文章摘要
马茂,陈维清,黄志威.情感虐待等社会心理因素与初中生抑郁情绪关系的研究[J].中华流行病学杂志,2011,32(2):130-133
情感虐待等社会心理因素与初中生抑郁情绪关系的研究
Study on the assoeiatiOn between emotional abuse and other psychosocial factors with depressive symptom in junior high school students
收稿日期:2010-10-19  出版日期:2014-09-10
DOI:
中文关键词: 情感虐待  社会心理因素  青少年  抑郁情绪
英文关键词: motional abuse  Psychosocial factor  Adolescent  Depressive symptom
基金项目:
作者单位E-mail
马茂 中山大学公共1l生学院医学统计与流行病学系, 510080, 广州  
陈维清 中山大学公共1l生学院医学统计与流行病学系, 510080, 广州 chenwq@mail.sysu.edu.Cn 
黄志威 澳大利亚墨尔本大学全科医学系  
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中文摘要:
       目的 探讨情感虐待、家庭结构、亲友支持和D型人格等社会心理因素与初中生抑郁情绪的关系. 方法 以分层整群抽样法,调查广州市5个区3160名初中-年级学生,采用儿童抑郁障碍自评量表、亲子冲突策略量表、D型人格量表、自编一般情况、家庭结构、亲友支持问卷对他们进行调查,并用相关和路径分析方法探讨情感虐待等社会心理网素与初中生抑郁的关系及联系的途径. 结果 (1)女生的抑郁得分(11.2)显著高于男生(10.3)(t=-4.27,P<0.001),年龄与抑郁得分呈显著正相关(r=0.06,P=0.001).(2)相关分析显示,亲友支持是抑郁的保护因素,情感虐待、D型人格、非双亲家庭是抑郁的危险因素.(3)路径分析发现,负性情感对抑郁影响最大(路径系数为0.37),其次是亲友支持(-0.246)、情感虐待(0.203)、社交抑制(0.075)和家庭结构(0.047),各路径系数检验均具有统计学意义.情感虐待主要经负性情感和亲友支持间接影响抑郁,路径系数分别为0.119和0.05.家庭结构对抑郁的影响最小,且为间接效应.结论 初中生的抑郁情绪受情感虐待等多个社会心理的影响,故应采取综合措施预防其抑郁情绪的发生和发展.
英文摘要:
      Objective To investigate the association between emotional abuse, family structure, family support, type D personality and depressive symptom in junior high school students.Methods 3160 junior high school students were recruited with stratified sampling method in Guangzhou to conmplete a self-administered questionnaire including Depression Self-rating Scale for Children, Parent-Child Conflict Tactic Scale, Type D Scale-14, Family Structure Scale, Relative Support Scale and general information. Correlation and path analysis were performed to explore the association of emotional abuse, family structure, family support and type D personality with depressive symptom and their potential pathways. Results ( 1 ) The average level of depressive symptom was higher in girls than in boys, and age was positively related to depressive disorder (r = 0.06, P = 0.001 ).(2)Correlation analysis indicated that family support was a protective factor for depressive symptom,while emotional abuse, type D personality and family structure with single parent were risk factors for depressive symptom. (3)Data from Path analysis showed that the negative affection had the strongest impact on depressive symptom with a path coefficient of 0.37, followed by family support (-0.246),emotional abuse (0.203), social inhibition (0.075) and family structure (0.047). All the path coefficients were statistically significant. Emotional abuse indirectly impacted on depressive disorder through negative affectivity and family support (the path coefficients were 0.119 and 0.05,respectively), while family structure had the smallest indirect impact on depressive symptom.Conclusion Depressive symptom in junior high school students was affected by multiple psychosocial factors, suggesting that comprehensive measures should be taken to prevent the occurrence and development of depressive symptom.
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