青少年亲子依恋、情绪调节对抑郁的影响

Effects of parent-child attachment and emotion regulation on depression

目的探讨亲子依恋、情绪调节策略与抑郁的关系。方法选取芜湖市第四人民医院三个开放病区的住院青少年抑郁障碍患者63人作为研究组,选取67名健康青少年作为对照组。研究组和对照组均施测父母同伴依恋量表(Inventory of Parent and Peer Attachment,IPPA)中的父母分量表评估亲子依恋,情绪调节策略量表(Emotion Regulation Questionnaire,ERQ)评估情绪调节策略的使用,抑郁自评量表(Self-Rating Depression Scale,SDS)评估抑郁情绪。采用独立样本T检验对比研究组与健康组各量表得分的差异,采用多元线性回归分析亲子依恋、情绪调节策略对抑郁的影响。结果研究组亲子依恋、认知重评策略得分显著低于对照组而表达抑制、抑郁得分显著高于对照组。无论是研究组还是对照组,母子依恋得分显著高于父子依恋(t=2.76,P=0.01)。亲子依恋、认知重评预测抑郁的主效应显著(t=-3.32,P<0.001,t=-4.57,P<0.001),交互效应不显著(t=-0.08,P>0.05)。结论青少年抑郁障碍患者亲子依恋、情绪调节策略、抑郁情绪得分与对照组相比差异显著。亲子依恋、认知重评均负向预测抑郁情绪。

Objective To explore the relationship between parent-child attachment,emotion regulation strategies and depression.Methods A total of 63 inpatient adolescent patients with depressive disorders in three open wards of Wuhu Fourth People’s Hospital were selected as the study group,and 67 healthy adolescents were selected as the control group.Both the study group and the control group were administered the Parent-Peer Attachment Scale(Inventory of Parent and Peer Attachment,IPPA)to assess parent-child attachment,the Emotion Regulation Strategies Scale(Emotion Regulation Questionnaire,ERQ)to assess the use of emotion regulation strategies,and the Depression Self-Rating Scale(Self-Rating Depression Scale,SDS)to assess depressed mood.The independent sample T-test was used to compare the differences in the scores of each scale between the two groups.The multiple linear regression was used to analyze the effects of parent-child attachment and emotion regulation strategies on depression.Results The scores of parent-child attachment and cognitive reappraisal strategies in the study group were significantly lower than those in the control group,while the scores of expression inhibition and depression in the study group were significantly higher than those in the control group.The scores of mother-child-attachment were significantly higher than those of father-child-attachment in both two groups(t=2.76,P=0.01).The main effect of parent-child attachment and cognitive reappraisal in predicting depression was significant(t=-3.32,P<0.001,t=-4.57,P<0.001),but the interaction effect was not significant(t=-0.08,P>0.05).Conclusion Compared with the healthy group,the scores of parent-child attachment and emotion regulation strategies in adolescent patients with depressive disorder are significantly different from those in the healthy group.Parent-child attachment and cognitive reassessment negatively predicted depression.