山东大学学报 (医学版) ›› 2026, Vol. 64 ›› Issue (3): 55-64.doi: 10.6040/j.issn.1671-7554.0.2025.0645
• “儿童青少年心理健康”重点专题 • 上一篇
常源,王帆,文颖,陈光辉
CHANG Yuan, WANG Fan, WEN Ying, CHEN Guanghui
摘要: 目的 考察父母心理控制、受欺凌以及二者累积风险对青少年非自杀性自伤(nonsuicidal self-injury, NSSI)的消极影响,并探究自我同情在其中的调节作用,进而开发和检验基于心理健康课程的自我同情训练方案。 方法 以901名青少年(初一至高二)为对象进行问卷调查,探究父母心理控制、受欺凌与NSSI之间的关系。以242名初二青少年为对象采用整群随机对照试验检验自主开发的自我同情干预课程的有效性。 结果 父母心理控制、受欺凌均显著正向预测青少年NSSI,且二者累积风险对NSSI的影响相较于单一风险因素更大;自我同情显著负向调节父母心理控制、受欺凌及二者累积风险对青少年NSSI的影响;自我同情心育课程能够显著提升青少年的自我同情水平,并显著降低青少年的NSSI。 结论 父母心理控制、受欺凌及其累积效应均是导致青少年NSSI的风险因素。自我同情能缓冲父母心理控制和受欺凌对青少年NSSI的消极影响,且针对自我同情的心育课程可有效提升青少年的自我同情水平并降低NSSI。
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| [1] Klonsky ED. The functions of deliberate self-injury: a review of the evidence[J]. Clin Psychol Rev, 2007, 27(2): 226-239. [2] Nock MK. Self-injury[J]. Annu Rev Clin Psychol, 2010, 6(1): 339-363. [3] Goueslard K, Quantin C, Jollant F. Self-harm and suicide death in the three years following hospitalization for intentional self-harm in adolescents and young adults: a nationwide study[J]. Psychiatry Res, 2024, 334: 115807. doi: 10.1016/j.psychres.2024.115807 [4] Tang J, Ma Y, Lewis SP, et al. Association of Internet addiction with nonsuicidal self-injury among adolescents in China[J]. JAMA Netw Open, 2020, 3(6): e206863. doi: 10.1001/jamanetworkopen.2020.6863 [5] Kiekens G, Hasking P, Bruffaerts R, et al. Non-suicidal self-injury among first-year college students and its association with mental disorders: results from the World Mental Health International College Student(WMH-ICS)initiative[J]. Psychol Med, 2023, 53(3): 875-886. [6] Zheng MJ, Gao YM, Li JW, et al. Longitudinal relationship between aggressive behavior and non-suicidal self-injury among adolescent boys and girls: the mediating role of peer victimization[J]. J Youth Adolesc, 2025, 54(6): 1506-1519. [7] Lang JJ, Yao YS. Prevalence of nonsuicidal self-injury in Chinese middle school and high school students: a meta-analysis[J]. Medicine(Baltimore), 2018, 97(42): e12916. doi: 10.1097/MD.0000000000012916 [8] Barber BK. Parental psychological control: revisiting a neglected construct[J]. Child Dev, 1996, 67(6): 3296-3319. [9] You JN, Jiang YQ, Zhang MQ, et al. Perceived parental control, self-criticism, and nonsuicidal self-injury among adolescents: testing the reciprocal relationships by a three-wave cross-lag model[J]. Arch Suicide Res, 2017, 21(3): 379-391. [10] Olweus D. Bullying at school: what we know and what we can do [M]. Oxford: Blackwell, 1993. [11] 陈光辉. 中小学生对欺负现象本质内涵的感知[J]. 心理与行为研究, 2014, 12(5): 639-644. CHEN Guanghui. The perception to definition of qifu phenomenon from primary and junior middle students[J]. Studies of Psychology and Behavior, 2014, 12(5): 639-644. [12] 张文新. 中小学生欺负/受欺负的普遍性与基本特点[J]. 心理学报, 2002, 34(4): 387-394. ZHANG Wenxin. Prevalence and major characteristics of bullying/victimization among primary and junior middle school children[J]. Journal of Chinese Psychology Acta Psychologica Sinica, 2002, 34(4): 387-394. [13] Serafini G, Aguglia A, Amerio A, et al. The relationship between bullying victimization and perpetration and non-suicidal self-injury: a systematic review[J]. Child Psychiatry Hum Dev, 2023, 54(1): 154-175. [14] Evans GW, Li DP, Whipple SS. Cumulative risk and child development[J]. Psychol Bull, 2013, 139(6): 1342-1396. [15] 张良, 柳霖, 纪林芹, 等. 