Abstract Objective To investigate the differences in non-suicidal self-injury (NSSI) behaviors between only-child and non-only-child adolescents with mood disorders. Methods A three-stage sampling method was used to perform a cross-sectional survey of 529 adolescents, aged 12-18 years, who had mood disorders and NSSI behaviors. These adolescents were sampled from the outpatient service of 20 mental hospitals in 9 provinces of China from August to November 2020. A self-made questionnaire was used to collect general demographic data. The Functional Assessment of Self-Mutilation, Beck Scale for Suicide Ideation, Kessler Psychological Distress Scale, Stress Mindset Measure-General, Multidimensional Scale of Perceived Social Support, Multidimensional Students' Life Satisfaction Scales, and Rosenberg Self-Esteem Scale were used to collect the information on self-injury behaviors and psychological factors in these adolescents. Results A total of 529 adolescents with mood disorders and NSSI behaviors were surveyed, among whom 375 were only-child adolescents and 154 were non-only-child adolescents. Compared with the non-only-child group, the only-child group had a significantly higher total score of Functional Assessment of Self-Mutilation (P<0.05) .The type and frequency of self-injury in the only-child group were significantly higher than those in the non-only-child group (P<0.05). Psychological analysis showed that compared with the non-only-child group, the only-child group had a significantly lower score of self-esteem (P<0.05) and significantly higher scores of psychological distress and depressive symptoms (P<0.05). The multiple linear regression analysis showed that the score of suicidal ideation was positively correlated with the frequency of NSSI behaviors in both only-child and non-only-child adolescents with mood disorders (P<0.05); in the only-child adolescents, the level of self-esteem was negatively correlated with the frequency of NSSI behaviors (P<0.05), and the score of stress perception was positively correlated with the frequency of NSSI behaviors (P<0.05); in the non-only-child adolescents, the score of anxious emotion was positively correlated with the frequency of NSSI behaviors (P<0.05). Conclusions Among the adolescents with mood disorders and NSSI behaviors, the only-child adolescents tend to have a higher frequency of self-injury and poorer mental health, and therefore, the only-child adolescents with mood disorders and NSSI behaviors need more attention.
HUANG Wei,ZHOU Yong-Jie,ZOU Hong-Yu et al. Differences in non-suicidal self-injury behaviors between only-child and non-only-child adolescents with mood disorders: a cross-sectional study[J]. CJCP, 2022, 24(7): 806-811.
HUANG Wei,ZHOU Yong-Jie,ZOU Hong-Yu et al. Differences in non-suicidal self-injury behaviors between only-child and non-only-child adolescents with mood disorders: a cross-sectional study[J]. CJCP, 2022, 24(7): 806-811.
Tuisku V, Kiviruusu O, Pelkonen M, et al. Depressed adolescents as young adults—Predictors of suicide attempt and non-suicidal self-injury during an 8-year follow-up[J]. J Affect Disord, 2014, 152-154: 313-319. PMID: 24144580. DOI: 10.1016/j.jad.2013.09.031.
Chi X, Huang L, Wang J, et al. The prevalence and socio-demographic correlates of depressive symptoms in early adolescents in China: differences in only child and non-only child groups[J]. Int J Environ Res Public Health, 2020, 17(2): 438. PMID: 31936468. PMCID: PMC7014354. DOI: 10.3390/ijerph17020438.
13 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders-5th Edition[M]. Arlington: American Psychiatric Association, 2013.
Qu D, Wang Y, Zhang Z, et al. Psychometric properties of the Chinese version of the Functional Assessment of Self-Mutilation (FASM) in Chinese clinical adolescents[J]. Front Psychiatry, 2021, 12: 755857. PMID: 35153848. PMCID: PMC8826685. DOI: 10.3389/fpsyt.2021.755857.
Lo MT, Chen SK, O'Connell AA. Psychometric properties and convergent validity of the Chinese version of the Rosenberg Self-Esteem Scale[J]. J Appl Meas, 2018, 19(4): 413-427. PMID: 30433883.
Crum AJ, Salovey P, Achor S. Rethinking stress: the role of mindsets in determining the stress response[J]. J Pers Soc Psychol, 2013, 104(4): 716-733. PMID: 23437923. DOI: 10.1037/a0031201.
Zimet GD, Powell SS, Farley GK, et al. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support[J]. J Pers Assess, 1990, 55(3-4): 610-617. PMID: 2280326. DOI: 10.1080/00223891.1990.9674095.
De Maria M, Vellone E, Durante A, et al. Psychometric evaluation of the Multidimensional Scale of Perceived Social Support (MSPSS) in people with chronic diseases[J]. Ann Ist Super Sanita, 2018, 54(4): 308-315. PMID: 30575567. DOI: 10.4415/ANN_18_04_07.
