中国青少年抑郁的核心症状及性别、抑郁程度间的比较:基于网络分析方法  

Core Symptoms of Depression in Chinese Adolescents and Comparison between Different Gender and Levels of Depression:A Network Analysis Approach

作　　者：黄顺森 罗玉晗[1,2] 来枭雄 简可雯 徐梓婧 王耘 Huang Shunsen;Luo Yuhan;Lai Xiaoxiong;Jian Kewen;Xu Zijing;Wang Yun

机构地区：[1]北京师范大学认知神经科学与学习国家重点实验室,北京100875 [2]北京师范大学中国基础教育质量监测协同创新中心,北京100875

出　　处：《复印报刊资料（心理学）》2023年第3期81-89,共9页

基　　金：国家社会科学基金重大项目(20&ZD153)的资助。

摘　　要：基于精神障碍网络理论,采用中文版流动调查中心抑郁量表对3634名青少年进行调查,使用网络分析方法考察了我国青少年抑郁的核心症状,比较不同性别和抑郁程度青少年的抑郁症状特征网络。结果发现:(1)我国青少年抑郁的核心症状为压抑情绪、失败感、悲伤和乏力;(2)不同性别青少年的抑郁症状网络结构、网络连接强度和核心症状不存在显著差异;(3)不同抑郁程度青少年的抑郁症状网络结构、网络连接强度、核心症状存在显著差异。Studies of adolescents'depression from the perspective of network theory of mental disorder(NTMD)are important for understanding depression etiology.Although existing studies are limited,they have demonstrated cultural differences in the core symptoms of depression among adolescents.For example,loneliness has been identi-fied as one of the core depressive symptoms in American adolescents,while not in Indian adolescents.Similarly,fear of failure has been found in Indian adolescents but not in American adolescents.Besides,despite the relatively con-sistent conclusion that the female gets a higher depression score than the male,recent research has found something different that the network global strength is invariant across genders.However,that study has not considered gender differences in core symptoms.In response,we explored the core symptoms,network structure,and global strength of depression among Chinese adolescents and their gender differences.Additionally,some traditional researchers only selected high-risk depression or major depression adolescents and ignored those with depression proneness,the mid-depression group namely that is more likely to step into a high-risk depression group,comparing with the non-depression group.Furthermore,according to NTMD,the net-works between these groups are different.To address these gaps,we examined core symptoms,network structure,and global strength in three groups(non-depression,depression proneness,high-risk depression).Guided by NTMD,this study used data collected from Chinese adolescents from grade 7 to grade 12(N=3634,Mage=14.4 years,50.6%girls)to test the network structure,network global strength,and core symptoms of de-pression,by using network analysis method and network comparison.The CES-D scale was used to measure de-pressive symptoms of adolescents.The result showed that the core symptoms of Chinese adolescents were feeling of failure,depressed mood,sad-ness,and fatigue.These core symptoms,network structure,and global strength were invariant across genders,ye

关 键 词：精神障碍网络理论 网络分析方法 抑郁青少年 

分 类 号：R749.4[医药卫生—神经病学与精神病学]