摘要
目的探讨家庭成员精神状态与青少年抑郁的相关性。方法选取2023年6月至2025年6月期间医院门诊确诊青少年抑郁症患者家庭成员56例作为研究对象,按照正常国人Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分进行分组,4项评分均低于正常国人评分患者纳入对照组(n=31),其中1项评分高于正常国人焦虑、抑郁评分纳入观察组(n=25),观察家庭成员、青少年各项评分,统计青少年抑郁症治疗达到有效时间,并采用Logistic多因素分析4项评分对青少年抑郁的影响。结果家庭成员评分较对照值均上升,且对照组、观察组、整体家庭成员三组对比存在明显差异(P<0.05);整体家庭成员组青少年SAS、SDS、HAMA、HAMD评分高于对照组,但低于观察组(P<0.05);对照组治疗达到有效时间(6.35±1.02)个月,观察组(7.85±1.13)个月,对比存在明显差异(t=5.214,P<0.001);家庭成员SAS≥40.5分、SDS≥44.6分、HAMA≥11.9分、HAMD≥11.9分可能是青少年抑郁症发生发展的独立危险因素(P<0.05)。结论家庭成员精神状态对青少年抑郁发生发展具有明显影响,正向精神状态可促进青少年抑郁病情缓解。
Objectives To explore the correlation between family members’mental state and adolescent depression.Methods A total of 56 family members of adolescents diagnosed with depression in outpatient department of our hospital were selected as the research objects.Participants were grouped according to standard Chinese population scores on the Zung Self-Rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),Hamilton Anxiety Scale(HAMA),and Hamilton Depression Scale(HAMD).The control group(n=31)included those with all four scores below the normal population threshold,while the observation group(n=25)included those with at least one score above the normal threshold for anxiety or depression.Family members’and adolescents’scores were observed,the time to achieve effective treatment for adolescent depression was statistically analyzed,and logistic multivariate analysis was used to assess the impact of the four scores on adolescent depression.Results Family members’scores were significantly higher than those of the control values,with significant differences observed among the control group,observation group,and overall family members group(P<0.05).Overall family members group adolescents had higher SAS,SDS,HAMA,and HAMD scores than the control group but lower than those in the observation group(P<0.05).The time to achieve effective treatment was(6.35±1.02)months in the control group and(7.85±1.13)months in the observation group,with a significant difference(t=5.214,P<0.001).Family members’SAS≥40.5 points,SDS≥44.6 points,HAMA≥11.9 points,and HAMD≥11.9 points may be independent risk factors for the occurrence and development of adolescent depression(P<0.05).Conclusions Family members’mental states have a significant impact on the occurrence and development of adolescent depression.Positive mental states can promote the alleviation of adolescent depression symptoms.
作者
王晓
孔甜
张懿
张振
WANG Xiao;KONG Tian;ZHANG Yi;ZHANG Zhen(The Fifth People’s Hospital of Jiujiang,Jiujiang 332001,Jiangxi,China)
出处
《现代诊断与治疗》
2025年第23期3477-3479,共3页
Modern Diagnosis and Treatment
基金
江西省九江市科技计划项目(项目编号S2023ZDYFN594)。
关键词
家庭成员
精神状态
青少年抑郁
焦虑
自杀倾向
Family members
Mental state
Adolescent depression
Anxiety
Suicide tendency
