青少年抑郁障碍与感知婚姻冲突及述情障碍相关性的研究

A STUDY OF PERCEPTION OF INTERPARENTAL CONFLICT ALEXI-THYMIA AND MAJOR DEPRESSIVE DISORDER IN ADOLESCENCE

目的探讨青少年抑郁障碍的影响因素。方法选取82例青少年抑郁障碍患者为研究组,按年龄匹配选取健康同龄人86人为对照组。分别采用CPICS、TAS-20及HAMD量表对两组儿童施测并分析。结果研究组的TAS-20、CPICS的各因子分显著高于对照组(t=3.39~6.88,P<0.01);TAS-20、CPICS的各因子与大部分HAMD因子分、总分呈正相关(r=0.219~0.518,P<0.05);威胁认知、情感表达困难对HAMD有显著预测作用(t=2.59,2.30;P<0.05);研究组感知婚姻冲突对HAMD总分预测效应不显著(t=0.48,P=0.63)。结论感知婚姻冲突、述情障碍是青少年抑郁症的预测因子,述情障碍是感知婚姻冲突和HAMD总分之间的中介变量。

Objective To explore the influencing factors of adolescent depression.Methods A total of 82 adolescent depression patients were selected as the study group,and 86 healthy peers were selected as the control group according to age matching.CPICS,TAS-20,and HAMD scales were used to test and analyze the two groups of children.Results The factor scores of TAS-20 and CPICS in the study group were significantly higher than those in the control group(t=3.39-6.88,P<0.01).The factors of TAS-20 and CPICS were positively correlated with most HAMD factor scores and total scores(r=0.219-0.518,P<0.05).Threat cognition and emotional expression difficulties have a significant predictive effect on HAMD(t=2.59,2.30;P<0.05).The study group’s perception of marital conflict has no significant effects on the prediction of HAMD total score(t=0.48,P=0.63).Conclusion Perceived marital conflict and alexithymia are predictors of depression in adolescents,and alexithymia is a mediating variable between perceived marital conflict and the total score of HAMD.