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      Factors influencing the addiction characteristics of non-suicidal self-injurious behaviors in adolescents: A case-control study

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          Abstract

          Background

          Many studies have shown that in the context of public health emergencies, the incidence rate of adolescent non-suicidal self-injury (NSSI) patients increased dramatically. This paper aims to characterize the behavioral characteristics of adolescent NSSI and analyze the influencing factors of NSSI behavior addiction characteristics.

          Methods

          Our research was a case-control study which included 84 adolescents with NSSI (female vs. male: 59 vs. 25) and 84 healthy controls (female vs. male: 53 vs. 31). All the participants enrolled were aged 12-18 years. The differences in the scores of the following five scales were compared between the case and control groups: Egna Minnen Barndoms Uppfostran (EMBU), Perceived Social Support Scale (PSSS), Perceived Stress Scale (PSS); Bergen Social Media Addiction Scale (BSMAS) and Video Game Dependence Scale (VDG-S). The characteristics of NSSI behavior of the study group were evaluated using the Ottawa Self Inventory Chinese Revised Edition (OSIC). And a binary logistic regression model was developed to analyze the factors that influence adolescent NSSI behavioral addiction characteristics.

          Results

          In the study group, the emotional warmth scores in the father’s and mother’s rearing style scores in the EMBU were significantly lower than the controls. The BSMAS and VDG-S scores were significantly higher than those in the control group. 38 cases of NSSI with addiction characteristics accounted for 45.24% in the study group. The risk factors for NSSI addiction traits were as follows: female, single-child, high level of VDG-S scores, high scores of excessive interferences in father’s rearing style, and high scores of punishments and excessive interferences in mother’s rearing style score.

          Conclusion

          Female, only child, internet addiction, and negative parenting styles were predictors of NSSI behavioral addiction characteristics in adolescents. Targeted coping strategies should be developed to reduce the occurrence and development of self-injurious behavior, especially for female adolescents with Internet dependence in one-child families with negative parenting styles.

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          Most cited references42

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          Prevalence of nonsuicidal self-injury in nonclinical samples: systematic review, meta-analysis and meta-regression.

          Published prevalence estimates of nonsuicidal self-injury (NSSI) among nonclinical samples are highly heterogeneous, raising concerns about their reliability and hindering attempts to explore the alleged increase in NSSI over time. Accordingly, the objectives of this study were to investigate the influence of methodological factors on heterogeneity in NSSI prevalence estimates, explore changes over time, and estimate overall international NSSI prevalence. Results showed that methodological factors contributed over half (51.6%) of the heterogeneity in prevalence estimates, and, after adjusting for these factors, NSSI prevalence did not increase over time. Overall, pooled NSSI prevalence was 17.2% among adolescents, 13.4% among young adults, and 5.5% among adults. Clearly, development of standardized methodology in NSSI research is crucial if accurate estimates are desired. © 2014 The American Association of Suicidology.
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            Psychometric characteristics of the Multidimensional Scale of Perceived Social Support.

            The initial study describing the development of the Multidimensional Scale of Perceived Social Support (MSPSS) indicated that it was a psychometrically sound instrument (Zimet, Dahlem, Zimet, & Farley, 1988). The current study attempted to extend the initial findings by demonstrating the internal reliability, factorial validity, and subscale validity of the MSPSS using three different subject groups: (a) 265 pregnant women, (b) 74 adolescents living in Europe with their families, and (c) 55 pediatric residents. The MSPSS was found to have good internal reliability across subject groups. In addition, strong factorial validity was demonstrated, confirming the three-subscale structure of the MSPSS: Family, Friends, and Significant Other. Finally, strong support was also found for the validity of the Family and Significant Other subscales.
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              Brief Report: Increased Addictive Internet and Substance Use Behavior During the COVID‐19 Pandemic in China

              Background and Objectives The COVID‐19 pandemic and control measures may have increased the risk of abusing addictive substances as well as addictive behaviors. Methods We present an initial online survey in 6416 Chinese about the relation between the COVID‐19 pandemic and addictive behavior in China. Results During the COVID‐19 pandemic, 46.8% of the subjects reported increased dependence on internet use, and 16.6% had longer hours of internet use. The prevalence (4.3%) of severe internet dependence rose up to 23% than that (3.5%) before the COVID‐19 pandemic occurred, and their dependence degree rose 20 times more often than being declined (60% vs 3%). Relapses to abuse from alcohol and smoking abstinence were relatively common at 19% and 25%, respectively. Similarly, 32% of regular alcohol drinkers and 20% of regular smokers increased their usage amount during the pandemic. Conclusion and Scientific Significance These three coping behaviors (internet, alcohol, and smoking) during this COVID‐19‐related crisis appear to have increased the risk for substance use disorders and internet addiction. (Am J Addict 2020;00:00–00)
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                01 December 2022
                2022
                : 13
                : 1033242
                Affiliations
                [1] 1Department of Psychiatry, Wuhan Mental Health Center , Wuhan, China
                [2] 2Wuhan Hospital for Psychotherapy , Wuhan, China
                Author notes

                Edited by: Andreas Chatzittofis, University of Cyprus, Cyprus

                Reviewed by: Melinda Reinhardt, Eötvös Loránd University, Hungary; Irene Caro, University Hospital Fundación Jiménez Díaz, Spain; Benjamin Norman Johnson, Fairleigh Dickinson University, United States

                *Correspondence: Xuebing Liu, 107768791@ 123456qq.com

                These authors have contributed equally to this work

                This article was submitted to Addictive Disorders, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2022.1033242
                9751054
                36532167
                cadf1024-e529-4b53-b1b7-7c412dcc57b4
                Copyright © 2022 Zhu, Qian, Zhong, Li, Liu and Ma.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 August 2022
                : 14 November 2022
                Page count
                Figures: 1, Tables: 4, Equations: 0, References: 42, Pages: 9, Words: 6312
                Categories
                Psychiatry
                Original Research

                Clinical Psychology & Psychiatry
                adolescent,nssi,behavioral addiction,parental rearing style,social media dependency,video game addiction

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