青少年抑郁情绪及自杀意念与父母教养方式之间的关联研究

从恩朝; 蔡亦蕴; 王韵; 吴彦

doi:10.7499/j.issn.1008-8830.2105124

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中国当代儿科杂志 ›› 2021, Vol. 23 ›› Issue (9) : 938-943. DOI: 10.7499/j.issn.1008-8830.2105124

论著·临床研究

青少年抑郁情绪及自杀意念与父母教养方式之间的关联研究

从恩朝, 蔡亦蕴, 王韵, 吴彦

作者信息 +

Association of depression and suicidal ideation with parenting style in adolescents

CONG En-Zhao, CAI Yi-Yun, WANG Yun, WU Yan

Author information +

文章历史 +

摘要

目的研究青少年抑郁情绪及自杀意念与父母教养方式之间的关系。方法采用整群抽样法，于2014~2018年抽取河南省新乡市6 195名初高中生进行调查研究。调查工具包括一般社会资料问卷、父母教养方式问卷及Kutcher青少年抑郁量表（11项）。采用多因素logistic回归分析评估青少年抑郁情绪及自杀意念与父母教养方式之间的关联。结果有效问卷为6 194份，其中男性2 586名（41.75%），女性3 608（58.25%）；年龄（16.4±1.9）岁（范围：11~20岁）。在6 194名青少年中，1 333名（21.52%）青少年有抑郁情绪，508名（8.20%）青少年有自杀意念。青少年的抑郁情绪与母亲的控制（OR=1.059，P<0.001）和父亲的控制呈明显正关联（OR=1.061，P<0.001），而与母亲的关爱（OR=0.937，P<0.001）和父亲的关爱（OR=0.917，P<0.001）呈明显负关联。青少年的自杀意念与母亲的控制（OR=1.110，P<0.001）和父亲的控制（OR=1.076，P<0.001）呈明显正关联，而与母亲的关爱（OR=0.895，P<0.001）和父亲的关爱（OR=0.914，P<0.001）呈明显负关联。结论父母的关爱可降低青少年抑郁情绪的发生风险，而父母控制性可增加青少年抑郁情绪及自杀意念的发生风险。引用格式:

Abstract

Objective To study the association of depression and suicidal ideation with parenting style in adolescents. Methods The cluster sampling method was used to select 6 195 junior and senior high school students in Xinxiang City of Henan Province, China, from 2014 to 2018. The survey tools included a general social information questionnaire, the Parental Bonding Instrument, and the Kutcher Adolescent Depression Scale (11 items). A multivariate logistic regression analysis was used to identify the association of depression and suicidal ideation with parenting style in adolescents. Results There were 6 194 valid questionnaires in total, including 2 586 boys (41.75%) and 3 608 girls (58.25%), with a mean age of (16.4±1.9) years (range: 11-20 years). Among these 6 194 students, 1 333 (21.52%) had depression, and 508 (8.20%) had suicidal ideation. Depression in adolescents was positively correlated with maternal control (OR=1.059, P<0.001) and paternal control (OR=1.061, P<0.001), but negatively correlated with maternal care (OR=0.937, P<0.001) and paternal care (OR=0.917, P<0.001). Suicide ideation in adolescents was positively correlated with maternal control (OR=1.110, P<0.001) and paternal control (OR=1.076, P<0.001), but negatively correlated with maternal care (OR=0.895, P<0.001) and paternal care (OR=0.914, P<0.001). Conclusions Parental care may decrease the risk of depression and suicide ideation, while parental control may increase the risk of depression and suicide ideation in adolescents. Citation:

导出引用

从恩朝, 蔡亦蕴, 王韵, 吴彦. 青少年抑郁情绪及自杀意念与父母教养方式之间的关联研究[J]. 中国当代儿科杂志. 2021, 23(9): 938-943 https://doi.org/10.7499/j.issn.1008-8830.2105124

CONG En-Zhao, CAI Yi-Yun, WANG Yun, WU Yan. Association of depression and suicidal ideation with parenting style in adolescents[J]. Chinese Journal of Contemporary Pediatrics. 2021, 23(9): 938-943 https://doi.org/10.7499/j.issn.1008-8830.2105124

