青少年抑郁障碍主动反刍在心理弹性与创伤后成长中的中介效应  

Mediating effects of deliberate rumination on psychological resilience and post-traumatic growth in adolescents with depression

作　　者：刘悦坦 刘露 赵侠 陈秀红 胡希文[1] 徐向鑫 LIU Yuetan;LIU Lu;ZHAO Xia;CHEN Xiuhong;HU Xiwen;XU Xiangxin(Special Examination Department,Hangzhou Seventh People’s Hospital,Hangzhou 310013,China;Fuyang Third People’s Hospital,Hangzhou 310013,China)

机构地区：[1]杭州市第七人民医院特检科,浙江杭州310013 [2]富阳市第三人民医院,浙江杭州310013

出　　处：《健康研究》2022年第2期145-148,共4页Health Research

基　　金：浙江省医药卫生科技计划项目(2020KY747);杭州市医药卫生科技项目(A20210527)。

摘　　要：目的了解青少年抑郁障碍患者创伤后成长(posttraumatic growth,PTG)水平,分析主动反刍在心理弹性与PTG之间的作用。方法采用创伤后成长评定量表(PTGI)、心理弹性量表(CDRS)和事件相关反刍思维量表(ERRI),测量450名有创伤经历的青少年抑郁障碍患者,分析主动反刍在心理弹性与创伤后成长之间的中介作用。结果被试PTGI总得分为(35.74±21.53)分,CDRS总得分为(40.98±17.12)分,ERRI总得分为(32.17±12.74)分。Pearson相关分析显示,青少年抑郁障碍患者PTG与主动反刍(r=0.267)、心理弹性(r=0.344)呈正相关关系(P<0.05)。Bootstrap分析显示,心理弹性对PTG的预测作用(B=0.37,t=3.12,P<0.01)、主动反刍对PTG的预测作用(B=0.55,t=2.00,P<0.05)均显著,主动反刍的中介效应(0.07)占总效应的15.91%。结论青少年抑郁障碍患者的创伤后成长水平较低,其心理弹性水平可以直接或通过主动反刍正向预测PTG。Objective To understand the level of posttraumatic growth(PTG)in adolescents with depressive disorder,and to analyze the role of active rumination on resilience and PTG.Methods Using the post-traumatic growth inventory(PTGI),Conner-Davidson resilience scale(CDRS)and the event related rumination inventory(ERRI)to measure 450 adolescents with depressive disorder with traumatic experiences,to analyze the effect of active rumination on resilience and post-traumatic mediation between growth.Results The total score of PTGI was(35.74±21.53)points,the score of CDRS was(40.98±17.12)points,and the score of ERRI was(32.17±12.74)points.Pearson correlation analysis shows that PTG was positively correlated with active rumination(r=0.267)and resilience(r=0.344)in adolescent depressive disorder patients(P<0.05).Bootstrap analysis shows that the predictive effect of psychological resilience on PTG(B=0.37,t=3.12,P<0.01)and the predictive effect of active rumination on PTG(B=0.55,t=2.00,P<0.05)were all significant.The mediating effect(0.07)of accounted for 15.91%of the total effect.Conclusions Adolescents with depressive disorder have lower levels of post-traumatic growth,and their resilience levels can positively predict PTG directly or through active rumination.

关 键 词：青少年 抑郁障碍 创伤后成长 心理弹性 主动反刍 

分 类 号：R395[哲学宗教—心理学]