神经损伤与功能重建2025，Vol.20Issue(2)：73-78,6.DOI:10.16780/j.cnki.sjssgncj.20241187
心理韧性在童年不良经历与青少年抑郁症状间的作用:基于网络分析的探索性研究
The Role of Psychological Resilience in the Relationship between Adverse Childhood Experiences and Adolescent Depressive Symptoms:An Exploratory Study Based on Network Analysis
摘要
Abstract
Objective:To explore the relationships between different subtypes of adverse childhood experiences(ACEs),psychological resilience,and various depressive symptoms in adolescents.Methods:A total of 170 adolescent patients,including 132 adolescents with depression and 38 healthy adolescents,were selected from the psychiatry outpatient clinic of Wuhan University Renmin Hospital.The Adverse Childhood Experiences International Questionnaire(ACES-IQ)was used to assess the exposure to ACEs in adolescents,the Connor-Davidson Resilience Scale(CD-RISC)was employed to evaluate the level of psychological resilience,and the 17-item Hamilton Depression Rating Scale(HAMD-17)as well as the Snaith-Hamilton Exuberance Scale(SHAPS)were utilized to assess depressive symptoms and their severity in adolescents.Graph theory-based network analysis was conducted to explore the associations among ACEs,psychological resilience,and depressive symptoms within the adolescent population.Results:(1)The exposure levels of all three types of ACEs were positively correlated with the severity of all six types of depressive symptoms,while the scores of psychological resilience were negatively correlated with the exposure levels of the three types of ACEs and the severity of the six types of depressive symptoms.(2)In the ACEs-psychological resilience-depressive symptoms network,"psychomotor retardation"among the depressive symptoms showed the highest degree centrality and was the most important depressive symptom;"abuse and neglect"among the three types of ACEs patterns exhibited the highest degree centrality and was the most significant ACEs pattern;"psychological resilience"demonstrated the greatest bridge strength,acting as the"bridge"connecting different nodes.(3)The results of network stability and accuracy tests indicated that both degree centrality and bridge strength had sufficient stability.Conclusion:Psychological resilience is an important supportive factor for mental health,and efforts should be made to enhance the level of psychological resilience in order to prevent and treat the adverse consequences brought about by ACEs.关键词
童年不良经历/心理韧性/青少年/抑郁/网络分析Key words
adverse childhood experiences/psychological resilience/adolescent/depression/network analysis分类
临床医学引用本文复制引用
白玉,舒畅,王高华..心理韧性在童年不良经历与青少年抑郁症状间的作用:基于网络分析的探索性研究[J].神经损伤与功能重建,2025,20(2):73-78,6.基金项目
中国光华科技基金会项目(脑-肠轴在童年虐待影响青少年及成年早期抑郁发病和临床结局中的中介效应,No.GHKJJJ20220703) （脑-肠轴在童年虐待影响青少年及成年早期抑郁发病和临床结局中的中介效应,No.GHKJJJ20220703）
