父母教养方式与青少年抑郁症的关系

目的探讨父母教养方式在抑郁症发病中的作用,为抑郁症的预防提供科学依据。方法选取符合中国精神障碍分类与诊断标准第3版(CCMD-3)抑郁发作诊断标准,且HAMD17项测评总分≥18分,年龄<35岁的门诊患者作为病例组,共73人;选取与之匹配的81例健康人作为对照组。采用父母教养方式评价量表(EMBU)、汉密尔顿抑郁量表(HAMD)作为测量工具进行测评。结果①男性在父亲因子FF2(惩罚、严厉)和FF5(拒绝、否认)和母亲因子MF1(情感温暖)、MF2(过分干涉、过分保护)存在显著性差异;②女性在父亲因子FF1(情感温暖)、因子FF2(惩罚、严厉)和因子FF5(拒绝、否认),母亲的MF1(情感温暖)因子和MF3(拒绝、否认)存在显著性差异。结论早期父母教养方式对子女抑郁症发病起重要作用。

A controlled study on parental rearing behavior and depressive disorder in adolescents

Objective To explore the relationship between parental rearing behavior and the depressive disorders in adolescents,and to provide objective basis for the prevention and treatment of the depressive disorders.Methods A total of 73 depressed patients were chosen as the disease group,with a control group of 81 healthy persons of similar age,sex,education level and civil status.The depressed patient must meet depressive episode unipolar criteria and HAMD scores were more than 18.Results In males,the scores of father penalty and rejection factors and mother emotional warmth,and over-protection and over-involvement factors were significantly different from those in the control normal group.In females,the scores of father emotional warmth and penalty and rejection factors and mother emotional warmth and rejection factors were significantly different from those in the control normal group.Conclusion Parental rearing behavior plays an important role in the etiology of depression in adolescents.