参考文献

1 张郭莺. 儿童青少年抑郁情绪流行病学特征及相关因素研究[D]. 成都: 四川大学, 2006.
2 张俊先, 陈杰, 李新影. 母亲抑郁与青少年认知重评的关系: 教养方式的中介作用[J]. 中国临床心理学杂志, 2011, 19(5): 690-691. DOI: 10.16128/j.cnki.1005-3611.2011.05.030.
3 郑郭嫄, 黄晓琴. 青少年抑郁症患者父母教养方式和生活事件分析[J]. 中国学校卫生, 2014, 35(10): 1506-1508. DOI: 10.16835/j.cnki.1000-9817.2014.10.025.
4 从恩朝, 吴彦, 蔡亦蕴, 等. 青少年自杀意念与家庭环境和心理弹性之间的关联研究[J]. 中国当代儿科杂志, 2019, 21(5): 479-484. PMID: 31104667. PMCID: PMC7389414. DOI: 10.7499/j.issn.1008-8830.2019.05.016.
5 从恩朝, 蔡亦蕴, 陈海莹, 等. 青少年抑郁情绪与心理弹性、家庭环境因素的关联[J]. 中国医药导报, 2019, 16(17): 31-34. DOI:CNKI:SUN:YYCY.0.2019-17-008.
6 肖水源, 周亮, 徐慧兰. 危机干预与自杀预防(二): 自杀行为的概念与分类[J]. 临床精神医学杂志, 2005, 15(5): 298-299. DOI:10.3969/j.issn.1005-3220.2005.05.036.
7 Shain B, Committee on Adolescence. Suicide and suicide attempts in adolescents[J]. Pediatrics, 2016, 138(1): e20161420. PMID: 27354459. DOI: 10.1542/peds.2016-1420.
8 Li ZZ, Li YM, Lei XY, et al. Prevalence of suicidal ideation in Chinese college students: a meta-analysis[J]. PLoS One, 2014, 9(10): e104368. PMID: 25285890. PMCID: PMC4186746. DOI: 10.1371/journal.pone.0104368.
9 Nock MK, Green JG, Hwang I, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the national comorbidity survey replication adolescent supplement[J]. JAMA Psychiatry, 2013, 70(3): 300-310. PMID: 23303463. PMCID: PMC3886236. DOI: 10.1001/2013.jamapsychiatry.55.
10 Pan YJ, Juang KD, Lu SR, et al. Longitudinal risk factors for suicidal thoughts in depressed and non-depressed young adolescents[J]. Aust N Z J Psychiatry, 2017, 51(9): 930-937. PMID: 28701051. DOI: 10.1177/0004867417717795.
11 Raleva M. Early life stress: a key link between childhood adversity and risk of attempting suicide[J]. Psychiatr Danub, 2018, 30(Suppl 6): 341-347. PMID: 30235171.
12 Obikane E, Shinozaki T, Takagi D, et al. Impact of childhood abuse on suicide-related behavior: analysis using marginal structural models[J]. J Affect Disord, 2018, 234: 224-230. PMID: 29547815. DOI: 10.1016/j.jad.2018.02.034.
13 Leadbeater BJ, Ames ME, Linden-Carmichael AN. Age-varying effects of cannabis use frequency and disorder on symptoms of psychosis, depression and anxiety in adolescents and adults[J]. Addiction, 2019, 114(2): 278-293. PMID: 30276906. PMCID: PMC6519223. DOI: 10.1111/add.14459.
14 Behzadi B, Parker G. A Persian version of the parental bonding instrument: factor structure and psychometric properties[J]. Psychiatry Res, 2015, 225(3): 580-587. PMID: 25530418. DOI: 10.1016/j.psychres.2014.11.042.
15 Xu YJ, Wang C, Shi MM. Identifying Chinese adolescents with a high suicide attempt risk[J]. Psychiatry Res, 2018, 269: 474-480. PMID: 30195741. DOI: 10.1016/j.psychres.2018.08.085.
16 屈坚定, 高伟娜, 余星池. 中国青少年自杀意念[J]. 青年研究, 2002(6): 44-49. DOI: 10.3969/j.issn.1008-1437.2002.06.009.
17 李丽, 郑郭嫄, 黄晓琴. 家庭教养方式与中晚期青少年抑郁症发病的关系 [J]. 安徽医科大学学报, 2013, 48(7): 800-803. DOI: CNKI:SUN:YIKE.0.2013-07-022.
18 Yap MBH, Fowler M, Reavley N, et al. Parenting strategies for reducing the risk of childhood depression and anxiety disorders: a Delphi consensus study[J]. J Affect Disord, 2015, 183: 330-338. PMID: 26047961. DOI: 10.1016/j.jad.2015.05.031.
19 Eun JD, Paksarian D, He JP, et al. Parenting style and mental disorders in a nationally representative sample of US adolescents[J]. Soc Psychiatry Psychiatr Epidemiol, 2018, 53(1): 11-20. PMID: 29110024. PMCID: PMC6823599. DOI: 10.1007/s00127-017-1435-4.
20 周慧鸣, 郝楠, 杜亚松, 等. 中文版 Kutcher 青少年抑郁量表测评青少年样本的效度与信度[J]. 中国心理卫生杂志, 2015, 29(6): 413-418. DOI: 10.3969/j.issn.1000-6729.2015.06.003.
