四川精神卫生2025，Vol.38Issue(5)：442-449,8.DOI:10.11886/scjsws20250323001
消极父母教养方式与青少年抑郁症状的关系:多重作用路径的结构方程模型
Relationship between negative parenting styles and adolescent depressive symptoms:a structural equation modeling approach to multiple mediation pathways
摘要
Abstract
Background The distressingly high prevalence of depressive symptoms among adolescents exerts profound impacts on their physical and psychological development,urgently necessitating effective preventive interventions.Existing studies,however,have predominantly focused on isolated risk factors,neglecting to construct an integrated model that systematically disentangles the intricate relationships linking parenting styles,learning burnout,and childhood trauma to adolescent depressive symptoms.Moreover,the potential protective roles of social support and psychological resilience in this context remain insufficiently elucidated.Objective To construct a structural equation model encompassing multiple pathways to unravel the comprehensive mechanisms through which negative parenting styles,childhood trauma,learning burnout,psychological resilience,and social support collectively influence adolescent depressive symptoms,thereby providing evidence-based intervention strategies.Methods A stratified sampling technique was utilized to recruit 5 865 students from 12 middle schools in Chengdu City,Sichuan Province from March to May 2022.Participants were assessed using the following validated instruments:the Short-form Egna Minnen av Barndoms Uppfostran(s-EMBU),the Childhood Trauma Questionnaire-Short Form(CTQ-SF),the Adolescent Student Burnout Inventory,the Patients'Health Questionnaire Depression Scale-9 item(PHQ-9),the Social Support Rating Scale(SSRS),and the Connor-Davidson Resilience Scale(CD-RISC).A partial least squares structural equation modeling(PLS-SEM)approach was employed to construct a predictive framework examining the complex network of pathways through which negative parenting styles,childhood trauma,learning burnout,psychological resilience,and social support collectively influence depressive symptoms in adolescents.Results The PHQ-9 scores demonstrated significant positive correlations with the scores on s-EMBU overprotection subscale(r=0.272,P<0.01),s-EMBU rejection subscale(r=0.368,P<0.01),CTQ-SF(r=0.288,P<0.01)and Adolescent Student Burnout Inventory(r=0.587,P<0.01).Conversely,significant negative correlations were observed between PHQ-9 scores and both SSRS(r=-0.532,P<0.01)and CD-RISC scores(r=-0.418,P<0.01).Negative parenting styles(β=0.113,95%CI:0.087-0.138)and learning burnout(β=0.339,95%CI:0.315-0.364)emerged as significant positive predictors of depressive symptoms,with childhood trauma mediating the relationship between negative parenting styles and depressive symptoms(effect size=0.018,95%CI:0.013-0.024).Social support servesed as a mediating pathway between negative parenting styles and depressive symptoms(β=0.080,95%CI:0.069-0.092),as well as between negative parenting styles and childhood trauma(β=0.041,95%CI:0.032-0.050).It also functioned as an intermediary pathway linking learning burnout to depressive symptoms(β=0.092,95%CI:0.081-0.104)and connecting learning burnout with childhood trauma(β=0.048,95%CI:0.037-0.058).Additionally,psychological resilience serveed as a mediating pathway between negative parenting styles and depressive symptoms(β=0.004,95%CI:0.002-0.007),between learning burnout and depressive symptoms(β=0.037,95%CI:0.023-0.052),and between childhood trauma and depressive symptoms(β=0.003,95%CI:0.001-0.006).Conclusion Learning burnout exerts a direct effect on adolescent depressive symptoms.Negative parenting styles influence depressive symptoms both directly and indirectly through childhood trauma.Furthermore,social support and psychological resilience serve as mediator linking negative parenting styles and learning burnout to depressive symptoms in adolescents.关键词
教养方式/社会支持/心理弹性/抑郁/青少年Key words
Parenting styles/Social support/Psychological resilience/Depression/Adolescents分类
心理学引用本文复制引用
唐佩琪,李立圆,郭雨璇,黎珏希,杨婷,蒲婷,左海汐,周波..消极父母教养方式与青少年抑郁症状的关系:多重作用路径的结构方程模型[J].四川精神卫生,2025,38(5):442-449,8.基金项目
四川省卫生健康委员会科技项目(项目名称:以思维反刍和炎症为中介的童年创伤对青少年抑郁症的影响因素模型研究,项目编号:24LCYJPT18)[Funded by Science and Technology Project of the Health Commission of Sichuan Province(number,24LCYJPT18)] （项目名称:以思维反刍和炎症为中介的童年创伤对青少年抑郁症的影响因素模型研究,项目编号:24LCYJPT18）
