父母婚姻适应与青少年抑郁症状的关系:母亲抑郁症状的中介作用
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Relationship between parental marital adjustment and adolescent depressive symptoms: the mediating role of maternal depressive symptoms
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    目的 分析父母婚姻适应与青少年抑郁症状的关系,以及母亲抑郁症状在其中的中介 作用。方法 于 2021 年 11— 12 月选取河南省某高中的学生及其母亲为研究对象。采用洛克 - 华莱士 婚姻适应量表(LW)、儿童抑郁量表(CDI)调查青少年的父母婚姻适应水平、抑郁症状,采用流调中心抑 郁量表(CES-D)调查青少年母亲的抑郁症状。采用 Spearman 相关分析青少年抑郁症状、父母婚姻适应 与母亲抑郁症状之间的相关性。采用 SPSS 中 Process 3.3 插件进行中介效应检验。结果 本研究获得 1 039份有效的匹配问卷。1 039名青少年父母的LW得分为[84(71,95)]分,CDI得分为[13(8,18)]分, 1 039 名 青 少 年 母 亲 的 CES-D 得 分 为[3(0,12)]分。21.56%(224/1 039)的 青 少 年 CDI 得 分 ≥ 19 分, 20.31%(211/1 039)的母亲 CES-D 得分≥ 16 分。相关分析结果显示,青少年父母婚姻适应与青少年抑 郁症状、母亲抑郁症状呈负相关(r=-0.10、-0.48;P< 0.01),母亲抑郁症状与青少年抑郁症状呈正相 关(r=0.12,P< 0.01)。母亲抑郁症状在青少年父母婚姻适应与青少年抑郁症状之间的中介效应显著 (95%CI=-0.031~-0.004),效应量为 -0.017,占总效应的 51.43%。结论 父母婚姻失调可通过增加母亲 抑郁症状来增加青少年抑郁的风险,需关注婚姻关系及家庭环境对青少年情绪的影响。

    Abstract:

    Objective To explore the relationship between parental marital adjustment and adolescent depressive symptoms, as well as the mediating role of maternal depressive symptoms. Methods From November to December 2021, students and their mothers from a high school in Henan Province were selected as the research subject. The parental marital adaptation and adolescent depressive symptoms were investigated with the Locke-Wallace Marital Adjustment Test (LW) and Children's Depression Inventory (CDI), and the maternal depressive symptoms were investigated with the Center for Epidemiologic Studies Depression Scale (CES-D). Spearman correlation was used to analyze the correlation among adolescent depressive symptoms, parental marital adjustment, and maternal depressive symptoms. This study conducted the mediating effect test using the Process 3.3 plugin in SPSS. Results This study obtained 1 039 valid matching questionnaires. The LW score and CDI score of 1 039 adolescents were [84(71,95)] and [13(8,18)], respectively, while the CES-D score of 1 039 adolescent mothers was [3(0,12)]. 21.56% (224/1 039) of adolescents had a CDI score of ≥ 19, and 20.31% (211/1 039) of mothers had a CES-D score of ≥ 16. Correlation analysis showed that there was a negative correlation between parental marital adjustment and adolescent depressive symptoms, as well as maternal depressive symptoms (r=-0.10, -0.48; P< 0.01), and maternal depressive symptoms were positively correlated with adolescent depressive symptoms (r=0.12, P < 0.01), with statistically significant differences. The mediating effect of maternal depressive symptoms between parental marital adjustment and adolescent depressive symptoms was significant [95%CI (-0.031, -0.004)], with an effect value of -0.017, accounting for 51.43% of the total effect. Conclusions Parental marital maladjustment can increase the risk of depression in adolescents by increasing maternal depressive symptoms. Attention should be paid to the impact of marital relationships and family environment on the emotions of adolescents.

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李跃,钟莹彦,从恩朝,吴彦.父母婚姻适应与青少年抑郁症状的关系:母亲抑郁症状的中介作用[J].神经疾病与精神卫生,2023,23(10):
DOI :10.3969/j. issn.1009-6574.2023.10.002.

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  • 在线发布日期: 2023-12-01