谢彩红,李雪瑞,张明杰,顾恺麒,胡华.负性生活事件对抑郁障碍青少年自杀意念的影响:母子依恋的中介作用[J].四川精神卫生杂志,2021,34(5):435-439.Xie Caihong,Li Xuerui,Zhang Mingjie,Gu Kaiqi,Hu Hua,Influence of negative life events on suicidal ideation among adolescents with depressive disorder: the mediating role of mother-child attachment[J].SICHUAN MENTAL HEALTH,2021,34(5):435-439
负性生活事件对抑郁障碍青少年自杀意念的影响:母子依恋的中介作用
Influence of negative life events on suicidal ideation among adolescents with depressive disorder: the mediating role of mother-child attachment
投稿时间:2021-06-30  
DOI:10.11886/scjsws20210630001
中文关键词:  负性生活事件  自杀意念  母子依恋  抑郁障碍  青少年
英文关键词:Negative life events  Suicidal ideation  Mother-child attachment  Depressive disorder  Adolescents
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
谢彩红 重庆医科大学附属第一医院重庆 400016 400016
李雪瑞 重庆医科大学附属第一医院重庆 400016 400016
张明杰 重庆医科大学附属第一医院重庆 400016 400016
顾恺麒 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 探究负性生活事件对抑郁障碍青少年自杀意念的影响及母子依恋在其中的作用,为降低抑郁障碍青少年的自杀意念提供参考。方法 纳入2020年5月-2021年4月在重庆医科大学附属第一医院精神科门诊及住院部就诊、符合《国际疾病分类(第10版)》(ICD-10)抑郁障碍诊断标准的青少年145例,采用青少年生活事件量表(ASLEC)、父母与同伴依恋量表(IPPA)中文简版和贝克自杀意念量表中文版(BSI-CV)进行评定。使用Bootstrap方法进行中介效应检验。结果 抑郁障碍青少年BSI-CV评分与ASLEC评分呈正相关(r=0.453,P<0.01),BSI-CV评分与IPPA母子依恋评分呈负相关(r=-0.165,P<0.01);母子依恋在负性生活事件与自杀意念间的部分中介效应显著,中介效应值为0.008,占总效应值(0.055)的14.55%。结论 抑郁障碍青少年的自杀意念可能与较多的负性生活事件与较差的母子依恋有关,母子依恋在其负性生活事件与自杀意念间起部分中介作用。
英文摘要:
      Objective To explore the effects of negative life events on suicidal ideation in adolescents with depressive disorder and the mediating role of mother-child attachment, so as to provide references for reducing suicidal ideation in adolescents with depression.Methods A total of 145 adolescents underwent psychiatric inpatient and outpatient treatment in the First Affiliated Hospital of Chongqing Medical University From May 2020 to April 2021 and met the International Classification of Diseases, tenth edition (ICD-10) criteria for depressive episode were enrolled, and all selected individuals were assessed using the Adolescent Self-rating Life Events Checklist (ASLEC), the Inventory of Parent and Peer Attachment (IPPA) and Beck Scale for Suicide Ideation-Chinese Version (BSI-CV). Then Bootstrap method was used to test the mediating effect.Results BSI-CV score in adolescents with depressive disorder was positively correlated with ASLEC score (r=0.453, P<0.01), and negatively correlated with mother-child attachment score in IPPA (r=-0.165, P<0.01). The partial mediating effect of mother-child attachment between negative life events and suicidal ideation was significant, with a mediating effect value of 0.008, accounting for 14.55% of the total effect value (0.055).Conclusion Suicidal ideation in adolescents with depressive disorder may be related to loads of negative life events and poor mother-child attachment, moreover, mother-child attachment plays a mediating role in the relationship between negative life events and suicidal ideation.
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