline personality score was also positively correlated with NSSI (r=0.167, P<0.01), borderline personality played a partial mediating role between childhood maltreatment and NSSI which the proportion of the mediation effect of total effect was 20.94%. In addition, among the factors of childhood maltreatment, borderline personality had a significant mediating effect on the association between emotional abuse, emotional neglect, physical abuse, physical neglect and NSSI, ranging from 13.70% to 37.56% of the total effect.
      Conclusion  NSSI behavior of soldiers is related to childhood maltreatment and borderline personality. Borderline personality has a partial mediating effect in the association between childhood maltreatment and NSSI, so the screening of borderline personality should be emphasized in conscription.

     

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