21 从恩朝, 吴彦, 徐一峰. 青少年焦虑情绪与家庭环境、心理弹性之间的关联研究[J]. 中国儿童保健杂志, 2019, 27(9): 990-993, 1001. DOI: 10.11852/zgetbjzz2019-0059.
22 从恩朝, 吴彦, 陈海莹, 等. 家庭环境因素与青少年抑郁情绪的相关性[J]. 神经疾病与精神卫生, 2018, 18(8): 564-567. DOI: 10.3969/j.issn.1009-6574.2018.08.008.
23 Hou YF, Xiao R, Yang XL, et al. Parenting style and emotional distress among Chinese college students: a potential mediating role of the Zhongyong thinking style[J]. Front Psychol, 2020, 11: 1774. PMID: 32849051. PMCID: PMC7399746. DOI: 10.3389/fpsyg.2020.01774.
24 Cho J, Ha JH, Jue J. Influences of the differences between mothers' and children's perceptions of parenting styles[J]. Front Psychol, 2020, 11: 552585. PMID: 33192802. PMCID: PMC7653220. DOI: 10.3389/fpsyg.2020.552585.
25 Amianto F, Martini M, Olandese F, et al. Affectionless control: a parenting style associated with obesity and binge eating disorder in adulthood[J]. Eur Eat Disord Rev, 2021, 29(2): 178-192. PMID: 33247868. DOI: 10.1002/erv.2809.
26 Ang JK, Phang CK, Mukhtar F, et al. Association between perceived parental style and depressive symptoms among adolescents in Hulu Langat District, Malaysia[J]. Int J Adolesc Med Health, 2017, 30(6): 20160130. PMID: 28599380. DOI: 10.1515/ijamh-2016-0130.
27 Cole DA, Sinclair-McBride KR, Zelkowitz R, et al. Peer victimization and harsh parenting predict cognitive diatheses for depression in children and adolescents[J]. J Clin Child Adolesc Psychol, 2016, 45(5): 668-680. PMID: 25751612. PMCID: PMC4564367. DOI: 10.1080/15374416.2015.1004679.
28 孟庆晓. 母亲拒绝与儿童焦虑的双向关系及其调节机制[D]. 济南: 山东师范大学, 2016.
29 Kopala-Sibley DC, Jelinek C, Kessel EM, et al. Parental depressive history, parenting styles, and child psychopathology over 6 years: the contribution of each parent's depressive history to the other's parenting styles[J]. Dev Psychopathol, 2017, 29(4): 1469-1482. PMID: 28414019. PMCID: PMC5755697. DOI: 10.1017/S0954579417000396.
30 Karaer Y, Akdemir D. Parenting styles, perceived social support and emotion regulation in adolescents with internet addiction[J]. Compr Psychiatry, 2019, 92: 22-27. PMID: 31003724. DOI: 10.1016/j.comppsych.2019.03.003.
31 Luebbe AM, Mancini KJ, Kiel EJ, et al. Dimensionality of helicopter parenting and relations to emotional, decision-making, and academic functioning in emerging adults[J]. Assessment, 2018, 25(7): 841-857. PMID: 27561986. DOI: 10.1177/1073191116665907.
32 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: 1-13. PMID: 30562652. DOI: 10.1016/j.jad.2018.12.006.
33 Cowan PA, Cowan CP, Pruett MK, et al. Fathers' and mothers' attachment styles, couple conflict, parenting quality, and children's behavior problems: an intervention test of mediation[J]. Attach Hum Dev, 2019, 21(5): 532-550. PMID: 30821614. DOI: 10.1080/14616734.2019.1582600.
34 Daryanani I, Hamilton JL, McArthur BA, et al. Cognitive vulnerabilities to depression for adolescents in single-mother and two-parent families[J]. J Youth Adolesc, 2017, 46(1): 213-227. PMID: 27858293. PMCID: PMC5260630. DOI: 10.1007/s10964-016-0607-y.
35 岳云玲, 周晓琴, 史丹, 等. 青少年抑郁症患者依恋模式与父母依恋模式教养方式关系的研究 [J]. 中华行为医学与脑科学杂志, 2012, 21(11): 1010-1013. DOI:10.3760/cma.j.issn.1674-6554.2012.11.016.
36 Chorot P, Valiente RM, Magaz AM, et al. Perceived parental child rearing and attachment as predictors of anxiety and depressive disorder symptoms in children: the mediational role of attachment[J]. Psychiatry Res, 2017, 253: 287-295. PMID: 28411577. DOI: 10.1016/j.psychres.2017.04.015.