| 唐兰,刘健,李琳,刘丹丹,沈欣欣,董介正.普遍信任在女性青少年抑郁症患者依恋与抑郁之间的中介作用[J].四川精神卫生杂志,2023,36(4):307-312.Tang Lan,Liu Jian,Li Lin,Liu Dandan,Shen Xinxin,Dong Jiezheng,Mediating role of generalized trust between attachment and depression in female adolescents with depression[J].SICHUAN MENTAL HEALTH,2023,36(4):307-312 |
| 普遍信任在女性青少年抑郁症患者依恋与抑郁之间的中介作用 |
| Mediating role of generalized trust between attachment and depression in female adolescents with depression |
| 投稿时间：2023-02-21 |
| DOI：10.11886/scjsws20230221004 |
| 中文关键词: 依恋 抑郁 普遍信任 女性 青少年 |
| 英文关键词:Attachment Depression Generalized trust Female Adolescents |
| 基金项目:杭州市科技发展计划项目（项目名称：人际心理治疗对青少年抑郁症社会认知功能的影响研究，项目编号：20201203B186） |
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| 中文摘要: |
| 背景 女性青少年比男性青少年的抑郁症患病率更高且症状更重。青少年的普遍信任水平与抑郁症状严重程度相关，且依恋与普遍信任水平相关。故本研究基于普遍信任在依恋与抑郁之间的中介作用，探寻女性青少年抑郁症的发病机制。目的 探讨女性青少年抑郁症患者普遍信任在父亲、母亲、同伴依恋与抑郁之间的中介作用，为改善女性青少年抑郁症患者的抑郁症状提供参考。方法 纳入2022年3月-10月在杭州市第七人民医院门诊及住院部治疗的符合《国际疾病分类（第10版）》（ICD-10）抑郁症诊断标准的女性青少年患者73例，采用修订版青少年依恋问卷（IPPA-R）、普遍信任量表（IGTS）和儿童抑郁量表（CDI）进行调查。使用Pearson相关分析探讨各量表评分的相关性。使用Bootstrap法检验普遍信任在依恋与抑郁之间的中介作用。结果 ①女性青少年抑郁症患者CDI评分与IPPA-R中的父亲、母亲、同伴依恋三个分量表评分均呈负相关（r=-0.463、-0.459、-0.447，P均<0.01）；IGTS评分与IPPA-R中的父亲、母亲、同伴依恋三个分量表评分均呈正相关（r=0.372、0.318、0.395，P均<0.01）；IGTS评分与CDI评分呈负相关（r=-0.531，P<0.01）。②中介效应检验显示，女性青少年抑郁症患者父亲、母亲、同伴依恋与抑郁水平的直接效应显著（效应值=-0.138、-0.136、-0.107，95% CI：-0.236~-0.039、-0.242~-0.029、-0.203~-0.012）。③普遍信任在父亲、母亲、同伴依恋与抑郁水平之间的中介效应显著（效应值=-0.069、-0.066、-0.071；95% CI：-0.127~-0.021、-0.137~-0.010、-0.145~-0.018）。结论 父亲、母亲、同伴依恋可以直接影响女性青少年抑郁症患者的抑郁水平，也可以通过普遍信任间接影响抑郁水平。 |
| 英文摘要: |
| Background Compared with male adolescents， depression among female adolescents is of higher prevalence and greater severity. The level of generalized trust correlates with the severity of depression， and attachment correlates with the level of generalized trust. Therefore， based on the mediating role of generalized trust between attachment and depression， this study explores the pathogenesis of depression in female adolescents.Objective To explore the mediating role of generalized trust between paternal， maternal and peer attachment and depression in female adolescents， so as to provide references for improving the depression of female adolescents.Methods This study included 73 female adolescents who met the diagnostic criteria for depressive disorder in the International Classification of Diseases， tenth edition（ICD-10） as well as received outpatient and inpatient treatment in Hangzhou Seventh People's Hospital between March 2022 and October 2022. Investigation was conducted by use of Revised Inventory of Parent and Peer Attachment （IPPA-R）， the Inclusive General Trust Scale （IGTS） and Children's Depression Inventory （CDI）. Pearson correlation analysis was used to explore the correlation between each scale score. The Bootstrap method was used to test the mediating role of generalized trust between attachment and depression.Results ① CDI score in female adolescents with depression was negatively correlated with scores of paternal， maternal and peer attachment in IPPA-R （r=-0.463， -0.459， -0.447， P<0.01）. Scores of paternal， maternal and peer attachment in IPPA-R were positively correlated with IGTS score （r=0.372， 0.318， 0.395， P<0.01）. IGTS score was negatively correlated with CDI score （r=-0.531， P<0.01 ）. ②The test of mediating role showed that the direct effect of paternal， maternal and peer attachment on depression level was significant in female adolescents with depression （effect size=-0.138， -0.136， -0.107， 95% CI： -0.236~-0.039， -0.242~-0.029， -0.203~-0.012）. ③The mediating role of generalized trust between paternal， maternal peer attachment and depression level was significant （effect size=-0.069， -0.066， -0.071， 95% CI： -0.127~-0.021， -0.137~-0.010， -0.145~-0.018）.Conclusion Paternal， maternal and peer attachment can influence the depression level of female adolescents both directly and indirectly through the generalized trust. |
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