童年期忽视与青少年非自杀性自伤行为的相关性研究进展

Correlation between childhood neglect and non-suicidal self-injury in adolescents

摘要

非自杀性自伤行为在青少年中极为常见,是引起青少年身心健康问题的重要原因。童年期忽视作为个体成长过程常见风险因素,所产生的不良后果较多,其中非自杀性自伤行为是近年研究的热点。本文通过对国内外童年期忽视与青少年非自杀性自伤行为的相关研究进行综述,总结两者之间相关的作用机制及影响因素,为青少年非自杀性自伤行为的防治提供重要参考。

Abstract

Non-suicidal self-injury(NSSI) is highly prevalent among adolescents, which is an important cause of adolescent physical and mental health problems.Childhood neglect, as a common risk factor during individual development, leads to numerous adverse outcomes, with NSSI emerging as a focal point in recent research.This article reviews the relevant research on childhood neglect and NSSI behavior of adolescents at home and abroad, summarizes the relevant mechanisms and influencing factors, in order to provide reference for the prevention and treatment of NSSI in adolescents.

关键词

童年期忽视 / 非自杀性自伤 / 青少年

Key words

childhood neglect / non-suicidal self-injury / adolescents

[1] Wolff JC, Thompson E, Thomas SA, et al. Emotion dysregulation and non-suicidal self-injury:A systematic review and Meta analysis[J]. Eur Psychiatry, 2019,59:25-36.
[2] Liu RT, Walsh RFL, Sheehan AE, et al. Prevalence and correlates of suicide and nonsuicidal self-injury in children:A systematic review and Meta-analysis[J]. JAMA psychiatry, 2022,79(7):718-726.
[3] Brown RC, Plener PL. Non-suicidal self-injury in adolescence[J]. Curr Psychiatry Rep, 2017, 19(3): 1-8.
[4] Lim KS, Wong CH, Mcintyre RS, et al. Global lifetime and 12-month prevalence of suicidal behavior,deliberate self-Harm and non-suicidal self-injury in children and adolescents between 1989 and 2018: A Meta-analysis[J]. Int J Environ Res Public Health,2019, 16(22): 4581.
[5] 韩阿珠,徐耿,苏普玉.中国大陆中学生非自杀性自伤流行特征的Meta分析[J].中国学校卫生,2017,38(11):1665-1670.
Han AZ, Xu G, Su PY, et al.A Meta-analysis of characteristics of non-suicidal self-injury among middle school students in mainland China[J].Chin J Sch Health, 2017, 38(11): 1665-1670.(in Chinese)
[6] de Neve-Enthoven NGM, Ringoot AP, Jongerling J, et al. Adolescent nonsuicidal self-injury and suicidality:A latent class analysis and associations with clinical characteristics in an at-risk cohort[J]. J Youth Adolesc, 2023: 1-17.
[7] North SJ, Fox KR, Doom JR. Timing of childhood adversities and self-injurious thoughts and behaviors in adolescence[J]. Dev Psychopathol, 2023, 35(1): 410-420.
[8] Zhang H, Ji M, Wang Y, et al. Early childhood neglect among 3-to 6-year-old children in China:A Meta-analysis[J]. Trauma Violence Abuse, 2023, 24(1): 3-14.
[9] Vanderminden J, Hamby S, David-Ferdon C, et al. Rates of neglect in a national sample: Child and family characteristics and psychological impact[J]. Child Abuse Negl, 2019, 88: 256-265.
[10] Leeb RT. Child maltreatment surveillance: Uniform definitions for public health and recommended data elements[M]. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 2008.
[11] 古桂雄,戴耀华.儿童保健学[M].北京:清华大学出版社,2011:230-234.
Gu GX, Dai YH. Child health care[M]. Beijing: Tsinghua University Press, 2011: 230-234.(in Chinese)
[12] 潘辰,邓云龙,管冰清,等.儿童心理虐待量表的修订和信效度检验[J].中国临床心理学杂志, 2010,18(4):463-465.
