青少年抑郁症与社会心理因素和家庭环境因素的相关性  

Correlation Between Adolescent Depression and Social Psychological Factors and Family Environmental Factors

作　　者：黄书梅 HUANG Shumei(Department of Psychology,the Ninth People’s Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州市第九人民医院心理科,河南郑州450000

出　　处：《河南医学研究》2024年第20期3667-3671,共5页Henan Medical Research

摘　　要：目的 探讨社会心理因素和家庭环境因素与青少年抑郁症发生的相关性。方法 选取2020年7月至2022年12月就诊于郑州市第九人民医院的112例青少年抑郁症患者作为病例组,选取一般资料与病例组相匹配的112例非抑郁症青少年作为对照组。对两组青少年进行社会支持量表(SSRS)、简单应对方式量表(SCSQ)以及家庭环境量表中文版(FES-CV)测评。结果 病例组SSRS中客观支持、主观支持、支持利用度,SCSQ中积极应对以及FES-CV中亲密度、组织性、知识性、娱乐性和控制性维度评分均低于对照组,SCSQ中消极应对以及FES-CV中矛盾性维度评分高于对照组(P<0.05)。病例组SSRS和SCSQ社会心理因素量表评分与FES-CV评分存在相关性(P<0.05)。条件logistic回归分析(1∶1配对)可见,SCSQ中积极应对以及FES-CV中亲密度、知识性均为青少年抑郁症发生的独立保护因素,SCSQ中消极应对和FES-CV中矛盾性均为青少年抑郁症发生的独立危险因素(P<0.05)。结论 青少年抑郁症与社会心理因素和家庭环境因素有关,并且社会心理因素和家庭环境因素存在相关性,应从改善应对方式和家庭环境方面做好青少年抑郁症的干预和治疗。Objective To explore the relevance of social psychological factors and family environment factors in adolescent depression.Methods A total of 112 adolescents with depression admitted to the Ninth People’s Hospital of Zhengzhou from July 2020 to December 2022 were selected as the case group,and 112 non-depressed adolescents matched with the general data were selected as the control group.The social support rating scale(SSRS),simplified coping style questionnaire(SCSQ)and family environment scale-Chinese version(FES-CV)were evaluated in both groups.Results The scores of objective support,subjective support,support utilization in SSRS,positive coping in SCSQ and closeness,organization,knowledge,entertainment and control in FES-CV of the case group were lower than the control group,while the scores of negative coping in SCSQ and conflict in FES-CV of the case group were higher than the control group(P<0.05).There was a correlation between SSRS,SCSQ and FES-CV in the case group(P<0.05).Conditional logistic regression analysis(1∶1 pairing)results showed that positive coping in SCSQ and closeness and knowledge in FES-CV were independent protective factors for adolescent depression,while negative coping in SCSQ and conflict in FES-CV were independent risk factors for adolescent depression(P<0.05).Conclusion Adolescent depression is related to social psychological factors and family environment factors,and there is an obvious correlation between them,so we should improve the coping style and family environment for intervention and treatment of adolescent depression.

关 键 词：抑郁症 青少年 社会心理因素 家庭环境因素 条件LOGISTIC回归 

分 类 号：R749.4[医药卫生—神经病学与精神病学]