艾滋病致孤儿童自伤行为与同伴歧视和抑郁的关系

张怡帆; 孔蓓蓓; 杨濛

doi:10.16835/j.cnki.1000-9817.2024270

艾滋病致孤儿童自伤行为与同伴歧视和抑郁的关系

doi: 10.16835/j.cnki.1000-9817.2024270

河南科技大学心理健康教育中心, 洛阳 471000

基金项目:

教育部人文社科基金项目 17YJA630134

河南省重大科技专项计划项目 202400410004

详细信息

作者简介:
张怡帆(1983-), 女, 河南洛阳人, 硕士, 讲师, 主要研究方向为思想政治教育、德育教育、心理学

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中图分类号: B8441 R179 R193
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出版历程
- 收稿日期: 2024-02-20
- 修回日期: 2024-05-20
- 网络出版日期: 2024-10-08
- 刊出日期: 2024-09-25

Relationship of self-injurious behavior with peer discrimination and depression among AIDS orphans

Genter for Psychological Health Education of Henan University of Science and Technology, Luoyang (471000), Henan Province, China

摘要

摘要: 目的探讨艾滋病致孤儿童(简称"艾滋病孤儿")自伤行为与同伴歧视和抑郁的关系, 为促进艾滋病孤儿心理健康提供依据。方法 2021年3月-2022年3月, 采用分层整群随机抽样方法选取河南省5个县626名艾滋病孤儿作为研究对象, 并采用非自杀性自伤评估工具、歧视经历量表、Zung抑郁量表调查艾滋病孤儿自伤行为、同伴歧视及抑郁情况。使用多因素Logistic回归模型分析艾滋病孤儿自伤行为与同伴歧视间关系; 采用多元线性回归分析探察艾滋病孤儿抑郁在自伤行为与同伴歧视间的调节作用。结果艾滋病孤儿自伤行为、同伴歧视和抑郁检出率分别为80.0%, 73.3%和67.6%;其中双孤儿童自伤行为、同伴歧视和抑郁的检出率(86.9%, 81.5%和77.5%)高于单孤儿童的检出率(74.6%, 67.0%和59.8%), 差异均有统计学意义(χ²值分别为21.29, 23.78, 14.23, P值均 < 0.01)。艾滋病孤儿自伤行为得分与同伴歧视、抑郁评分均呈正相关(r值分别为0.55, 0.40, P值均 < 0.01);艾滋病孤儿抑郁在自伤行为与同伴歧视关系间起到调节作用(β=0.03, P < 0.05)。结论艾滋病孤儿在受到同伴歧视及出现心理抑郁后, 产生自伤行为的可能性更大。社会、学校应采取对应干预策略, 促进艾滋病孤儿心理健康发展。
- 获得性免疫缺陷综合征 /
- 自我伤害行为 /
- 偏见 /
- 抑郁 /
- 精神卫生 /
- 回归分析 /
- 儿童
Abstract: Objective To explore the relationship of self-injurious behavior with peer discrimination and depression among AIDS orphans, so as to provide the basis for promoting the mental health of AIDS orphans. Methods From March 2021 to March 2022, 626 AIDS orphans from 5 counties in Henan Province were selected by stratified cluster random sampling methods.Non-suicidal Self-injury-assessment Tool, Discrimination Experience Scale, and Zung Self-rating Depression Scale were used to investigate AIDS orphans'self-injurious behavior, peer discrimination and depression.Multivariate Logistic regression model was used to analyze the relationship between self-injurious behavior and peer discrimination of AIDS orphans.Multivariate linear regression analysis was used to explore the moderating effect of depression between self-injurious behavior and peer discrimination of AIDS orphans. Results The detection rates of self-injurious behavior, peer discrimination and depression of AIDS orphans were 80.0%, 73.3% and 67.6% respectively.The detection rates of the three items mentioned above were 86.9%, 81.5%, and 77.5% for double orphaned children, respectively, which were higher than 74.6%, 67.0%, and 59.8% for single orphaned children, and the differences were statistically significant (χ²=21.29, 23.78, 14.23, P < 0.01).The score of self-injurious behavior of AIDS orphans was positively correlated with peer discrimination and depression (r=0.55, 0.40, P < 0.01).Depression played a moderating role in the relationship between self-injurious behavior and peer discrimination of AIDS orphans (β=0.03, P < 0.05). Conclusions AIDS orphans are more likely to engage in self-injurious behaviors after experiencing peer discrimination and psychological depression.The society and schools should adopt targeted intervention strategies to promote the mental health among AIDS orphans.
- Acquired immunodeficiency syndrome /
- Self-injurious behavior /
- Ageism /
- Depression /
- Mental health /
- Regression anlysis /
- Child
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图 1 艾滋病孤儿抑郁在自伤行为与同伴歧视间的调节作用

