学校联结与学习倦怠在青少年压力与抑郁情绪间的链式中介作用  

Chain-mediating effects of school connectedness and academic burnout in the relationship between stress and depression among adolescents

作　　者：王炎喆 王清玉 林征[1,3] 李莎[1,4] WANG Yanzhe;WANG Qingyu;LIN Zheng;LI Sha(School of Nursing,Nanjing Medical University,Nanjing,Jiangsu 211166,China;Zhenjiang First People's Hospital;Department of Nursing,The First Affiliated Hospital of Nanjing Medical University;School of Nursing,The University of Hong Kong,Hong Kong,China)

机构地区：[1]南京医科大学护理学院,江苏南京211166 [2]镇江市第一人民医院 [3]南京医科大学第一附属医院护理部 [4]香港大学护理学院,中国香港

出　　处：《中国儿童保健杂志》2025年第4期366-371,共6页Chinese Journal of Child Health Care

基　　金：国家自然科学基金青年基金项目(72204117);江苏省“双创博士”项目(JSSCBS20230139)。

摘　　要：目的探讨学校联结与学习倦怠在青少年压力与抑郁情绪之间的链式中介效应,为青少年抑郁情绪的早期防控提供思路。方法于2019年5—6月采用流调中心用抑郁量表、青少年学习倦怠量表、学校联结量表和感知压力量表对南京市2所初高中7~11年级的490名青少年进行横断面调查。采用Spearman秩相关分析分析各变量间关系,运用SPSS PROCESS宏程序分析学校联结和学习倦怠在压力和抑郁情绪间的链式中介效应。结果青少年的压力、学校联结、学习倦怠和抑郁情绪得分呈显著相关(r=-0.487~0.634,P<0.001)。压力显著预测抑郁情绪(b=1.233,P<0.001);学校联结和学习倦怠在压力和抑郁情绪间起中介作用,中介效应分别为9.00%和11.92%;同时,学校联结和学习倦怠在压力和抑郁情绪间具有链式中介效应,效应占比为3.57%。结论压力与抑郁情绪直接相关,还通过学校联结和学习倦怠的链式中介与青少年的抑郁情绪间接相关。Objective To explore the chain-mediating effects of school connectedness and academic burnout on the relationship between stress and depressive symptoms in adolescents,in order to provide insights for early prevention and intervention of adolescent depression.Methods A cross-sectional survey was conducted from May to June 2019 among 490 adolescents in grades 7-11 from one middle and one high schools in Nanjing,China.The Center for Epidemiologic Studies Depression Scale(CES-D),Adolescent Academic Burnout Scale,School Connectedness Scale,and Perceived Stress Scale were used to assess depressive symptoms,academic burnout,school connectedness,and perceived stress,respectively.Spearman's rank correlation was used to analyze the relationships among variables,and the PROCESS macro in SPSS was employed to examine the chain mediation effects of school connectedness and academic burnout between stress and depressive symptoms.Results Significant correlations were observed among stress,school connectedness,academic burnout and depression(r=-0.487 to 0.634,P<0.001).Stress significantly predicted depressive symptoms(b=1.233,P<0.001).School connectedness and academic burnout independently mediated the relationship between stress and depression,with mediation effect sizes of 9.00%and 11.92%,respectively.Additionally,school connectedness and academic burnout acted as chain mediators between stress and depressive symptoms,with a mediation effect of 3.57%.Conclusion Perceived stress is directly related to depression and is also indirectly associated with depression in adolescents through the chain-mediating effects of school connectedness and academic burnout.

关 键 词：青少年 抑郁情绪 学习倦怠 学校联结 

分 类 号：R179[医药卫生—妇幼卫生保健]