父母敌意归因偏差在父母与儿童抑郁、焦虑情绪间的中介效应分析  

Mediating effect of parental hostile attribution bias on depression and anxiety between parents and children

作　　者：沈连相 毛文娟 汪永光[2] 沈志华[2] 甘隽溢 SHEN Lianxiang;MAO Wenjuan;WANG Yongguang;SHEN Zhihua;GAN Junyi(Department of Mental Health,Hangzhou Linping District Integrated Chinese and Western Medicine Hospital,Hangzhou,Zhejiang 311100,China;Hangzhou Seventh People's Hospital,Hangzhou,Zhejiang 310063,China;Jing Heng Yi College of Educatin,Hangzhou Normal University,Hangzhou,Zhejiang 311121,China)

机构地区：[1]杭州市临平区中西医结合医院精神卫生科,浙江杭州311100 [2]杭州市第七人民医院,浙江杭州310063 [3]杭州师范大学经亨颐教育学院,浙江杭州311121

出　　处：《预防医学》2024年第6期479-482,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：杭州市余杭区医疗卫生科研项目(余科纪要〔2020〕6号)。

摘　　要：目的探讨父母敌意归因偏差在父母与儿童抑郁、焦虑情绪间的中介效应,为儿童心理健康促进工作提供参考。方法于2022年11月,采用分层抽样方法抽取杭州市临平区2所公立小学2~6年级学生及其父母为调查对象,采用儿童抑郁障碍自评量表、儿童焦虑性情绪障碍筛查表调查儿童情绪,采用抑郁自评量表、焦虑自评量表和社会认知筛查问卷调查父母情绪和敌意归因偏差,建立结构方程模型分析父母敌意归因偏差在父母与儿童抑郁、焦虑情绪间的中介效应。结果发放问卷300份,回收有效问卷263份,问卷有效率为87.67%。调查男童137人,占52.09%;女童126人,占47.91%;年龄为(9.95±1.44)岁;父亲69人,母亲194人。父母检出抑郁情绪71人,占27.00%;检出焦虑情绪11人,占4.18%;敌意归因偏差得分M(QR)为1.00(2.00)分。儿童检出抑郁情绪29人,占11.03%;检出焦虑情绪78人,占29.66%。父母的抑郁、焦虑情绪直接影响儿童的抑郁、焦虑情绪(效应值=0.270,95%CI:0.131~0.436),也通过增加自身的敌意归因偏差间接影响儿童的抑郁、焦虑情绪(效应值=0.028,95%CI:0.004~0.082),中介效应占总效应的9.40%。结论父母的抑郁、焦虑情绪直接影响或通过敌意归因偏差间接影响儿童的抑郁、焦虑情绪。Objective To explore the mediating effect of parental hostile attribution bias on depression and anxiety between parents and children,so as to provide the reference for the promotion of children's mental health.Methods Students of grades 2-6 in two public primary schools in Linping District,Hangzhou City and their parents were investigated using stratified sampling method in November 2022.Emotions of children were surveyed using Depression Self-Rating Scale for Child(DSRSC)and Screen for Child Anxiety Related Emotional Disorders(SCARED),while emotions and hostile attribution bias of parents were surveyed using Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)and Social Cognitive Screening Questionnaire(SCSQ).Mediating effect of parental hostile attribution bias on depression and anxiety between parents and children was analyzed using a structural equation model.Results Totally 300 questionnaires were allocated,and 263 valid questionnaires were recovered,with an effective rate of 87.67%.There were 137 boys(52.09%),and 126 girls(47.91%),with a mean age of(9.95±1.44)years.There were 69 fathers and 194 mothers investigated.The prevalence of depression among parents was 27.00%,the prevalence of anxiety among parents was 4.18%,and the median score of hostile attribution bias was 1.00(interquartile range,2.00).The prevalence of depression among children was 11.03%,and the prevalence of anxiety among children was 29.66%.Parents'depression and anxiety affected children's depression and anxiety directly(effect value=0.270,95%CI:0.131-0.436),and also indirectly affected children's depression and anxiety by increasing their hostile attribution bias(effect value=0.028,95%CI:0.004-0.082),with the mediating effect contributed 9.40%of the total effect.Conclusion Parents'depression and anxiety affect children's depression and anxiety directly or indirectly through hostile attribution bias.

关 键 词：抑郁 焦虑 敌意归因偏差 社会认知 儿童 父母 

分 类 号：R179[医药卫生—妇幼卫生保健]