青少年抑郁症状与儿童期创伤、心理弹性的关系

发布时间：2019-08-11 17:23

【摘要】：目的:了解武汉市青少年抑郁症状的现状,考察青少年抑郁症状与儿童期创伤、心理弹性的关系。方法:选取武汉市5所小学、3所初中、2所高中学生共5906人,采用儿童期创伤问卷(CTQ)评定童年期创伤经历,心理弹性问卷(CD-RISC)评价心理弹性水平,流调中心用抑郁量表(CES-D)筛查抑郁症状。结果:本样本中有16.1%(953/5906)的青少年存在抑郁症状(CES-D≥16分为有抑郁症状),32.4%(1915/5906)的青少年存在儿童期创伤。有儿童期创伤组青少年(n=1915)CES-D得分高于无儿童期创伤组(n=3991),CD-RISC得分及各因子得分均低于无儿童期创伤组。多因素logistic回归分析结果显示,有儿童期创伤经历(OR=2.81,95%CI:2.41~3.29)是抑郁症状的危险因素,心理弹性(51≤CD-RISC≤63:OR=0.53,95%CI:0.44~0.64;64≤CD-RISC≤77:OR=0.32,95%CI:0.26~0.39;78≤CD-RISC≤100:OR=0.17,95%CI:0.13~0.22)是抑郁症状的保护因素。结论:有儿童期创伤经历的青少年更容易发生抑郁症状,心理弹性可能是青少年抑郁症状的保护因素。
[Abstract]:Objective: to investigate the present situation of depressive symptoms in adolescents in Wuhan, and to investigate the relationship between depressive symptoms and trauma and psycholelasticity in children. Methods: a total of 5906 students from 5 primary schools, 3 junior middle schools and 2 senior high schools in Wuhan were selected. Childhood trauma experience was assessed by childhood trauma questionnaire (CTQ), psychoelasticity questionnaire (CD-RISC) was used to evaluate psychological elasticity level, and flow control center depression scale (CES-D) was used to screen depression symptoms. Results: 16.1% of the adolescents (953 鈮，

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