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抑郁青少年家庭关怀—未来期望匹配与心理弹性的关系OA

Family care for depressed adolescents:The relationship between future expectation match and psychological resilience

中文摘要英文摘要

目的:探讨青少年家庭关怀和未来期望的匹配与心理弹性的关系.方法:选取2022年10月—2023年6月山西省某医院就诊的158名抑郁症青少年和本地区170名健康青少年,通过家庭关怀度指数量表、未来期望量表、心理弹性量表及抑郁自评量表评估,并进行多项式回归与响应面分析.结果:①青少年家庭关怀度、未来期望和心理弹性相关两两正相关(r=0.22~0.60,P<0.01);家庭关怀度、未来期望和心理弹性与抑郁水平呈显著负相关(r=-0.62~-0.44,P<0.01).②抑郁和健康青少年家庭关怀度指数、青少年未来期望和心理弹性上差异有统计学意义(t=-6.13,-4.20,-5.69;P<0.01).③多项式回归分析表明,与"低家庭关怀—低未来期望"相比,"高家庭关怀—高未来期望"青少年心理弹性更高(a1=7.20~11.76,P<0.05;a2=0.13~1.99,P>0.05),差异有统计学意义;与"低家庭关怀—高未来期望"相比,"高家庭关怀—低未来期望"抑郁青少年心理弹性更高(Z-hat检验B=-15.21,SE=2.74,P<0.01),差异有统计学意义;而健康青少年则差异无统计学意义(Z-hat检验B=-6.89,SE=3.60,P>0.05).结论:青少年心理弹性的发展受到家庭关怀与未来期望匹配程度的影响且存在组群差异,即抑郁青少年的心理弹性更依赖于家庭关怀的支持.

Objective:To explore the relationship between adolescents' family care,future expectations,and psycho-logical resilience.Methods:A total of 158 adolescent patients with depression and 170 healthy adolescents from a local area were selected from October 2022 to June 2023 at a hospital in Shanxi Province.Assessments were conducted u-sing Family Care Scale,Future Expectations Scale,Psychological Resilience Scale,and Self-Rating Depression Scale,followed by polynomial regression and response surface analysis.Results:① Family care,future expectations,and psychological resilience showed pairwise positive correlations(r=0.22~0.60,P<0.01),while they exhibited significant negative correlations with depressive levels(r=-0.62~-0.44,P<0.01).② Significant differences were observed between depressed and healthy adolescents in family care index,future expectations,and psychological resil-ience(t=-6.13,-4.20,-5.69;P<0.01).③ Polynomial regression analysis revealed that adolescents with"high family care-high future expectations"demonstrated higher psychological resilience compared to those with"low family care-low future expectations"(a1=7.20~11.76,P<0.05;a2=0.13~1.99,P>0.05).Among adolescents with"low family care-low future expectations",depressive adolescents showed greater psychological resilience(Z-hat B=-15.21,SE=2.74,P<0.01),while healthy adolescents exhibited no such difference(Z-hat B=-6.89,SE=3.60,P>0.05).Conclusion:The development of adolescents' psychological resilience is affected by the matching degree be-tween family care and future expectations,and there are group differences.That is,the psychological resilience of de-pressed adolescents is more dependent on the support of family care.

戴菲;江李梅;张瑞林;陈凡;唐嘉玉;孙俊伟

山西医科大学人文社会科学学院(太原) 030000宿州市第二人民医院心理咨询(治疗)中心山西医科大学临床学科建设中心山西医科大学医学科学院山西医科大学临床学科建设中心太原市精神病医院早期干预科

医药卫生

抑郁症青少年响应面分析家庭关怀未来期望心理弹性

DepressionAdolescentsResponse surface analysisFamily careFuture expectationsPsychological resilience

《中国健康心理学杂志》 2026 (5)

668-672,5

2024年山西省研究生教育创新计划各类项目(编号:2024SJ215)2025年太原市"六个一批"专项行动科研项目(编号:Z2025010)2016年山西省卫生与计划委员会项目(编号:201602010)

10.13342/j.cnki.cjhp.2026.05.006

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