儿童期心理虐待对青少年抑郁障碍的影响:宽恕倾向的中介效应  

Correlation of child psychological maltreatment and major depressive disorder in adolescence:mediating effects of forgiveness

作　　者：赵林 方慧 王志广[1] 孙振晓[1] ZHAO Lin;FANG Hui;WANG Zhiguang(Linyi Municipal Mental Health Center,Linyi 276000,China)

机构地区：[1]临沂市精神卫生中心,临沂267000 [2]临沂市兰山区人民医院

出　　处：《国际精神病学杂志》2022年第3期465-468,共4页Journal Of International Psychiatry

基　　金：山东省医药卫生科技发展计划项目(编号:2019WS121)。

摘　　要：目的探讨儿童期心理虐待,宽恕倾向与青少年抑郁障碍的关系。方法选取我院门诊或住院的青少年重性抑郁障碍患者76人作为研究组,选取80名健康青少年作为对照组,研究组和对照组施测儿童期心理虐待量表(CPMS)和Hearland宽恕量表(HFS),以汉密尔顿抑郁量表(HAMD)评估研究组抑郁障碍严重程度。结果研究组恐吓,贬损,干涉,纵容因子分高于对照组(P<0.05或0.01);研究组自我宽恕和宽恕他人因子分低于对照组(P=0.000)。CPMS各因子分与HAMD大部分因子分呈正相关(P<0.05或0.01);自我宽恕与焦虑/躯体化,体重,认知障碍,迟滞,绝望感呈负相关(P<0.05或0.01)。CPMS的恐吓,纵容对HAMD总分有预测作用(P<0.01),可解释方差变异的39.7%;自我宽恕,宽恕他人对HAMD总分有预测作用(P=0.000),可解释方差变异的64.2%。宽恕倾向在儿童期心理虐待与青少年抑郁严重程度之间起部分中介作用,中介效应占总效应的42.05%。结论儿童期心理虐待,宽恕倾向是青少年抑郁障碍的预测因子,宽恕倾向是儿童期心理虐待与抑郁障碍严重程度之间的中介变量。Objective To explore the relationship of child psychological maltreatment,forgiveness and major depressive disorder(MDD)in adolescents with major depressive disorder.Methods 76 adolescent outpatients or inpatients met with diagnostic criteria for MDD in DSM-5 of our hospital were selected(study group)and another 80 healthy adolescents were selected as control group.CPMS and HFS were utilized to investigation of study group and control group,and HAMD was employed for assessment of MDD in study group.Results Factor scores of terrorizing,belittling,intermeddling,corrupting in CPMS were significantly higher than their controls(P<0.05 or 0.01),and scores of self forgiveness,forgiveness for others in study group were lower than that in control group(P=0.000).The factor scores of CPMS were positively correlated with most factors of HAMD and self forgiveness negatively correlated with anxiety/somatization,weight,cognitive disorder,retardation,and hopelessness(P<0.05 or 0.01).Multiple stepwise regressive analysis suggested terrorizing,corrupting in CPMS and self forgiveness,forgiveness for others in HFS could predicted total score of HAMD(P<0.01),and explained 39.7%,64.2%of HAMD variance respectively.Hierarchical multiple regression showed forgiveness had a partial mediating effect between child psychological maltreatment and the severity of adolescent MDD,and mediating effect could account for 42.05%of the total effect.Conclusion Child psychological maltreatment,forgiveness are the predictors of adolescent MDD and forgiveness is the mediating variable between child psychological maltreatment and severity of MDD.

关 键 词：青少年 抑郁障碍 儿童期心理虐待 宽恕倾向 

分 类 号：R749.4[医药卫生—神经病学与精神病学]