青少年抑郁症患者攻击行为及影响因素研究  

Study of aggressive behavior and its influencing factors in adolescents with depression

作　　者：路月英 冯红云[1] 曹旭影 李幼东[1] 彭雨涵 葛怡然 LU Yueying;FENG Hongyun;CAO Xuying;LI Youdong;PENG Yuhan;GE Yiran(Department of Clinical Psychology,the First Hospital of Hebei Medical University,Hebei Province,Shijiazhuang 050031,China)

机构地区：[1]河北医科大学第一医院临床心理科,河北石家庄050031

出　　处：《中国医药导报》2023年第18期65-68,共4页China Medical Herald

基　　金：河北省医学科学研究重点课题计划立项项目(20221436)。

摘　　要：目的探讨青少年抑郁症患者的攻击行为及其影响因素。方法选取2022年1月至6月首次在河北医科大学第一医院就诊的195例青少年抑郁症患者作为研究对象,采用攻击问卷(AQ)评估患者的攻击行为,采用抑郁自评量表(SDS)评估患者的抑郁严重程度,对不同人口学资料和不同严重程度的青少年抑郁症患者攻击行为进行比较分析,并采用多重线性回归的方式分析青少年抑郁症患者攻击行为的影响因素。结果不同性别、居住地、独生情况、教养方式、精神疾病家族史患者AQ评分比较(P<0.05)。其中女性、城镇、独生、暴力型、精神疾病家族史阳性患者AQ评分更高,差异有统计学意义(P<0.05)。不同严重程度患者身体攻击、言语攻击、敌意及AQ评分比较,差异有统计学意义(P<0.05)。其中重度组身体攻击、言语攻击及AQ评分高于轻、中度组,重度组敌意评分高于轻度组,差异有统计学意义(P<0.05)。不同严重程度患者愤怒评分比较,差异无统计学意义(P>0.05)。多重回归分析结果显示,女性、暴力型教养方式、抑郁严重程度是攻击行为的危险因素(P<0.05)。回归方程如下:Y=83.009+5.640X1+8.306X2+9.516X3。结论女性、居住在城镇、独生子女、暴力型家庭教养方式、重度抑郁的青少年抑郁症患者更容易出现攻击行为,即女性、暴力型家庭教养方式、重度抑郁是其攻击行为出现的风险因素。Objective To explore the aggressive behavior and its influencing factors in adolescents with depression.Methods A total of 195 adolescent patients with depression who first visited the First Hospital of Hebei Medical University from January 2022 to June 2022 were selected as the research objects.Aggressive questionnaire(AQ)was used to evaluate the aggressive behavior of the patients,and self-rating depression scale(SDS)was used to evaluate the severity of depression.The aggressive behavior of adolescents with different demographic data and different severity were compared and analyzed,and the risk factors of aggressive behavior in adolescents with depression were analyzed by multiple linear regression method.Results There were statistically significant differences in AQ scores among patients with different gender,residence,one-child status,parenting style,and family history of mental illness(P<0.05).Female,urban,only child,violent,and positive family history of mental illness had higher AQ scores(P<0.05).There were statistically significant differences in physical aggression,verbal aggression,hostility and AQ score among patients with different severity(P<0.05).The physical aggression,verbal aggression,and AQ scores of severe group were higher than those of mild and moderate groups,and the hostility Score of severe group was higher than that of mild group,and the differences were statistically significant(P<0.05).There was no significant difference in anger score among different severity group(P>0.05).Multiple regression analysis showed that female,violent parenting style,and depression severity were risk factors for aggressive behavior(P<0.05).The regression equation was as follows:Y=83.009+5.640X1+8.306X2+9.516X3.Conclusion Female,living in urban areas,only child,violent family rearing style,and major depression adolescents with depression are more likely to appear aggressive behavior,among which female,violent family rearing style,and major depression are risk factors for aggressive behavior.

关 键 词：青少年 抑郁症 攻击行为 教养方式 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R179[医药卫生—临床医学]