李雪瑞,张玲,胡潇予,黄杰,夏兴文,胡华.伴自伤行为的女性青少年抑郁障碍患者家庭功能与童年创伤经历的相关性[J].四川精神卫生杂志,2020,(4):321-325.
伴自伤行为的女性青少年抑郁障碍患者家庭功能与童年创伤经历的相关性
Correlation between family function and childhood trauma in female adolescents with depressive disorder comorbidity self-injury behavior
投稿时间:2020-06-02  
DOI:10.11886/scjsws20200602001
中文关键词:  家庭功能  童年创伤  抑郁障碍  青少年  女性
英文关键词:Family function  Childhood trauma  Depressive disorder  Adolescents  Female
基金项目:重庆市教育委员会人文社会科学研究重点项目(项目名称:基于家庭因素探究抑郁青少年自伤自杀行为与预防策略,项目编号:19SKGH018)
作者单位邮编
李雪瑞 重庆医科大学附属第一医院重庆 400016 400016
张玲 重庆医科大学附属第一医院重庆 400016 400016
胡潇予 重庆医科大学附属第一医院重庆 400016 400016
黄杰 重庆医科大学附属第一医院重庆 400016 400016
夏兴文 重庆医科大学附属第一医院重庆 400016 400016
胡华 重庆医科大学附属第一医院重庆 400016 400016
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中文摘要:
      目的 探索伴自伤行为的女性青少年抑郁障碍患者所感知的家庭功能健康状况与其童年创伤经历的关系,为对其进行有针对性的家庭心理干预提供参考。方法 纳入符合《国际疾病分类(第10版)》(ICD-10)抑郁障碍诊断标准且伴有自伤行为的青少年女生为研究组(n=50),选取年龄和家庭结构与研究组相匹配的正常青少年女生为对照组(n=42)。采用贝克抑郁自评量表第2版(BDI-II)、家庭功能评定量表(FAD)、童年创伤问卷(CTQ)评定两组抑郁程度、家庭功能和童年创伤经历。结果 除行为控制维度外,研究组FAD其余各分量表评分均高于对照组(P均<0.01),CTQ总评分及各因子评分均高于对照组(P<0.05或0.01)。研究组FAD中问题解决、沟通、角色、情感反应、情感介入、行为控制、总体功能评分与CTQ中躯体忽视、情感虐待、情感忽视评分均呈正相关(r=0.285~0.677,P<0.05或0.01);FAD中问题解决、沟通、角色、行为控制、总体功能评分与CTQ中躯体虐待、性虐待评分均呈正相关(r=0.232~0.470,P<0.05或0.01)。多重回归分析显示,情感忽视评分与家庭总体功能正向关联(β=0.318,P<0.05)。结论 伴自伤行为的女性青少年抑郁障碍患者所感知的家庭功能健康状况较差,可能与其童年创伤经历有关,尤其与情感忽视有关。
英文摘要:
      Objective To explore the relationship between perceived family function and childhood trauma in female adolescent patients with depressive disorder comorbidity self-injury behavior, and to provide references for targeted family psychological intervention.Methods A total of 50 female adolescents who met the diagnostic criteria of depression disorder in the International Classification of Diseases, tenth edition (ICD-10) and associated with self-injury behavior were selected as study group, meanwhile, normal female adolescents whose age and family structure matched the study group were selected as control group (n=42). Two groups were assessed with Beck Depression Inventory (BDI-II), Family Assessment Device (FAD) and Childhood Trauma Questionnaire (CTQ).Results Except behavior control, scores of the other dimensions in FAD were all higher in study group than those in control group (P<0.01). The total score and each item score in CTQ were higher in study group than those in control group (P<0.05 or 0.01). In study group, scores of problem solving, communication, role, affective responsiveness, affective involvement, behavioral control and general functioning in FAD were positively correlated with the scores of physical neglect, emotional abuse and emotional neglect in CTQ (r=0.285~0.677, P<0.05 or 0.01). The scores of problem solving, communication, role, behavior control and general functioning in FAD were positively correlated with scores of physical abuse and sexual abuse in CTQ (r=0.232~0.470, P<0.05 or 0.01). Multiple regression analysis showed that emotional neglect score was positively correlated with general functioning (β=0.318, P<0.05).Conclusion Female adolescent patients with depressive disorder comorbidity self-injury behavior have poor perception of family function, which may be related to their childhood traumatic experiences, especially emotional neglect.
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