青少年心理韧性在抑郁症状和自杀风险间的调节作用  

Moderating effect of psychological resilience in relation to depression and suicidal risk among adolescents

作　　者：刘平[1] 陶莉[1] 朱玲[1] 唐瑛 吴昌彬 毕亚杰 Liu Ping;Tao Li;Zhu Ling;Tang Ying;Wu Changbin;Bi Yajie(People's Hospital of Deyang,Deyang 618000,China;Research Institute of Development and Reform Research Institute,Deyang Academy of Educational Sciences,Deyang 618000,China;No.7 Middle School of Deyang,Deyang 618000,China)

机构地区：[1]德阳市人民医院,四川德阳618000 [2]德阳市教科院发展与改革研究所科学研究院,四川德阳618000 [3]德阳市第七中学,四川德阳618000

出　　处：《四川精神卫生》2022年第1期57-61,共5页Sichuan Mental Health

基　　金：四川省心理健康教育中心2020年度课题(项目名称:儿童青少年住院患者分级心理护理干预体系建设与应用,项目编号:XLJKJY2050C)。

摘　　要：目的探讨心理韧性在青少年抑郁症状和自杀风险间的调节作用。方法本研究为描述性调查研究,采用整群分层抽样法选取德阳市163所学校的71137名青少年为研究对象,通过网络调查法,采用心理韧性量表简版(CD-RICS-10)、患者健康问卷抑郁量表(PHQ-9)和自杀行为问卷-修订版(SBQ-R)评定其心理韧性、抑郁症状和自杀风险,并采用多元分层回归分析心理韧性在抑郁症状和自杀风险关系中的调节作用。结果①CD-RICS-10评分与PHQ-9、SBQ-R评分均呈负相关(r=-0.305、-0.268,P均<0.01);②心理韧性在抑郁症状与自杀风险间起调节作用(β=-0.100,t=-31.716,P<0.01);③在不同性别的青少年中,心理韧性均在抑郁症状与自杀风险间起调节作用(β=-0.086、-0.084,t=-17.502、-18.839,P均<0.01)。结论心理韧性可以缓解青少年高水平抑郁症状对自杀风险的影响,这种效应在男性和女性青少年中均存在。Objective To investigate the moderating effect of psychological resilience in relation to depressive symptoms and suicidal risk among adolescents.Methods The research is a descriptive survey.A total of 71137 adolescents were selected from 163 schools in Deyang by stratified cluster sampling.Their psychological resilience,depressive symptoms and suicide risks were measured oneline by using 10-item Connor-davidson Resilience Scale(CD-RICS-10),Patients’Health Questionnaire Depression Scale-9 item(PHQ-9)and Suicidal Behaviors Questionnaire-Revised(SBQ-R).The moderating effect of psychological resilience in relation to depressive symptoms and suicidal risk was examined by multivariate stratified regression analysis.Results①The score of CD-RISC-10 was negatively related to PHQ-9 score and SBQ-R score(r=-0.305,-0.268,P<0.01).②Psychological resilience significantly moderated the relationship between depressive symptoms and suicidal risk(β=-0.100,t=-31.716,P<0.01).③In both male and female adolescents,resilience played a significant role in depressive symptoms and suicide risk(β=-0.086,-0.084,t=-17.502,-18.839,P<0.01).Conclusion Psychological resilience could significantly alleviate the impact of high-level depressive symptoms on suicidal risk among adolescents,and this effects both male and female adolescents.

关 键 词：心理韧性 抑郁症状 自杀风险 调节作用 青少年 

分 类 号：B844.2[哲学宗教—发展与教育心理学]