以质量求发展,以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (13): 52-57.doi: 10.16460/j.issn1008-9969.2021.13.052

• 调查研究 • 上一篇    下一篇

功能失调性态度在父母教养方式与青少年抑郁症状间的中介效应

谢小敏, 李亚莉, 梁亚红, 冯蓓, 林燕, 江逊   

  1. 空军军医大学第二附属医院 儿科,陕西 西安 710038
  • 收稿日期:2021-01-15 发布日期:2021-08-06
  • 通讯作者: 江逊(1968-),女,四川德阳人,博士,主任医师,教授。E-mail:863756276@qq.com
  • 作者简介:谢小敏(1981-),女,陕西西安人,本科学历,主管护师,护士长。
  • 基金资助:
    空军军医大学第二附属医院护理科研课题立项基金(TDHLKY-2019-12)

Mediating Effect of Dysfunctional Attitude between Parenting Stylesand Depressive Symptoms in Adolescents

XIE Xiao-min, LI Ya-li, LIANG Ya-hong, FENG Bei, LIN Yan, JIANG Xun   

  1. Dept. of Pediatrics, the Second Affiliated Hospital of Air Force Military Medical University, Xi'an 710038, China
  • Received:2021-01-15 Published:2021-08-06

摘要: 目的 探讨功能失调性态度在父母教养方式与青少年抑郁症状间的中介效应。 方法 采用分层整群抽样的方法抽取623名中学生为调查对象,采用一般情况调查问卷、流调中心用抑郁症状自评量表、父母教养方式问卷和功能失调性态度量表对其进行调查,采用依次检验法分析中介效应。 结果 本组青少年功能失调性态度、积极教养、消极教养、抑郁症状总分分别为(92.32±11.86)分、(16.52±5.86)分、(19.74±7.03)分、(15.62±7.90)分;青少年抑郁症状与消极教养、功能失调性态度(r=0.636,0.525;均P<0.001)呈正相关,与积极教养(r=-0.522,P<0.001)呈负相关;功能失调性态度与消极教养呈正相关(r=0.650,P<0.001),与积极教养(r=-0.816,P<0.001)呈负相关。功能失调性态度分别在消极教养/积极教养和抑郁症状之间起到了部分中介作用,中介效应值分别为12.5%和24.0%。 结论 本组青少年抑郁症状处于较低水平,功能失调性态度在父母教养方式和抑郁症状之间起到了部分中介作用。建议父母在家庭教养中,减少过度保护、拒绝等消极教养方式,多用情感温暖等积极教养方式,促进青少年健康人格的发展。

关键词: 青少年, 抑郁症状, 父母教养方式, 功能失调性态度, 中介效应

Abstract: Objective To investigate the mediating effect of dysfunctional attitude between parenting styles and depressive symptoms in adolescents. Methods With stratified cluster sampling method, 623 middle school students were selected as the object and they were surveyed by using the general information questionnaire, the Center for Epidemiological Studies Depression Scale, the Short-Form Egna Minnen av Barndoms Uppfostran and the Dysfunctional Attitudes Scales. The mediation effect analysis was carried out by the sequential test method. Results The total score of dysfunctional attitude, positive parenting, negative parenting, and depressive symptoms in this group of adolescents was 92.32±11.86, 16.52±5.86, 19.74±7.03, and 15.62±7.90, respectively. Depression symptoms were positively correlated with negative parenting and dysfunctional attitude (r=0.636, 0.525; all P<0.001), but negatively with positive parenting (r=-0.522, P<0.001). Dysfunctional attitude was positively correlated with negative parenting (r=0.650, P<0.001), but negatively with positive parenting(r=-0.816, P<0.001). Dysfunctional attitude played a partial mediating role between negative parenting/active parenting and depressive symptoms, and the mediating effect value was 12.5% and 24.0%, respectively. Conclusion Depressive symptoms in adolescents are at a relatively low level, and dysfunctional attitude plays partially mediating role between parental rearing styles and depressive symptoms. It is recommended that parents reduce negative parenting methods such as excessive protection and rejection, and employ more positive parenting methods such as emotional warmth to promote the development of adolescents' healthy personality.