Figure 1. Moderation effect of depression on the relationship between self-injurious behavior and peer discrimination among AIDS orphans

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表 1 艾滋病孤儿双孤与单孤儿童自伤行为、同伴歧视及抑郁检出率比较

Table 1. Comparison of detection rates of self-injury behavior, peer discrimination and depression among AIDS double and single orphan children

分组	人数	自伤行为	同伴歧视	抑郁
双孤	275	239(86.9)	224(81.5)	213(77.5)
单孤	351	262(74.6)	235(67.0)	210(59.8)
χ²值		21.29	23.78	14.23
P值		＜0.01	＜0.01	＜0.01
注： ()内数字为检出率/%。

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表 2 艾滋病孤儿同伴歧视、抑郁与自伤行为的调节模型(n=626)

Table 2. Adjustment model for predicting self-injurious behavior by peer discrimination and depression among AIDS orphans(n=626)

步骤	常量与自变量	β值	标准误	t值	P值	R²值	调整R²值
第一步	常量	0.04	0.04	0.77	0.45	0.23	0.23
	同伴歧视	0.08	0.01	7.11	＜0.01
	抑郁	0.17	0.04	5.44	＜0.01
第二步	常量	0.01	0.04	0.33	0.77	0.27	0.26
	同伴歧视	0.09	0.01	7.09	＜0.01
	抑郁	0.18	0.05	4.55	＜0.01
	同伴歧视×抑郁	0.03	0.01	0.23	0.03

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参考文献(16)

