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青少年抑郁症状与儿童期创伤、心理弹性的关系

丁慧思 韩娟 张敏莉 王燕玲 雷鸣 王开桥 杨森焙 余晓敏

中国心理卫生杂志2017,Vol.31Issue(10):798-802,5.
中国心理卫生杂志2017,Vol.31Issue(10):798-802,5.DOI:10.3969/j.issn.1000-6729.2017.10.009

青少年抑郁症状与儿童期创伤、心理弹性的关系

Relationship among childhood trauma, resilience and depressive symptom in adolescents

丁慧思 1韩娟 1张敏莉 1王燕玲 2雷鸣 3王开桥 4杨森焙 1余晓敏5

作者信息

  • 1. 华中科技大学同济医学院公共卫生学院儿少卫生与妇幼保健学系,武汉430030
  • 2. 武汉市江夏区纸坊卫生院,武汉430200
  • 3. 武汉市江夏区第一人民医院,武汉430200
  • 4. 武汉东湖新技术开发区教育文化体育局,武汉430040
  • 5. 华中科技大学同济医学院学生工作处,武汉430030
  • 折叠

摘要

Abstract

Objective:To investigate the current situation of depressive symptoms among adolescents in Wuhan city and explore the association among childhood trauma,resilience and depressive symptom.Methods:Totally 5906 students were chosen from 5 primary schools,3 middle schools and 2 high schools in Wuhan.The Childhood Trauma Questionnaire (CTQ) was used to evaluate childhood trauma experience,the Connor-Davidson Resilience Scale (CD-RISC) and the Center for Epidemiological Studies Depression Scale (CES-D) were used to assess resilience level and depressive symptoms respectively.Results:The rates of depressive symptoms and childhood trauma were 16.1% (953/5906) and 32.4% (1915/5906).The subjects with experience of childhood trauma (n =1915) showed higher CES-D scores lower CD-RISC scores and each factor scores compared with those without experience of childhood trauma (n =3991).Multivariate logistic regression analysis showed that the experience of childhood trauma (OR =2.81,95% CI:2.41-3.29) was risk factor for depressive symptoms.Resilience (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) was protective factor for depressive symptoms.Conclusion:The adolescences with experience of childhood trauma are more likely to suffer from depressive symptoms.Resilience may be a protective factor for depressive symptoms.

关键词

儿童期创伤/心理弹性/抑郁症状/青少年

Key words

childhood trauma/resilience/depressive symptoms/adolescent

分类

医药卫生

引用本文复制引用

丁慧思,韩娟,张敏莉,王燕玲,雷鸣,王开桥,杨森焙,余晓敏..青少年抑郁症状与儿童期创伤、心理弹性的关系[J].中国心理卫生杂志,2017,31(10):798-802,5.

基金项目

国家自然科学基金(81472995) (81472995)

中国心理卫生杂志

OA北大核心CHSSCDCSCDCSSCICSTPCD

1000-6729

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