中国健康心理学杂志2025，Vol.33Issue(10)：1457-1462,6.DOI:10.13342/j.cnki.cjhp.2025.10.004
青少年抑郁症患者主要照顾者连带病耻感与照顾负担的关系:感知社会支持、希望水平的中介效应
Relationship between stigma of illness and caregiving burden among primary caregivers of adolescents with depression:The mediating effects of perceived social support and hope
摘要
Abstract
Objective:To explore the relationship between stigma of illness and caregiving burden among primary caregivers of adolescents with depression,and the mediating effects of perceived social support and hope levels.Meth-ods:A questionnaire survey was conducted among 112 primary caregivers of adolescents with depression from our hospital between May 2022 and August 2024.The Zarit Burden Interview(ZBI),the Affiliate Stigma Scale(ASS),the Multidimensional Scale of Perceived Social Support(MSPSS),and the Chinese version of the Herth Hope Index(HHI)were used for assessment.Pearson correlation analysis was employed to examine the correlation between care-giving burden and affiliate stigma,perceived social support,and hope levels among primary caregivers.Multiple linear regression and structural equation modeling were used to test the mediating effects of perceived social support and hope levels.Results:The ZBI scores for primary caregivers of adolescents with depression were(41.39±9.93),with 9 cases(8.04％)reporting no burden,36 cases(32.14％)reporting mild burden,54 cases(48.21％)reporting moderate burden,and 13 cases(11.61％)reporting severe burden.There were no significant differences in ZBI scores based on gender,age,education level,or family per capita monthly income.As the severity of depression and duration of illness increased,the ZBI scores of primary caregivers rose;conversely,as the number of collaborative caregivers increased,ZBI scores decreased(F=28.430,29.560,14.687;P＜0.001).Caregivers with moderate to severe burden had higher scores on the ASS cognitive,emotional,and behavioral dimensions and total scores compared to those with no or mild burden(t=3.051,4.9 90,5.651,5.5 45;P＜0.001).Caregivers with moderate to severe burden had lower scores on the MSPSS family,friends,other support,and total scores compared to those with no or mild burden,and HHI scores for attitudes toward taking positive action,maintaining close relationships,and attitudes toward reality and the future were also lower(t=5.110,4.864,5.068,3.987,7.669,6.164,6.930,6.350;P＜0.001).Caregiving burden among pri-mary caregivers of adolescents with depression was positively correlated with affiliate stigma and negatively correla-ted with perceived social support and hope levels(r=0.508,-0.477,-0.539;P＜0.05).Affiliate stigma was negatively correlated with perceived social support and hope levels(r=-0.442,-0.438;P＜0.05).Perceived social support was positively correlated with hope levels(r=0.485,P＜0.05).After adding the variables of perceived social support/hope levels to the regression equation,the regression coefficients for affiliate stigma on caregiving burden were sig-nificant.Perceived social support and hope levels played partial mediating roles in the relationship between affiliate stigma and caregiving burden,accounting for 21.49％(total effect:0.549;mediating effect:0.118)and 26.23％(total effect:0.549;mediating effect:0.144)of the total effect,respectively.Conclusion:Perceived social support and hope levels among primary caregivers of adolescents with depression partially mediate the relationship between affiliate stigma and caregiving burden.Clinical interventions can enhance caregivers' social support and hope levels,thereby al-leviating caregiving burden.关键词
抑郁症/主要照顾者/连带病耻感/照顾负担/感知社会支持/希望水平Key words
Depression/Primary caregivers/Affiliate stigma/Caregiving burden/Perceived social support/Hope分类
医药卫生引用本文复制引用
范鑫,钟蓉,钟健,孙义臣..青少年抑郁症患者主要照顾者连带病耻感与照顾负担的关系:感知社会支持、希望水平的中介效应[J].中国健康心理学杂志,2025,33(10):1457-1462,6.基金项目
浙江省丽水市科技计划项目(编号:2023SJZC105) （编号:2023SJZC105）
