首诊青少年抑郁症状与父母养育方式的相关因素研究  

Study of Factors Associated with Depressive Symptoms and Parenting Styles in First-time Adolescents

作　　者：陈子霞 胡巧 冯自攀 李树龙 冉昌华 钟欣 Chen Zixia;Hu Qiao;Feng Zipan(Dongguan Kanghua Hospital,Dongguan,Guangdong,523012,China)

机构地区：[1]东莞康华医院,广东东莞523012

出　　处：《黑龙江医学》2023年第18期2196-2198,共3页Heilongjiang Medical Journal

摘　　要：目的:分析精神科首诊青少年患者抑郁症状与父母养育方式的相关因素,为临床诊疗提供依据。方法:收集300例精神科首诊青少年临床资料及宗氏抑郁自评量表、父母养育方式问卷评分,分为非抑郁组(n=44)和抑郁组(n=256),分析其临床资料及评分,通过二元logistic回归探究青少年抑郁症状的相关因素。结果:精神科首诊青少年抑郁症状发生率为85.3%,女性抑郁所占比例高,差异有统计学意义(χ^(2)=6.88,P<0.05);除父母亲偏爱被试方面的其余项组间差异均有统计学意义(χ^(2)=42.20、13.52、11.73、10.80、13.97、22.08、22.87、11.47、5.27,P<0.05)。logistic回归分析结果显示,父亲过度保护、母亲过干涉过保护和父亲情感温暖理解与青少年抑郁症状相关,差异有统计学意义(OR=0.92、1.24、1.10,P<0.05)。结论:首诊青少年抑郁症状发生率高,女性较男性严重,父亲过度保护、母亲过干涉过保护可能是青少年抑郁症状的独立危险因素,父亲情感温暖理解可能是保护因素。Objective:To analyze the factors associated with depressive symptoms and parenting styles in adolescent patients first seen in psychiatry to provide a basis for clinical diagnosis and treatment.Methods:Clinical data and Zong’s Depression Self-Rating Scale and Parenting Style Questionnaire scores were collected from 300 adolescents in the first psychiatric consultation and divided into a non-depressed group(n=44)and a depressed group(n=256).Their clinical data and scores were analyzed,and the correlates of depressive symptoms in adolescents were explored by binary logistic regression.Results:The prevalence of depressive symptoms among adolescents in the first psychiatric consultation was 85.3%,with a statistically significant difference in the proportion of depression among females(χ^(2)=6.88,P<0.05).The differences between groups were statistically significant(χ^(2)=42.20,13.52,11.73,10.80,13.97,22.08,22.87,11.47,5.27,P<0.05),except for the parental preference aspect of the subjects.Logistic regression analysis showed that overprotective fathers,overinterfering overprotective mothers and emotionally warm understanding fathers were associated with depressive symptoms in adolescents(OR=0.92,1.24,1.10,P<0.05).Conclusion:The incidence of depressive symptoms in first-time adolescents is high and more severe in females than in males.Overprotective fathers and overinterfering overprotective mothers may be independent risk factors for depressive symptoms in adolescents,and warm emotional understanding by fathers may be a protective factor.

关 键 词：青少年 抑郁 父母养育方式 发生率 

分 类 号：R749[医药卫生—神经病学与精神病学]