Pan C, Deng YL, Guan BQ, et al. Reliability and validity of Child Psychological Maltreatment Scale[J]. Chi J Clin Psychology, 2010, 18(4): 463-465.(in Chinese)
[13] Bernstein DP, Stein JA, Newcomb MD, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire[J]. Child Abuse Negl, 2003, 27(2): 169-190.
[14] Trocme N. Development and preliminary evaluation of the ontario child neglect index[J]. Child Maltreatment, 1996, 1(2): 145-155.
[15] Straus MA, Kinard E, Williams LM. The Neglect Scale[C]//The Annual Meeting of the American Educational Research Association. Chicago, IL, USA: AERA, 1997:23.
[16] 杨世昌,张亚林,杜爱玲.儿童被忽视量表的编制、信度和效度[J].实用儿科临床杂志,2009,24(16):1293-1296.
Yang SC, Zhang YL, Du AL. Development, reliability and validity of Child-Neglect Scale[J].Chi J Appl Clin Pediatr, 2009, 24(16):1293-1296.(in Chinese)
[17] 潘建平,张松杰,王维清,等.中国农村3～6岁儿童忽视量表的编制及常模的研究[J].中华预防医学杂志,2012,46(1):16-21.
Pan JP, Zhang SJ, Wang WQ, et al. Development of national neglect norms for children aged 3 to 6 years in rural areas of China[J].Chin J Prev Med, 2012, 46(1):16-21. (in Chinese)
[18] 潘建平,李敏,陈晶琦.中国城市12～17岁大学生忽视评价常模研制[J].中国学校卫生, 2013,34(2):156-159.
Pan JP, Li M, Chen JQ.Development of neglect evaluation norms for 12-17 middle school students in rural areas of China[J].Chin J Sch Health, 2013,34(2):156-159.(in Chinese)
[19] Nock MK. Understanding nonsuicidal self-injury: Origins, assessment, and treatment[M]. Washington: American Psychological Association, 2009.
[20] Nixon MK, Levesque C, Preyde M, et al. The Ottawa Self-Injury Inventory: Evaluation of an assessment measure of nonsuicidal self-injury in an inpatient sample of adolescents[J]. Child Adolesc Psychiatry Ment Health, 2015, 9: 1-7.
[21] Nock MK, Holmberg EB, Photos V, et al.Self-injurious thoughts and behaviors interview: Development, reliability, and validity in an adolescent sample[J]. Psychol Assess, 2007, 19(3):309-317.
[22] 万宇辉,刘婉,郝加虎,等.青少年非自杀性自伤行为评定问卷的编制及其信效度评价[J].中国学校卫生,2018,39(2):170-173.
Wang YH, Liu W, Hao JH, et al. Development and evaluation on reliability and validity of Adolescent Non-suicidal Self-injury Assessment Questionnaire[J]. Chin J Sch Health, 2018, 39(2):170-173.(in Chinese)
[23] 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.
Feng Y.The relationship of adolescents' self-harm behaviors, individual emotion characteristics and family environment factors[D]. Wuhan: Central China Normal University, 2008.(in Chinese)
[24] Strathearn L, Giannotti M, Mills R, et al. Long-term cognitive, psychological, and health outcomes associated with child abuse and neglect[J]. Pediatrics, 2020, 146(4).
[25] 张珊珊,张野.儿童期受忽视和社会支持与中职生自伤行为的研究[J].中国儿童保健杂志,2017,25(3):223-226.
Zhang SS, Zhang Y. Relationship of childrenhood neglect,social support and secondary vocational students' self-injury[J]. Chin J Child Health Care, 2017, 25(3):223-226.(in Chinese)
[26] Liu RT, Scopelliti KM, Pittman SK, et al. Childhood maltreatment and non-suicidal self-injury: A systematic review and Meta-analysis[J]. Lancet Psychiatry, 2018, 5(1):51-64.
[27] Han A, Wang G, Xu G,et al. A self-harm series and its relationship with childhood adversity among adolescents in mainland China: A cross-sectional study[J]. BMC Psychiatry, 2018,18(1):28.