Key words: adolescent, depressive symptom, parenting style, dysfunctional attitude, mediation effect

中图分类号: 

  • R471
[1] 郝伟,陆林. 精神病学[M].8版. 北京:人民卫生出版社, 2018:108-110.
[2] 王艾红,谢莹莹,尹安春, 等.抑郁症共病患者干预策略研究进展[J].护理学报,2019,26(2):34-38.DOI:10.16460/j.issn1008-9969.2019.02.034.
[3] 张敏莉,韩娟,丁慧思,等.青少年创伤经历与抑郁症状及人格特征的关系[J].中国心理卫生杂志,2019,33(1):52-57. DOI:10.3969/j.issn.1000-6729.2019.01.010.
[4] 彭箫,张金鹏,孔军辉.医学院校学生抑郁与父母教养方式的相关性研究[J].中国医药导报,2019,16(23):57-60.
[5] Toledano-Toledano F, Contreras-Valdez JA.Validity and Reliability of the Beck Depression Inventory II (BDI-II) in Family Caregivers of Children with Chronic Diseases[J]. PLoS One,2018, 13(11):e0206917.DOI:10.1371/journal.pone.0206917.
[6] Ju Y, Wang M, Lu X, et al.The Effects of Childhood Trauma on the Onset, Severity and Improvement of Depression: The Role of Dysfunctional Attitudes and Cortisol Levels[J]. J Affect Disord,2020, 276(1):402-410.DOI:10.1016/j.jad.2020.07.023.
[7] 施杰,王建女,石银燕, 等.青少年抑郁障碍人格与父母教养方式、家庭环境的相关性研究[J].中华全科医学,2016,14(12):2083-2086. DOI:10.16766/j.cnki.issn.1674-4152.2016.12.035.
[8] 蒲欣. 青少年抑郁症患者自动思维、功能失调性态度与童年创伤及父母教养方式的相关性研究[D].济南:山东大学,2018.
[9] 夏万元,钟晓妮,陶浩,等.参考值范围样本量估计中参数的适度性研究[J].中国卫生统计,2019,36(5):644-648.
[10] Radloff LS.The Use of the Center for Epidemiologic Studies Depression Scale in Adolescents and Young Adults[J]. J Youth Adolesc,1991,20(2):149-166.DOI:10.1007/BF01537606.
[11] 石岩, 郭显德. CES-D量表对运动员抑郁症状的测查[J]. 中国心理卫生杂志, 1994, 8(2):56-57,62.
[12] 陈祉妍,杨小冬,李新影.流调中心抑郁量表在我国青少年中的试用[J].中国临床心理学杂志,2009,17(4):443-445,448.
[13] 张明园. 精神科评定量表手册[M].2版.长沙:湖南科学技术出版社,1998:27-31.
[14] Arrindell WA, Richter J, Eisemann M, et al.The Short-EMBU in East-germany and Sweden: A Cross-national Factorial Validity Extension[J]. Scand J Psychol,2001,42(2):157-60. DOI:10.1111/1467-9450.00226.
[15] 蒋奖,鲁峥嵘,蒋苾菁,等.简式父母教养方式问卷中文版的初步修订[J].心理发展与教育,2010,26(1):94-99.
[16] 刘庆,王苗苗,相青,等.青少年心理韧性与父母教养方式的关系[J].中国健康心理学杂志, 2016,24(7):1039-1042. DOI:10.13342/j.cnki.cjhp.2016.07.022.
[17] 陈远岭,徐俊冕,严善明,等.功能失调性状况评定量表信度和效度初步研究[J].中国心理卫生杂志,1998,12(5):10-12.
[18] 蔡琳,朱熊兆,彭素芳,等.功能失调性态度问卷在青少年中的试用[J].中国临床心理学杂志,2010,18(2):161-164.
