青少年抑郁症患者依恋模式及家庭环境分析

发布时间：2019-01-06 09:33

【摘要】：目的探讨青少年抑郁症患者的依恋模式以及家庭环境的特点,为防治青少年抑郁提供理论依据。方法选取36名安徽省精神卫生中心门诊及住院的青少年抑郁症患者作为研究组,以33名年龄、性别、教育年限匹配的青少年作为对照组,采用亲密关系经历量表和家庭环境量表为研究工具进行施测。结果青少年抑郁症患者在依恋回避、依恋焦虑维度上得分均显著高于对照组(P值均0.01)。青少年抑郁症患者家庭环境中的亲密度、知识性和娱乐性得分显著低于对照组,而矛盾性得分显著高于对照组(P值均0.01)。青少年抑郁症组依恋回避维度与家庭环境中的亲密度、情感表达呈负相关,与矛盾性呈正相关。对照组依恋回避维度与亲密度、情感表达、娱乐性和道德宗教观呈负相关,与矛盾性因子呈正相关。结论青少年抑郁症患者表现出高回避、高焦虑的依恋模式,在家庭环境中成员之间的亲密度低、矛盾性突出。不安全依恋模式和不和谐的家庭环境可能是青少年抑郁症发病的重要因素之一。
[Abstract]:Objective to explore the attachment model and family environment of adolescent depression patients, and to provide theoretical basis for the prevention and treatment of adolescent depression. Methods Thirty-six outpatients and inpatients with adolescent depression in Anhui Mental Health Center were selected as study group, and 33 adolescents with matched age, sex and years of education were used as control group. The intimate relationship experience scale and the Family Environment scale were used as the research tools. Results the scores of attachment avoidance and attachment anxiety in adolescent depression patients were significantly higher than those in control group (P < 0.01). The scores of affinity, knowledge and entertainment in the family environment of adolescent depression patients were significantly lower than those in the control group, while the score of contradiction was significantly higher than that of the control group (P < 0.01). Attachment avoidance dimension in adolescent depression group was negatively correlated with affinity and emotional expression in family environment and positively correlated with contradiction. In the control group, the dimension of attachment and avoidance was negatively correlated with affinity, emotional expression, entertainment and moral religious view, and positively correlated with contradictory factors. Conclusion Adolescent depression patients showed high attachment pattern of high avoidance and high anxiety, low affinity and contradiction among members in family environment. Whether the unsafe attachment model is harmonious family environment may be one of the important factors of adolescent depression.
【作者单位】：安徽医科大学医学心理系;安徽省精神卫生防治中心;皖西学院外国语学院;
【分类号】：B844.2;R749.4

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