[28] 李书琴,徐慧琼,高鑫,等.四城市中学生童年期不良经历暴露模式和视屏时间与非自杀性自伤行为的关联[J].卫生研究,2022,51(1):18-23,31.
Li SQ, Xu HQ, Gao X, et al.Association between patterns of adverse childhood experiences, screen time and non-suicidal self-injury behaviors among middle school students[J].J Hygiene Res, 2022, 51(1):18-23,31.(in Chinese)
[29] Hu N, Taylor CL, Li J, et al. The impact of child maltreatment on the risk of deliberate self-harm among adolescents: A population-wide cohort study using linked administrative records[J]. Child Abuse Negl, 2017, 67: 322-337.
[30] Martin J, Raby KL, Labella MH, et al. Childhood abuse and neglect, attachment states of mind, and non-suicidal self-injury[J]. Attach Hum Dev, 2017, 19(5): 425-446.
[31] Paul E, Ortin A. Psychopathological mechanisms of early neglect and abuse on suicidal ideation and self-harm in middle childhood[J]. Eur Child Adolesc Psychiatry, 2019, 28(10): 1311-1319.
[32] Chapman AL, Gratz KL, Brown MZ. Solving the puzzle of deliberate self-harm: The experiential avoidance model[J]. Behav Res Ther, 2006, 44(3): 371-394.
[33] Gratz KL, Chapman AL. The role of emotional responding and childhood maltreatment in the development and maintenance of deliberate self-harm among male undergraduates[J]. Psychol Men Masc, 2007, 8(1): 1-14.
[34] 林丽华,甘明星,郭治斌,等.心理虐待与忽视对青少年非自杀性自伤行为的影响:有调节的中介效应[J].中国临床心理学杂志,2020,28(6):1140-1143.
Lin LH, Gan MX, Guo ZB, et al.Psychological abuse and neglect and non-suicidal self-injury in adolescents:A mediated moderating model[J]. Chi J Clin Psychology, 2020, 28(6):1140-1143.(in Chinese)
[35] Wu J, Liu S, Luo J, et al. The effects of childhood abuse, depression, and self-compassion on adolescent nonsuicidal self-injury: A moderated mediation model[J]. Child Abuse Negl, 2023, 136: 105993.
[36] Roche AI, Kroska EB, Miller ML, et al. Childhood trauma and problem behavior: Examining the mediating roles of experiential avoidance and mindfulness processes[J]. J Am Coll Health, 2019, 67(1): 17-26.
[37] Hooley JM, Franklin JC. Why do people hurt themselves? A new conceptual model of nonsuicidalself-injury[J]. Curr Dir Psychol Sci, 2018, 6(3): 428-451.
[38] 尚超娜,王剑英,宋涛,等.伴非自杀性自伤行为心境障碍青少年患者心理体验的质性研究[J].中华护理杂志,2022,57(7):827-834.
Shang CN, Wang JY, Song T, et al.The psychological experience of adolescent patients with mood disorder accompanied by non-suicidal self-injury:A qualitative study[J].Chi J Nurs, 2022, 57(7):827-834.(in Chinese)
[39] Nock MK.Self-injury[J]. Annu Rev Clin Psychol, 2010, 6: 339-363.
[40] Kautz MM, Burke TA, Siegel DM, et al. The role of reward sensitivity and childhood maltreatment in predicting nonsuicidal self-injury[J]. Suicide Life Threat Behav, 2020, 50(6): 1250-1263.
[41] Blaisdell KN, Imhof AM, Fisher PA. Early adversity, child neglect, and stress neurobiology: From observations of impact to empirical evaluations of mechanisms[J]. Int J Dev Neurosci, 2019, 78: 139-146.
[42] Schreiner MW, Klimes-Dougan B, Begnel ED, et al. Conceptualizing the neurobiology of non-suicidal self-injury from the perspective of the Research Domain Criteria Project[J]. Neurosci Biobehav Rev, 2015, 57: 381-391.
[43] Peng B, Li J, Liu H, et al. Childhood maltreatment, low serum cortisol levels, and non-suicidal self-injury in young adults with major depressive disorders[J]. Front Pediatr, 2022, 10: 822046.