[1]	UNAIDS. HIV and infant feeding: a policy statement developed collab-oratively by UNAIDS, WHO and UNICEF, 1997[J]. Breastfeed Rev, 1999, 7(2): 14-14.
[2]	中国疾病预防控制中心. 关注: 中国青少年艾滋病10年来持续增加[EB/OL]. (2020-12-01)[2022-05-31]. https://new.qq.com/omn/20201201/20201201A0GK7O00.html. The Chinese Center for Disease Control and Prevention. Concerned about the continuous increase of AIDS among Chinese adolescents in the past 10 years[EB/OL]. (2020-12-01)[2022-05-31]. https://new.qq.com/omn/20201201/20201201A0GK7O00.html. (in Chinese)
[3]	段文杰, 李玉梅, 何啊龙, 等. 基于未感染者与感染者双重视角的艾滋病污名[J]. 心理科学进展, 2021, 39(2): 323-337. DUAN W J, LI Y M, HE A L, et al. HIV stigma based on dual perspectives of the uninfected and the infected people[J]. Adv Psychol Sci, 2021, 39(2): 323-337. (in Chinese)
[4]	凌子, 谭千保, 邹雨点, 等. 孤儿自杀自残行为与暴力遭遇、心理韧性的关系[J]. 中国心理卫生杂志, 2020, 34(2): 112-116. LING Z, TAN Q B, ZOU Y D, et al. Relation of suicide and self-injury behavior to violent encounters and resilience in orphans[J]. Chin Ment Health J, 2020, 34(2): 112-116. (in Chinese)
[5]	李诗颖, 郭慧冰. 受歧视和欺凌对艾滋病孤儿健康危险行为的影响: 自尊的中介作用[J]. 中国临床心理学杂志, 2021, 29(3): 506-509. LI S Y, GUO H B. Effects of discrimination and bullying on health risk behaviors of AIDS orphans: the mediating role of slef-esteem[J]. Chin J Clin Psychol, 2021, 29(3): 506-509. (in Chinese)
[6]	郭翔. 我国对儿童权利的法律保护: 兼析联合国《儿童权利公约》与我国《未成年人保护法》等法律的相关性[J]. 政法论坛, 1997, 19(6): 44-52, 102. GUO X. Legal protection of children's rights in China: an analysis of the correlation between the United Nations Convention on the Rights of Child and Chinese law on the Protection of Minors[J]. Trib Polit Sci Law, 1997, 19(6): 44-52, 102. (in Chinese)
[7]	WEI L Q, YAN H, GUO M L, et al. Perceived HIV stigma, depressive symptoms, self-esteem, and suicidal ideation among people living with HIV/AIDS in China: a moderated mediation modeling analysis[J]. J Rac Ethnic Health Disparit, 2022, 10(2): 1-9.
[8]	蔺秀云, 张锦涛, 方晓义, 等. 受艾滋病影响儿童的歧视知觉在歧视经历和心理健康之间的作用分析[J]. 心理发展与教育, 2010, 26(1): 59-66. LIN X Y, ZHANG J T, FANG X Y, et al. Stigm a perception as a mediator between stigm a experience and mental health among children a ffected by HIV/AIDS in rural China[J]. Psychol Dev Educ, 2010, 26(1): 59-66. (in Chinese)
[9]	陈琼, 张玮琦, 王长福, 等. 信任在受艾滋病影响儿童心理弹性与未来取向间的中介作用[J]. 中国特殊教育, 2017, 24(7): 91-96. CHEN Q, ZHANG W Q, WANG C F, et al. The intermediary role of trust in the relationship between psychological resilience and future orientations in children affected by HIV/AIDS[J]. Chin J Spec Educ, 2017, 24(7): 91-96. (in Chinese)
[10]	WHITLOCK J, EXNER-CORTENS D, PURINGTON A. Assessment of nonsuicidal self-injury: development and initial validation of the Non-suicidal Self-injury-assessment Tool (NSSI-AT)[J]. Psychol Assess, 2014, 26(3): 935-946.
[11]	徐明图, 李敬阳, 付聪, 等. 青少年消极身体意象潜在类别与自杀意念和非自杀性自伤的关系[J]. 吉林大学学报(医学版), 2023, 49(4): 1053-1059. XU M T, LI J Y, FU C, et al. Relationships between potential categories of adolescents' negative physical intentions and suicidal ideation and non-suicidal self-injury[J]. J Jilin Univ (Med Edit), 2023, 49(4): 1053-1059. (in Chinese)
[12]	ZUNG W W. A Self-rating Depression Scale[J]. Arch Gen Psychia-try, 1965, 12(1): 63-70.
[13]	杨晓平, 刘扬, 吴明, 等. 炎症性肠病患者幽门螺杆菌感染分析[J]. 中华医院感染学杂志, 2018, 28(20): 3068-3071. YANG X P, LIU Y, WU M, et al. Prevalence of helicobacter pylori infection in patients with inflammatory bowel disease[J]. Chin J Nosocomiol, 2018, 28(20): 3068-3071. (in Chinese)
[14]	王晓东, 苏启林. 以网络强度为调节变量的科技中介互补性资产与技术转移绩效的关系研究[J]. 预测, 2014, 33(3): 26-31, 43. WANG X D, SU Q L. The impact of scientific and technological intermediary's complementary assets on its technology transfer performance, with the adjustment of network ties strength[J]. Forecast, 2014, 33(3): 26-31, 43. (in Chinese)
[15]	王堃炎, 林冰冰, 马建平, 等. 儿童期情感虐待与青少年自杀意念: 有调节的中介模型[J]. 中国临床心理学杂志, 2020, 28(4): 683-687. WANG K Y, LIN B B, MA J P, et al. Childhood emotional abuse and suicidal ideation: a moderated mediation model[J]. Chin J Clin Psychol, 2020, 28(4): 683-687. (in Chinese)
[16]	孙鑫, 杨艳杰, 郑玉珍, 等. 艾滋病儿童自我意识及相关因素研究[J]. 中国临床心理学杂志, 2016, 24(5): 849-851. SUN X, YANG Y J, ZHENG Y Z, et al. A cross-sectional research on self-concept in HIV-infected children[J]. Chin J Clin Psychol, 2016, 24(5): 849-851. (in Chinese)