The interplay among nonsuicidal self-injury, depression, loneliness, resilience, and family relationships in youth: A path analysis

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-05-27 DOI:10.1016/j.jad.2025.119541

Dagani Jessica , Lanfredi Mariangela , Bonfiglio Natale Salvatore , Geviti Andrea , Albini Donatella , Bussolati Maria , Di Cosimo Federica , Anfosso Thomas , Loi Erika , Fazzi Elisa , Ghidoni Roberta , Ghilardi Alberto , Pizzi Marina , Rillosi Luciana , Vita Antonio , Rossi Roberta

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引用次数: 0

Abstract

Background

Recent research has increasingly highlighted the complex interplay among depression, loneliness, and non-suicidal self-injury (NSSI). Resilience and family relationships have emerged as potential protective factors in mitigating these mental health challenges.

Methods

This study investigated the associations among depression, loneliness, NSSI, resilience, and family relationships in a sample of 7146 Italian high school and university students. Participants completed a multidimensional online survey featuring standardized instruments to assess depressive symptoms, loneliness and resilience. Spearman correlations and path analysis were employed to examine the interrelationships among these variables.

Results

A substantial proportion of participants reported clinically significant depressive symptoms (42.8 %) and NSSI behaviours (28.4 %). Path analysis revealed a strong positive effect of depressive symptoms on both loneliness and NSSI, alongside a pronounced negative effect on satisfaction with family relationships and resilience. Loneliness significantly reduced satisfaction with family relationships and resilience, while the impact on NSSI was significant, but minimal. Family relationships exhibited a significant but modest negative effect on NSSI behaviours.

Limitations

The generalizability of the sample and the potential biases inherent in self-report measures are addressed.

Conclusions

This study highlights the intricate interplay between depressive symptoms, loneliness, NSSI, resilience, and family relationships in a large sample of Italian adolescents and young adults. The findings emphasize the need for comprehensive interventions targeting these factors to enhance mental health and well-being.

查看原文本刊更多论文

青少年非自杀性自伤、抑郁、孤独、适应力和家庭关系的相互作用：路径分析

近年来的研究越来越强调抑郁、孤独和非自杀性自伤之间复杂的相互作用。复原力和家庭关系已成为减轻这些心理健康挑战的潜在保护因素。方法以7146名意大利高中生和大学生为研究对象，探讨抑郁、孤独、自伤、心理弹性和家庭关系之间的关系。参与者完成了一项多维在线调查，该调查采用标准化工具来评估抑郁症状、孤独感和复原力。采用Spearman相关和通径分析来检验这些变量之间的相互关系。结果相当大比例的参与者报告了临床显著的抑郁症状（42.8%）和自伤行为（28.4%）。通径分析显示，抑郁症状对孤独和自伤都有强烈的积极影响，同时对家庭关系满意度和恢复力有明显的负面影响。孤独显著降低了家庭关系满意度和心理弹性，而对自伤的影响显著，但最小。家庭关系对自伤行为有显著但适度的负面影响。局限性：样本的普遍性和潜在的偏差固有的自我报告措施解决。结论：本研究在意大利青少年和年轻人的大样本中强调了抑郁症状、孤独、自伤、恢复力和家庭关系之间复杂的相互作用。研究结果强调需要针对这些因素进行综合干预，以增强心理健康和福祉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.