[19] 周海茸,洪忻,王志勇,等.南京中学生健康危险行为与抑郁症状关系[J].中国公共卫生,2015,31(1):49-52. DOI:10.11847/zgggws2015-31-01-15.
[20] 中华人民共和国中央人民政府.关于印发健康中国行动——儿童青少年心理健康行动方案(2019—2022年)的通知[EB/OL].(2019-12-27)[2021-03-07].http://www.gov.cn/xinwen/2019-12/27/content_5464437.htm.
[21] 中华人民共和国教育部网站. 教育部等九部门关于防治中小学生欺凌和暴力的指导意见[EB/OL].(2016-11-02)[2021-03-07].http://www.moe.gov.cn/srcsite/A06/s3325/201611/t20161111_288490.html.
[22] Ranasinghe S,Ramesh S, Jacobsen KH.Hygiene and Mental Health among Middle School Students in India and 11 other Countries[J]. J Infect Public Health, 2016,9(4):429-435. DOI:10.1016/j.jiph.2015.11.007.
[23] Dallo FJ, Prabhakar D, Ruterbusch J, et al.Screening and Follow-up for Depression among Arab Americans[J]. Depress Anxiety,2018, 35(12):1198-1206. DOI:10.1002/da.22817.
[24] Larson S, Chapman S, Spetz J, et al.Chronic Childhood Trauma,Mental Health,Academic Achievement,and School-based Health Center Mental Health Services[J]. J Sch Health,2017,87(9):675-686. DOI:10.1111/josh.12541.
[25] Roy K, Shinde S, Sarkar BK, et al.India's Response to Adolescent Mental Health: A Policy Review and Stakeholder Analysis[J]. Soc Psychiatry Psychiatr Epidemiol,2019,54(4):405-414. DOI:10.1007/s00127-018-1647-2.
[26] 崔丽霞,史光远,张玉静,等.青少年抑郁综合认知模型及其性别差异[J].心理学报,2012,44(11):1501-1514. DOI:10.3724/SP.J.1041.2012.01501.
[27] 潘泽泉,朱江.父母教养方式对青少年亲社会行为的影响研究[J].云南大学学报(社会科学版),2019,18(2):90-98.DOI:10.3969/j.issn.1671-7511.2019.02.009.
[28] 周晶晶. 离异家庭及其教养方式的改变对初中生问题行为的影响[D].南京:南京师范大学,2015. DOI:10.7666/d.Y3167729.
[29] 梁光利,万礼霞,李海玲,等.抑郁障碍患者人格特征与父母教养方式、自身防御方式的相关性[J].神经疾病与精神卫生,2020,20(3):179-184. DOI:10.3969/j.issn.1009-6574.2020.03.006.
[30] 王鹏,杜爱玲,郭正军,等.抑郁症与儿童期忽视、父母教养方式的相关性分析[J].现代预防医学,2019,46(23):4281-4284.
[31] Lim CR, Barlas J.The Effects of Toxic Early Childhood Experiences on Depression according to Young Schema Model: A Scoping Review[J]. J Affect Disord,2019,246(1):1-13. DOI:10.1016/j.jad.2018.12.006.
[32] Cleak H, Schofield MJ, Axelsen L, et al.Screening for Partner Violence among Family Mediation Clients: Differentiating Types of Abuse[J]. J Interpers Violence,2018,33(7):1118-1146. DOI:10.1177/0886260515614559.
