青少年亲社会行为对生活事件与抑郁情绪关系调节的研究
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上海市浦东新区科技发展基金项目(PKJ2017-Y67);上海市浦东新区卫生健康委员会重 点学科建设(PWZxk2017-29);上海市浦东新区医学临床高原学科建设项目(PWYgy2018-10)


Study on the moderation effect of prosocial behavior in the path from life events to depression among adolescents
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    摘要:

    目的 探讨青少年亲社会行为对生活事件与抑郁情绪的调节作用,为青少年抑郁情绪的 干预提供参考。方法 于 2018 年 9 月至 2019 年 3 月按照上海市某区该学年初高中生的比例和学校类 型采用分层整群抽样法选取 6 所初中和 3 所高中的 5 491 名青少年学生进行横断面问卷调查,采用自编 一般情况问卷、Kutcher 青少年抑郁量表(11 项)、青少年生活事件量表、长处和困难问卷亲社会行为分 量表进行测评,采用分层回归分析检验亲社会行为的调节效应。结果 相关分析显示,生活事件与抑 郁呈正相关(r=0.290,P< 0.05),与亲社会行为呈负相关(r=-0.183,P< 0.05),亲社会行为与抑郁呈负相 关(r=-0.475,P< 0.05)。分层线性回归分析显示,亲社会行为的调节作用有统计学意义(β=-0.060,P< 0.05)。低亲社会行为时,生活事件对抑郁情绪正向预测作用较强(β=0.260,P< 0.01);高亲社会行为时, 生活事件对抑郁情绪正向预测作用较弱(β=0.140,P< 0.01)。结论 青少年亲社会行为在生活事件与 抑郁情绪之间具有调节效应,随着亲社会行为水平的升高,生活事件对抑郁情绪的影响逐渐变小。

    Abstract:

    Objective To explore the moderation effect of prosocial behavior between life events and depression in adolescents, in order to provide clinical implication for the prevention and treatment of depression among adolescents. Methods From September 2018 to March 2019, 5 491 young students from 6 junior high schools and 3 high schools were selected by stratified cluster sampling method according to the proportion of students and the types of school in a district of Shanghai in the beginning of this year. A self-designed questionnaire on general information, Kutcher Adolescent Depression Scale-11, Adolescent Self-Rating Life Events Check List and Prosocial Behavior Subscale of Strengths and Difficulties Questionnaire were adopted in the test. Moderating effect of prosocial behavior were analyzed by hierarchical regression. Results Correlation analysis indicated that the score of life events was positively correlated with the score of depression (r=0.290, P < 0.05), and negatively correlated with the score of prosocial behavior (r=-0.183, P < 0.05). The score of prosocial behavior was negatively correlated with the score of depression (r=-0.475, P < 0.05). Hierarchical linear regression analysis indicated that the moderating effect of prosocial behavior was statistically significant (β=-0.060, P < 0.05). At low prosocial behavior, the positive predictive effect of life events on depression is strong (β=0.260, P<0.01). At high prosocial behavior, the positive predictive effect of life events on depression was weak (β=0.140, P< 0.01). Conclusions Prosocial behavior could modertae the relationship of life events and depression. With the increase level of prosocial behavior, the effect of life events on depression decrease.

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张喜燕 杜亚松 孙喜蓉 郭红云 李欣 严彩英.青少年亲社会行为对生活事件与抑郁情绪关系调节的研究[J].神经疾病与精神卫生,2021,21(9):
DOI :10.3969/j. issn.1009-6574.2021.09.004.

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  • 在线发布日期: 2021-09-28