中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (4): 446-449.DOI: 10.11852/zgetbjzz2021-0278

• 临床研究 • 上一篇    下一篇

青少年抑郁症状的相关家庭因素研究

谢小敏1, 冯蓓1, 李亚莉1, 梁亚红1, 王玥2, 林燕1, 江逊1   

  1. 1.空军军医大学唐都医院儿科,陕西 西安 710038;
    2.空军军医大学军事预防医学系军队卫生统计学教研室
  • 出版日期:2022-04-10 发布日期:2022-04-11
  • 通讯作者: 江逊,E-mail:863756276@qq.com
  • 作者简介:谢小敏(1981-),女,陕西人,本科学历,主要研究方向为儿科心理护理及护理管理
  • 基金资助:
    国家自然科学基金青年科学基金项目(82000522);陕西省重点研发计划(2017ZDXM-SF-25-6);空军军医大学第二附属医院护理科研课题立项基金(TDHLKY-2019-12)

Research on family factors related to adolescent depressive symptoms

XIE Xiao-min*, FENG Bei, LI Ya-li, LIANG Ya-hong, WANG Yue, LIN Yan, JIANG Xun   

  1. *Department of Pediatrics,Tangdu Hospital Affiliated to Air Force Medical University,Xi'an,Shaanxi 710038,China
  • Online:2022-04-10 Published:2022-04-11
  • Contact: JIANG Xun,E-mail:863756276@qq.com

摘要: 目的 调查青少年抑郁症状发生情况,分析其相关家庭因素。方法 于2019年11月选择西安市初级中学和高级中学各2所,采用分层整群抽样的方法抽取650名学生作为调查对象,采用一般情况调查问卷、流调中心用抑郁症状自评量表、儿童期创伤问卷和父母教养方式问卷进行调查。采用多元线性回归分析探究影响青少年抑郁症状水平的相关家庭因素。结果 本组青少年抑郁症状评分为16.00(9.00,20.00)分,抑郁症状阳性筛查率为19.7%。多元线性回归分析结果显示:性别、父母婚姻状态、情感虐待、躯体虐待、父亲过度保护、母亲过度保护、父亲情感温暖、母亲情感温暖(β=-0.028、0.030、0.103、0.267、0.467、0.047、-0.279、-0.272,P<0.001)是青少年抑郁症状的主要影响因素,共解释总变异的92.3%。结论 青少年抑郁症状阳性筛查率处于较低水平,性别、父母婚姻状态、情感虐待、躯体虐待、父/母亲过度保护、父/母亲情感温暖是青少年抑郁症状的主要家庭因素。

关键词: 青少年, 抑郁症状, 童年创伤, 家庭教养方式

Abstract: Objective To investigate the occurrence of depressive symptoms in adolescents,and to analyze their related family factors. Methods A stratified cluster sampling method was used to select 650 middle school students from two junior high schools and two high schools in Xi'an as the survey objects in November 2019. Surveys were conducted by using the general situation questionnaire,the Center for Epidemiological Studies Depression Scale,the Childhood Trauma Questionnaire-Short Form and the Short-Egna Minnen Barndoms Uppfostran. Multiple linear regression analysis was used to explore related family factors influencing the level of adolescent depression symptoms. Results The score of depressive symptoms in adolescents in this survey was 16.00(9.00,20.00),and the positive screening rate for depressive symptoms was 19.7%. Multiple linear regression analysis showed that gender,marital status of parents,emotional abuse,physical neglect,paternal overprotection,maternal overprotection,paternal emotional warmth,maternal emotional warmth were the main influencing factors for depressive symptoms of adolescents(β=-0.028,0.030,0.103,0.267,0.467,0.047,-0.279,-0.272,P<0.001,R2=0.923). Conclusions The positive screening rate for depressive symptoms in adolescents is relatively low. Gender,marital status of parents,emotional abuse,physical neglect,overprotection of parents,and emotional warmth of parents mainly affect the depressive symptoms in adolescents.

Key words: adolescents, depressive symptoms, childhood trauma, parenting styles

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