[33] Hartman CA, Hageman T, Williams JH, et al.Intimate Partner Violence and Animal Abuse in an Immigrant-rich Sample of Mother-child Dyads Recruited from Domestic Violence Programs[J]. J Interpers Violence, 2018,33(6):1030-1047. DOI:10.1177/0886260515614281.
[34] Beck AT, Haigh EA.Advances in Cognitive Theory and Therapy: The Generic Cognitive Model[J]. Annu Rev Clin Psychol,2014(10):1-24.DOI:10.1146/annurev-clinpsy-032813-153734.
[35] Valiente C, Romero N, Hervas G, et al.Evaluative Beliefs as Mediators of the Relationship between Parental Bonding and Symptoms of Paranoia and Depression[J].Psychiatry Res,2014,215(1):75-81. DOI:10.1016/j.psychres.2013.10.014.
[36] 刘超,刘利,钱丽菊.应付方式、父母教养方式对抑郁症患者功能失调性认知的作用研究[J].精神医学杂志,2019,32(3):204-208.DOI:10.3969/j.issn.2095-9346.2019.03.010.
[1] 王利敏, 方继红, 武凤芹, 朱晶, 陈婉宣. 运动恐惧在学龄期四肢骨折患儿自我效能与早期功能锻炼依从性间的中介效应[J]. 护理学报, 2025, 32(3): 1-5.
[2] 王子萱, 原振青, 赵一鋆, 王惠平, 洪菲菲, 邹敏. 体面劳动感在三级甲等医院手术室护士反思能力与创新行为的中介效应[J]. 护理学报, 2025, 32(1): 62-67.
[3] 李爱群, 李利花, 王芳, 蒋源元, 蔡益民. 慢性病资源利用在冠心病PCI术后患者自我超越与自我管理行为间的中介效应[J]. 护理学报, 2024, 31(6): 13-17.
[4] 米娇, 谭煜炜, 唐小燕, 刘蕾, 袁榕. 负性情绪在ICU护士心理负荷与报警疲劳的中介效应[J]. 护理学报, 2024, 31(3): 68-72.
[5] 罗苏娴, 曾超男, 张静华, 白阳娟, 周洁. 护士长真实型领导与护士角色模糊和离职倾向的关系研究[J]. 护理学报, 2024, 31(2): 44-47.
[6] 梁琪, 王冰洁, 刘洋, 张春梅. 智谋在老年结直肠癌造口患者病耻感与社会隔离的中介效应[J]. 护理学报, 2024, 31(14): 19-23.
[7] 齐柯雯, 吴慧颖. 新入职护士的患者安全文化感知在道德敏感性与安全行为间的中介作用[J]. 护理学报, 2024, 31(10): 8-12.
[8] 胡玉兰, 陈英, 余艮珍, 王梦月. 儿科护士的慢性病患儿过渡期护理态度问卷编制及信效度检验[J]. 护理学报, 2024, 31(10): 64-69.
[9] 闵瑰, 汪爱琴, 唐婷. 职业召唤在养老护理员体面劳动感知与工作投入间的中介效应[J]. 护理学报, 2024, 31(1): 69-73.
[10] 罗仕妙, 林美珍, 王慧欣, 练柳兰, 刘杨晨, 胡喜燕, 龚小珍, 魏琳. 新入职护士自主学习能力在组织支持与职业韧性的中介作用[J]. 护理学报, 2023, 30(9): 55-59.
[11] 谭剑, 孔雪二, 侯璇璇. 工作满意度在护士心理弹性与职业倦怠间的中介效应[J]. 护理学报, 2023, 30(8): 69-73.
[12] 郭曼杰, 李娜, 赵玉, 王品, 尤思梦, 王青, 季红. 孤独感在本科护生短视频成瘾与睡眠质量间的中介效应[J]. 护理学报, 2023, 30(7): 20-24.
[13] 何叶, 王元姣, 谢珺, 苗姣娜. 心理资本在恢复期脑卒中患者领悟社会支持与患者积极度的中介效应分析[J]. 护理学报, 2023, 30(7): 65-70.
[14] 李梦帆, 张侠, 李晓媛. 抑郁在妊娠晚期孕妇身体不满与母胎依恋间的中介效应[J]. 护理学报, 2023, 30(6): 68-71.
[15] 孙姝怡, 孙国珍, 高敏, 于甜栖, 刘沈馨雨, 汤志杰, 卢静. 自我效能在慢性心力衰竭患者自我调节疲劳与运动依从性的中介效应[J]. 护理学报, 2023, 30(22): 63-67.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!