儿童青少年内外化心理病理问题“共发” 现象研究现状与展望[J]. 心理科学, 2022, 45(1): 219-226. ZHANG Liang, LIU Lin, JI Linqin, et al. Co-occurrence of externalizing and internalizing problems among children and adolescence: research review and future directions[J]. Journal of Psychological Science, 2022, 45(1): 219-226. [16] Lee TY, Shek DTL, Kwong WM. Chinese approaches to understanding and building resilience in at-risk children and adolescents[J]. Child Adolesc Psychiatr Clin N Am, 2007, 16(2): 377-392. [17] Baetens I, Claes L, Onghena P, et al. Non-suicidal self-injury in adolescence: a longitudinal study of the relationship between NSSI, psychological distress and perceived parenting[J]. J Adolesc, 2014, 37(6): 817-826. [18] Neff K. Self-compassion: an alternative conceptualiza tion of a healthy attitude toward oneself[J]. Self Identity, 2003, 2(2): 85-101. [19] Finlay-jones AL. The relevance of self-compassion as an intervention target in mood and anxiety disorders: a narrative review based on an emotion regulation framework[J]. Clin Psychol, 2017, 21(2): 90-103. [20] Jiang YQ, You JN, Hou Y, et al. Buffering the effects of peer victimization on adolescent non-suicidal self-injury: te role of self-compassion and family cohesion[J]. J Adolesc, 2016, 53: 107-115. doi: 10.1016/j.adolescence.2016.09.005 [21] Neff KD, Germer CK. A pilot study and randomized controlled trial of the mindful self-compassion program[J]. J Clin Psychol, 2013, 69(1): 28-44. [22] Steinhoff A, Ribeaud D, Kupferschmid S, et al. Self-injury from early adolescence to early adulthood: age-related course, recurrence, and services use in males and females from the community[J]. Eur Child Adolesc Psychiatry, 2021, 30(6): 937-951. [23] Wilkinson PO, Qiu TY, Neufeld S, et al. Sporadic and recurrent non-suicidal self-injury before age 14 and incident onset of psychiatric disorders by 17 years: prospective cohort study[J]. Br J Psychiatry, 2018, 212(4): 222-226. [24] Wang Q, Pomerantz EM, Chen HC. The role of parents control in early adolescents psychological functioning: a longitudinal investigation in the United States and China[J]. Child Dev, 2007, 78(5): 1592-1610. [25] 张文新, 武建芬. Olweus儿童欺负问卷中文版的修订[J]. 心理发展与教育, 1999, 15(2): 8-12, 38. [26] Lengua LJ, Bush NR, Long AC, et al. Effortful control as a moderator of the relation between contextual risk factors and growth in adjustment problems[J]. Dev Psychopathol, 2008, 20(2): 509-528. [27] 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. WAN Yuhui, LIU Wan, HAO Jiahu, et al. Development and evaluation on reliability and validity of adolescent non-suicidal self-injury assessment questionnaire[J]. Chinese Journal of School Health, 2018, 39(2): 170-173. [28] Neff KD. The development and validation of a scale to measure self-compassion[J]. Self Identity, 2003, 2(3): 223-250. [29] 陈健, 燕良轼, 周丽华. 中文版自悯量表的信效度研究[J]. 中国临床心理学杂志, 2011, 19(6): 734-736. CHEN Jian, YAN Liangshi, ZHOU Lihua. Reliability and validity of Chinese version of self-compassion scale[J]. Chinese Journal of Clinical Psychology, 2011, 19(6): 734-736. [30] 周浩, 龙立荣. 