[44] Reichl C, Brunner R, Bender N, et al. Adolescent nonsuicidal self-injury and cortisol response to the retrieval of adversity: A sibling study[J]. Psychoneuroendocrinology, 2019, 110: 104460.
[45] Niu Z, Luo H, Zhang X, et al. Brain-gut axis mechanism of subthreshold nonsuicidal self-injury addictive features in adolescents[J]. Cereb Cortex, 2023, 33(21): 10784-10792.
[46] Coley EJL, Mayer EA, Osadchiy V, et al. Early life adversity predicts brain-gut alterations associated with increased stress and mood[J]. Neurobiol Stress, 2021, 15: 100348.
[47] Xiao W, Rong F, Li S, et al. Co-occurrence patterns of adverse childhood experiences and their associations with non-suicidal self-injury and suicidal behaviors and gender difference among middle school students:A three-city survey in China[J]. J Affect Disord, 2023, 320: 140-147.
[48] Richmond-Rakerd LS, Trull TJ, Gizer IR, et al. Common genetic contributions to high-risk trauma exposure and self-injurious thoughts and behaviors[J]. Psychol Med, 2019, 49(3): 421-430.
[49] VanMeter F, Nivison MD, Englund MM, et al. Childhood abuse and neglect and self-reported symptoms of psychopathology through midlife[J].Dev Psychol,2021, 57(5): 824.
[50] 左甜甜,王康程,胡宇飞,等.童年创伤与同伴环境对青少年抑郁症患者非自杀性自伤行为的预测作用[J].中华精神科杂志,2022,55(4):272-280.
Zuo TT, Wang KC, Hu YF, et al. The predictive role of childhood trauma and peer environment on non-suicidal self-injurious behavior in adolescents with depression[J].Chin J Psychiatry, 2022, 55(4):272-280.(in Chinese)
[51] Ghinea D, Fuchs A, Parzer P, et al. Psychosocial functioning in adolescents with non-suicidal self-injury: The roles of childhood maltreatment, borderline personality disorder and depression[J]. Borderline Personal Disord Emot Dysregul, 2021, 8(1): 21.
[52] Mawson A, Gaysina D. Childhood socio-economic position and affective symptoms in adulthood: The role of neglect[J]. J Affect Disord, 2021, 286: 267-274.
[53] 苏静,陈静,万宇辉,等.童年期虐待经历与中学生自伤行为的关联性[J].中国学校卫生, 2015,36(9):1326-1329.
Su J, Chen J, Wang HY, et al. Relations between childhood abuse and non-suicidal self-injury in middle school students[J]. Chin J Sch Health, 2015, 36(9):1326-1329.(in Chinese)
[54] Stirling J. Understanding medical neglect: When needed care is delayed or refused[J].J Child Adolesc Trauma, 2019, 13(3):271-276.
[55] Department of Psychiatry. Coping withself-harm: A Guide for Parents and Carers[EB/OL]. UK, Oxford: University of Oxford: 2016[2024-04-17]. https://www.psych.ox.ac.uk/news/coping-with-self-harm-a-guide-for-parents-and-carers-2013-highly-commended.
[56] Suarez E, Jackson DS, Slavin LA, et al. Project Kealahou: Improving Hawai'i's system of care for at-risk girls and young women through gender-responsive, trauma-informed care[J]. Hawaii J Med Public Health, 2014, 73(12): 387.
[57] WHO.Training manual for surveillance of suicide and self-harm in communities via key informants[M]. Geneva: World Health Organization, 2022.

基金资助

湖南省普通高等学校教学改革研究项目(HNJG-2022-0140);湖南省中医药管理局科研计划项目(B2023123);湖南省教育科学“十四五”规划2023年度课题(XJK23BGD014);长沙市自然科学基金资助项目(kq2402174);湖南中医药大学校级研究生创新课题(2022CX112,2023CX67)