Evidence map›Paper›PMID 40604727›Full record

ArticleBMC psychiatry2025

Associations of non-suicidal self-injury with childhood maltreatment and inflammatory cytokines in adolescents with major depressive disorder.

Haojie Fan, Lewei Liu, Xin Zhao, Mingru Hao, Yinghan Tian, Cheng Yang, Jiawei Wang, Daming Mo, Feng Geng, Lei Xia and 1 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Haojie Fan *Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, 238000, Anhui Province, China.
Lewei Liu *Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, 238000, Anhui Province, China.
Xin Zhao *Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230000, Anhui Province, China.
Mingru Hao *Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, 230000, Anhui Province, China.
Yinghan TianDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, 238000, Anhui Province, China.
Cheng YangDepartment of Psychiatry, Fifth People's Hospital of Taizhou, Taizhou, 225300, Jiangsu Province, China.
Jiawei WangDepartment of Psychiatry, Bozhou People's Hospital, Bozhou, 236800, Anhui, China.
Daming MoDepartment of Psychiatry, Hefei Fourth People's Hospital, Hefei, 230000, Anhui Province, China.
Feng GengDepartment of Psychology and Sleep Medicine, the Second Hospital of Anhui Medical University, Hefei, 230000, Anhui Province, China.
Lei XiaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, 238000, Anhui Province, China. xialei@ahmu.edu.cn.
Huanzhong LiuDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, 238000, Anhui Province, China. huanzhongliu@126.com.

Funding

Anhui Health Research Project (Grant No. AHWJ2024Aa10004)National Natural Science Foundation of China (Grant No. 82401798)Scientific Research Project of Anhui Higher Education Institutions (Grant No. 2024AH050681、2022AH050671)the Research Fund Project of Anhui Translational Research Institute Grant No. 2022zhyx-B01
6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) is a prevalent mental health problem among adolescents, with non-suicidal self-injury (NSSI) behaviors representing a prominent symptomatic manifestation. There is growing evidence that NSSI is associated with childhood maltreatment (CM) and inflammatory cytokines. However, these associations have not been sufficiently researched in adolescents with MDD. This study aimed to investigate such associations in depressed adolescents.

methodsThe Centre for Epidemiological Studies Depression Scale (CES-D) and the Childhood Trauma Questionnaire (CTQ) were used to assess depressive symptoms and CM, respectively. Additionally, plasma levels of interleukin (IL)-1β, IL-6, IL-10, IL-17 A, and tumor necrosis factor-α (TNF-α) were measured.

resultsThe detection rate of NSSI in adolescents with MDD was 63.8%. Patients with NSSI had higher scores of CES-D and CTQ as well as inflammatory cytokines levels (especially IL-1β) than non-NSSI patients (all p < 0.05). Further analysis demonstrated that lower age (OR = 0.724, 95% CI = 0.55 ∼ 0.952), elevated IL-1β levels (OR = 6.256, 95% CI = 1.861 ∼ 21.032), higher total CES-D score (OR = 1.033, 95% CI = 0.999 ∼ 1.068), and a higher emotional abuse score (OR = 1.117, 95% CI = 1.021 ∼ 1.222) were independent risk factors for NSSI. Finally, the receiver operating characteristic (ROC) analysis indicated that the combination of IL-1β, emotional abuse, age, and total CES-D score was a good predictor of NSSI, with an AUC value of 0.780.

conclusionNSSI was common in depressed adolescents and linked to CM and high levels of IL-1β. These results indicated that CM and inflammatory cytokines play an important role in the development of NSSI. In the future, interventions and modulations based on CM and inflammation levels may help treat NSSI in adolescents with MDD.

Indexed as

Child AbuseCytokinesMajor Depressive DisorderSelf-Injurious BehaviorAdolescentAdverse Childhood ExperiencesChildFemaleHumansInterleukin-1betaMaleCytokinesInterleukin-1betaAdolescentsChildhood maltreatmentInflammatory cytokinesMajor depressive disorderNon-suicidal self-injury

Identifiers

PMID40604727
PMCPMC12219038

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.