共同方法偏差的统计检验与控制方法[J]. 心理科学进展, 2004, 12(6): 942-950. ZHOU Hao, LONG Lirong. Statistical remedies for common method biases[J]. Advances in Psychological Science, 2004, 12(6): 942-950. [31] 汤丹丹, 温忠麟. 共同方法偏差检验: 问题与建议[J]. 心理科学, 2020, 43(1): 215-223. TANG Dandan, WEN Zhonglin. Statistical approaches for testing common method bias: problems and suggestions[J]. Journal of Psychological Science, 2020, 43(1): 215-223. [32] Gilbert P, Procter S. Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach[J]. Clin Psychol Psychother, 2006, 13(6): 353-379. [33] Appleyard K, Egeland B, van Dulmen MHM, et al. When more is not better: the role of cumulative risk in child behavior outcomes[J]. J Child Psychol Psychiatry, 2005, 46(3): 235-245. [34] Baumgartner F, Vancu E, Kelmendi K. Bullying at school and cognitive emotion regulation[J]. Cas, 2021, 23(4): 18-31. [35] Filippello P, Sorrenti L, Buzzai C, et al. Perceived parental psychological control and learned helplessness: the role of school self-efficacy[J]. Sch Ment Health, 2015, 7(4): 298-310. [36] Karhina K, Bøe T, Hysing M, et al. Parental separation, negative life events and mental health problems in adolescence[J]. BMC Public Health, 2023, 23(1): 2364. doi: 10.1186/s12889-023-17307-x [37] Neff KD. Self-compassion: theory, method, research, and intervention[J]. Annu Rev Psychol, 2023, 74: 193-218. doi: 10.1146/annurev-psych-032420-031047 [38] An Y, Long X, Gao F, et al. Effects of Parental psychological control on Chinese adolescent non-suicidal self-injury: the roles of difficulties in emotion regulation and self-compassion[J]. SSRN, 2024, abs/4800030. doi:10.2139/ssrn.4800030 [39] Neff KD, McGehee P. Self-compassion and psychological resilience among adolescents and young adults[J]. Self Identity, 2010, 9(3): 225-240. [40] Maricic J, Bjelic S, Jelic K. The role of self-compassion and attributions in the mental health of older adolescents amid the COVID-19 pandemic[J]. Int J Environ Res Public Health, 2023, 20(21): 6981. doi: 10.3390/ijerph20216981 [41] Purdie F, Morley S. Self-compassion, pain, and breaking a social contract[J]. Pain, 2015, 156(11): 2354-2363. [42] Russell G, Lightman S. The human stress response[J]. Nat Rev Endocrinol, 2019, 15(9): 525-534. [43] Steinberg L, Morris AS. Adolescent development[J]. Annu Rev Psychol, 2001, 52: 83-110. doi: 10.1146/annurev.psych.52.1.83 [44] Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results[J]. Gen Hosp Psychiatry, 1982, 4(1): 33-47. [45] García-Campayo J, Navarro-Gil M, Demarzo M. Attachment-based compassion therapy[J]. Mindfulness Compassion, 2016, 1(2): 68-74. [46] Oyserman D, Coon HM, Kemmelmeier M. Rethinking individualism and collectivism: evaluation of theoretical assumptions and meta-analyses[J]. Psychol Bull, 2002, 128(1): 3-72. [47] Chao RK. Beyond parental control and authoritarian parenting style: understanding Chinese parenting through the cultural notion of training[J]. Child Dev, 1994, 65(4): 1111-1119. [48] Chao RK, Aque C. Interpretations of parental control by Asian immigrant and European American youth[J]. J Fam Psychol, 2009, 23(3): 342-354. |
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