青少年重性抑郁障碍的自我意识及其与家庭环境的关系  

Self-concept and Family Environment in the Adolescents with Major Depressive Disorder

作　　者：洪珊珊[1] 金华[2] 贾佳[1] 周颖[1] 王晨阳[2] 柯晓燕[1,2] 

机构地区：[1]东南大学学习科学研究中心,儿童发展与学习科学教育部重点实验室,江苏南京210098 [2]南京医科大学附属脑科医院儿童心理卫生研究中心

出　　处：《中国学校卫生》2007年第3期237-238,共2页Chinese Journal of School Health

摘　　要：目的探讨青少年重性抑郁障碍的自我意识及其与家庭环境的关系,为青少年抑郁的防治提供依据。方法采用Piers-Har-ris儿童自我意识量表(PHCSS)及家庭环境量表(FES-CV),对重性抑郁障碍(MDD)青少年56例和对照组60名的自我意识水平和家庭环境状况进行比较分析。结果MDD组低自我意识的发生率(67.9%)显著高于对照组(26.7%)(P<0.01),行为、智力与学校情况、躯体外貌与属性、合群、幸福与满足的得分低于对照组,焦虑得分显著高于对照组(P值均<0.01)。MDD组家庭环境中的亲密度、情感表达、娱乐性低于对照组,矛盾性高于正常对照组(P值均<0.01)。结论青少年MDD患者存在自我意识水平降低和家庭环境不良。Objective To investigate the relationships between self-concept end family environment of adolescents with major depressive disorder （MDD）, end to provide evidence for the prevention. Methods By using FEC - CV end PHCSS, 56 adolescents with MDD end 60 without MDD in control group were assessed. Results About 67.9% adolescents with MDD had low self-concept whereas 26.7% of control （ P 〈 0.01 ）. Adolescents with MDD got significantly higher scores in anxiety subscales end lower in other subscales of PHCSS then control group. MDD group had significantly lower scores of cohesion, expressiveness, entertainment end more conflicts in FES - CV. Conclusion Adoelscents with MDD have low self-concept end poor family environment.

关 键 词：抑郁症 自我评价(心理学) 家庭特征 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健] R395.6[医药卫生—公共卫生与预防医学]