青少年抑郁症患者累积生态风险与健康相关危险行为的关系

The relationship between cumulative ecological risks and health-related risk behaviors in adolescent depression patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(4)
作者
作者单位

山西医科大学人文社会科学学院 ;
山西医科大学精神卫生医院 ;
太原市精神病医院 ;

摘要
考察青少年抑郁症患者与健康青少年的累积生态风险、健康相关危险行为及抑郁间的差异及相关性。方法 选取2022年10月至2023年6月山西省精神卫生中心青少年抑郁症患者151例纳入抑郁组,与抑郁组年龄匹配的172名健康青少年纳入对照组,分别进行累积生态风险、青少年健康相关危险行为问卷及抑郁自评量表的评定。结果 两组在累积生态风险指数、抑郁上的差异具有统计学意义(P<0.05);两组在青少年健康相关危险行为问卷总分及攻击暴力行为、自伤自杀行为、破坏纪律行为、吸烟饮酒行为因子上的差异具有统计学意义(P<0.05),在无保护性行为与健康妥协行为上的差异不具有统计学意义(P<0.05);累积生态风险指数与抑郁、青少年健康相关危险行为问卷总分、攻击暴力行为、自伤自杀行为、破坏纪律行为、吸烟饮酒行为间呈正相关(P<0.05),抑郁与青少年健康相关危险行为问卷总分、自伤自杀行为、破坏纪律行为、吸烟饮酒行为间呈正相关(P<0.05)。结论 需全面关注青少年抑郁症患者的健康相关危险行为,干预青少年家庭功能、学校归属感以及同伴交往,有助于青少年抑郁症的预防及治疗,并减少青少年健康相关危险行为的发生。
Abstract
Objective To observe the differences and correlations between cumulative ecological risks, health-related risk behaviors and depression levels between adolescent depression patients and healthy adolescents. Methods During the period from October 2022 to June 2023, a study was conducted at the Mental Health Center for Adolescents in Shanxi Province, involving 151 cases of adolescent depression patients in the depression group and 172 age-matched healthy adolescents in the control group. The cumulative ecological risks questionnaire, adolescent health related risky behavior inventory and self-rating depression scale were evaluated respectively.Results The differences in cumulative ecological risks index and depression level between the two groups were statistically significant (P < 0.05 ). There were statistically significant differences between the two groups in the total score of adolescent health related risky behavior inventory and the factors of aggressive violence, self-injury suicidal behavior, disciplinary behavior, smoking and drinking behavior (P < 0.05 ). There was no statistically significant difference in unprotected sexual behavior and health compromise behavior (P < 0.05 ). The cumulative ecological risks index was positively correlated with the score of depression, total score of adolescent health related risky behavior inventory, aggressive violence, self-injury suicide behavior, disciplinary behavior, smoking and drinking behavior (P < 0.05 ). Depression was positively correlated with the total score of adolescent health related risky behavior inventory, injury suicide behavior, disciplinary behavior, smoking and drinking behavior (P<0.05). Conclusion It is necessary to pay comprehensive attention to the health-related risk behaviors of adolescent depression patients, and to intervene in adolescent family function, school belonging and peer relationship, which is helpful to the prevention and treatment of adolescent depression and reduce the occurrence of adolescent health-related risk behaviors.
关键词
青少年;抑郁症;累积生态风险;健康相关危险行为
KeyWord
Adolescent;Depression;Accumulating ecological risks;Health-related risk behaviors.
基金项目
页码 1116-1120
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江李梅,戴菲,陈凡,韦天宝,孙俊伟*. 青少年抑郁症患者累积生态风险与健康相关危险行为的关系 [J]. 国际精神病学杂志. 2024; 51; (4). 1116 - 1120.

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