父亲情感表达在母亲情感表达与青少年抑郁障碍中的中介作用

Mediation of paternal emotional expression between maternal emotional expression and adolescent depression

目的探索青少年抑郁障碍父母情感表达的特点。方法采用一般情况量表、情感表达量表评估35例抑郁障碍青少年和31例健康对照的家庭情况。结果父亲和母亲情感表达量表(LEE)得分存在共线性(r=0.581,P<0.001),建立logistics回归模型分析,过高的母亲情感表达(OR:0.950,95%CI:0.920,0.981)或父亲情感表达(OR:0.931,95%CI:1.018,1.158)均是青少年抑郁的危险因素,且母亲情感表达可能通过父亲情感表达的完全中介作用对抑郁障碍产生影响。结论对青少年群体而言,抑郁障碍与父亲及母亲的情感表达有关,母亲情感表达可能通过上调主观感知父亲情感表达增加抑郁风险。

Objective This study aims to investigate the characteristics of parental emotional expression in adolescents with depressive disorders. Methods The family situation of 35 adolescents with depressive disorders and 31 healthy controls was self-assessed by general condition scale and the Level of Expressed Emotion Scale(LEE).Results There was covariance between father and mother LEE scores(r=0.581,P<0.001),and logistic regression models were developed to analyze that either excessive maternal emotional expression(OR :0.950,95% CI :0.920,0.981)or paternal emotional expression(OR :0.931,95% CI :1.018,1.158)was a risk factor for adolescent depression. And maternal emotional expression may influence the depression through a fully mediated effect of paternal emotional expression. Conclusions Adolescent depressive disorders were associated with paternal and maternal emotional expression,and maternal emotional expression may increase the risk of depression by upregulating the subjective paternal emotional expression.