青少年抑郁情绪与心理弹性、家庭环境因素的关联

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Abstract Objective To explore the relationship between adolescent depressive and family environment factors and mental resilience. Methods A cluster sampling method was used to select 3230 junior high school students from Xinxiang City, He′nan Province from December 2014 to July 2016 for general social data questionnaire, Kutcher Adolescent Depression Scale (11 items), and Family Environment Scale Chinese version (FES-CV), Chinese version of the Mental Resilience Scale (CD-RISC) assessment. After the evaluation, the differences in depression and emotions of different genders and ages were compared. The differences of CD-RISC scores and psychological elasticity between the depression group and the non-depression group were compared. Factors with statistically significant differerces were further analyzed by binary Logistic regression to study the relationship between resilient family environment factors and adolescent depression. Results There were 2 960 valid questionnaires, 659 (22.7%) with depression, including 221 males (20.0%) and 483 females (24.3%). 107 adolescents (28.3%) with mothers working out had depression, which was significantly higher than those with fathers (24.2%). There were significant differences in resilience (Z = 12.032), tolerance of negative emotions (Z = 9.677), ability to face difficulties (Z = 12.860), acceptance of changes (Z = 11.025) and control (Z = 11.514) between the depressive group and the non-depressive group (P < 0.05), and the depressive group was significantly lower than the non-depressive group (P < 0.05). Low scores of resilience (OR: 0.967, 95%CI: 0.961-0.973), control (OR: 0.671, 95%CI: 0.604-0.745), acceptance of change (OR: 0.725, 95%CI: 0.659-0.796), ability to face difficulties (OR: 0.720, 95%CI: 0.667-0.778), tolerance of negative emotions (OR: 0.804, 95%CI: 0.734-0.880) increase the risk of depression. After controlling for age and gender factors, the lower the emotional expression (OR: 0.928, 95%CI: 0.869-0.990), organization (OR: 0.886, 95%CI: 0.833-0.942), and entertainment (OR: 0.932, 95%CI: 0.887-0.980), intimacy (OR: 0.839, 95%CI: 0.788-0.839), the depression was more obvious; the higher the scores of independence (OR: 1.075, 95%CI: 1.010-1.114) and control (OR: 1.143, 95%CI: 1.081-1.208), the more obvious depression. Conclusion There is a significant correlation between adolescent depression and resilience, such as low tolerance of negative emotions and low acceptance changes. Low emotional expression and family intimacy are risk factors for depression in adolescents. Controlled increases increase increases the risk of depression.

Key words： Adolescents&prime depression Suicidal ideation Family intimacy Psychological resilience

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	CONG Enzhao CAI Yiyun CHEN Haiying WU Yan

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CONG Enzhao CAI Yiyun CHEN Haiying WU Yan. Association between adolescents′ depressive mood with resilience and family environment factors[J]. 中国医药导报, 2019, 16(17): 31-34.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I17/31

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