儿童青少年抑郁症患者照顾者身心健康状况及相关心理社会因素  

Physical and mental health status and related psycho-social factors among caregivers of depressed children and adolescents

作　　者：王茹 马晶晶 钱丽菊 于腾飞 侯秀梅 WANG Ru;MA Jing-jing;QIAN Li-ju;YU Teng-fei;HOU Xiu-mei(Department of Child and Adolescents clinical mental health,Shandong Daizhuang Hospital,Jining 272000,China)

机构地区：[1]山东省戴庄医院(济宁市精神卫生中心)儿童青少年临床心理科,272000

出　　处：《临床精神医学杂志》2024年第3期227-230,共4页Journal of Clinical Psychiatry

基　　金：济宁市重点研发计划项目(2020JKNS013,2020YXNS041,2022YXNS109)。

摘　　要：目的:探究儿童青少年抑郁症照顾者身心健康状况及相关心理社会因素。方法:纳入精神专科医院儿童青少年抑郁症患者的照顾者113名,采用贝克抑郁量表、状态特质焦虑量表、健康状况问卷、特质应对问卷、领悟社会支持量表对照顾者的身心健康状况进行评估及分析。结果:照顾者抑郁比例较高,焦虑分数高于全国常模(P均<0.05)。家庭支持、朋友支持、其他支持和积极应对均与抑郁焦虑分数显著负相关,与健康状况显著正相关(P均<0.05)。消极应对与焦虑抑郁分数显著正相关,与健康状况显著负相关(P均<0.05)。积极应对与朋友支持能够显著负向预测抑郁焦虑分数,正向预测健康状况(P均<0.01)。消极应对能够显著正向预测抑郁焦虑分数,负向预测健康状况(P均<0.01)。结论:儿童青少年抑郁症患者照顾者的抑郁、焦虑水平较高,积极应对及朋友支持是其保护因素。Objective:To understand the physical and mental health status and related psycho-social factors of caregivers of children and adolescents with depression.Method:113 caregivers of children and adolescents with depression were recruited,Physical and mental health was assessed using the Beck Depression Inventory-II,State-Trait Anxiety Inventory,the Short Form 36 Health Survey Questionnaire,the Trait Coping Style Questionnaire,and Perceived Social Support Scale.Correlation analysis and linear regression were performed.Results:Caregiver depression rates are high and anxiety scores were higher than the national norm(all P<0.05).Family support,friend support,other support,and positive coping were all significantly negatively correlated with depression and anxiety scores and significantly positively correlated with health status(all P<0.05).Negative coping was significantly positively associated with anxiety and depression scores and negatively associated with health status(all P<0.05).Positive coping and friend support significantly predicted depression and anxiety scores negatively and health status positively(all P<0.01).Negative coping significantly predicted depression and anxiety scores positively and health status negatively(all P<0.01).Conclusion:Caregivers of depressed children and adolescents have high levels of depression and anxiety.Positive coping and friend support helped to alleviate depression and anxiety.

关 键 词：儿童青少年 抑郁症 照顾者心理健康 心理社会因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]