The Relationship Between Family Cohesion and Adaptability Among Family Members And Non-Suicidal Self-Injury Disorder in Adolescents
摘要
Non-suicidal self-injury (NSSI) in adolescents is a growing public health concern, yet the role of family dynamics remains underexplored. This study aims to explore the relationship between family cohesion and adaptability among family members and adolescents’ Non-Suicidal Self-Injury Disorder (NSSID). 120 adolescents attending the psychiatric outpatient clinic of the First Affiliated Hospital of Jinan University were categorized into NSSID and non-NSSID groups. Family cohesion and adaptability were assessed using the Family Adaptability and Cohesion Evaluation Scale II - Chinese Version (FACES II-CV) for both adolescents and their parents. The Beck Scale for Suicide Ideation (BSS), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire- 9 (PHQ-9) were employed to evaluate suicidal ideation, anxiety, and depression among these adolescents. Descriptive and correlation analyses were conducted using SPSS 25.0 and R. Significant differences in family cohesion and adaptability scores were observed between the two groups of adolescents; parental scores did not exhibit notable differences. Adolescents in the NSSID group rated family functioning significantly lower than their parents. Furthermore, a significant negative correlation was found between adolescent depressive symptoms and maternal family cohesion and adaptability. Regression analyses, adjusting for demographic characteristics, revealed that adolescent depressive symptoms, suicidal ideation, and ratings of family cohesion are risk factors for NSSID. This study identifies the adolescent’s perception of poor family cohesion as a central component of NSSID risk, operating alongside established psychological symptoms.