功能失调性态度与青少年抑郁症状的关系:负性自动思维和积极应对方式的作用路径  

Relation between dysfunctional attitude and depressive symptoms in adolescents:the acting path of negative automatic thoughts and positive coping style

作　　者：侯雅婷 阎丹峰 江李梅 孙振杰 那龙 Hou Yating;Yan Danfeng;Jiang Limei;Sun Zhenjie;Na Long(School of Mental Health,Shanxi Medical University,Taiyuan 030001,China;Taiyuan Psychiatric Hospital,Taiyuan 030045,China;College of Humanities and Social Sciences,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学精神卫生学院,山西太原030001 [2]太原市精神病医院,山西太原030045 [3]山西医科大学人文社会科学学院,山西太原030001

出　　处：《四川精神卫生》2024年第2期125-130,共6页Sichuan Mental Health

摘　　要：背景青少年抑郁障碍患病率呈上升趋势。既往已有功能失调性态度、负性自动思维、积极应对方式与抑郁症状之间两两关系的研究,但功能失调性态度、负性自动思维和积极应对方式三者之间的内在联系对抑郁症状的影响尚不清楚。目的探讨功能失调性态度对青少年抑郁症状的影响,并考查负性自动思维与积极应对方式在其中的作用路径,为对青少年抑郁障碍患者进行干预提供参考。方法纳入2022年10月1日—2023年10月31日太原市精神病医院收治的、符合《国际疾病分类(第10版)》(ICD-10)抑郁发作诊断标准的青少年患者162例。采用抑郁自评量表(SDS)、功能失调性态度量表(DAS)、简易应对方式问卷(SCSQ)中的积极应对方式分量表以及自动思维问卷(ATQ)对患者进行评定。采用Pearson相关分析考查各量表评分的相关性,使用Process 3.4.1中的模型6检验负性自动思维和积极应对方式在功能失调性态度与青少年抑郁症状之间的作用路径。结果共148例青少年抑郁障碍患者完成有效问卷调查,有效问卷回收率为91.36%。功能失调性态度对抑郁症状的直接效应值为0.423,效应量为63.32%。负性自动思维和积极应对方式分别是功能失调性态度与抑郁症状之间的独立作用路径,效应值分别为0.156、0.045,分别占总效应的23.35%、6.74%;同时,负性自动思维与积极应对方式是功能失调性态度与抑郁症状之间的链式作用路径,效应值为0.044,占总效应的6.59%。结论功能失调性态度既可以直接影响青少年抑郁障碍患者的抑郁症状,也可以通过负性自动思维与积极应对方式的独立作用路径或链式作用路径影响青少年抑郁障碍患者的抑郁症状。Background The prevalence of depressive disorder in adolescents is on the rise.There have been studies on the pairwise relations between dysfunctional attitude,negative automatic thoughts,positive coping style and depressive symptoms in the past.However,the impact of the intrinsic relations among dysfunctional attitude,negative automatic thoughts and positive coping style on depressive symptoms is still unclear.Objective To explore the influence of dysfunctional attitude on adolescent depressive symptoms and examine the action path of negative automatic thoughts and positive coping style on it,in order to provide references for intervention for adolescent patients with depressisve disorder.Methods This study involved 162 adolescent patients with depressive disorder,who met the diagnostic criteria for depressive episodes in the International Classification of Diseases,10th edition(ICD-10)and received treatment in Taiyuan Psychiatric Hospital from October 1,2022 to October 31,2023.These patients were evaluated using Self-rating Depression Scale(SDS),Dysfunction Attitude Scale(DAS),Positive Coping Style Subscale in Simplified Coping Style Questionnaire(SCSQ)and Automatic Thoughts Questionnaire(ATQ).Pearson correlation analysis was adopted to examine the correlation among scores of scales above.Model 6 in Process 3.4.1 was adopted to test the acting path of negative automatic thoughts and positive coping style between dysfunctional attitude and adolescent depression symptoms.Results A total of 148 adolescent patients with depressive disorder completed an effective questionnaire survey,with a response rate of 91.36%.The direct effect value of dysfunctional attitude on depressive symptoms was 0.423 and the effect size was 63.32%.Negative automatic thoughts and positive coping style affected as acting path between dysfunctional attitude and depressive symptoms,with effect values of 0.156(accounting for 23.35%of the total effect)and 0.045(accounting for 6.74%of the total effect)respectively.Meanwhile,negative automatic t

关 键 词：青少年 抑郁障碍 功能失调性态度 负性自动思维 积极应对方式 中介效应 

分 类 号：R749.4[医药卫生—神经病学与精神病学]