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目的探讨阈下抑郁高中生的自身认知和生活事件对其抑郁症状的影响,为提高高中生的心理健康水平提供依据。方法用青少年生活事件量表、流调中心用抑郁量表和自身认知问卷等自评量表对143名阈下抑郁高中生追踪调查2 a,用多层线性模型分析数据。结果阈下抑郁的终生发生率为22.9%;生活事件(b=0.16,P<0.01)和自身认知(b=1.74,P<0.05)可预测追踪期间抑郁症状的变化;生活事件和自身认知的交互作用也可预测追踪期间抑郁症状的变化(b=0.04,P<0.05)。在遭遇生活事件后,自信心较低者抑郁症状会明显高于自信心较高者,而且随着生活事件应激水平的增加,自信心较低者抑郁症状加重的速度也会明显高于自信心较高者。结论生活事件会加重抑郁症状,而自信心较低会加强这一影响。
Objective To explore the effect of depression and cognitive impairment of senior high school students under depression in depression and to provide basis for improving the mental health of high school students. Methods A total of 143 high school students with sub-threshold depression were followed up for 2 years using the Self-rating Scale of Depression Scale and Self-cognition Questionnaire. The data were analyzed by using the multi-layer linear model. Results The lifetime prevalence of subthreshold depression was 22.9%; life events (b = 0.16, P <0.01) and self-awareness (b = 1.74, Known interactions also predict changes in depressive symptoms during follow-up (b = 0.04, P <0.05). After encountering life events, depression symptoms with lower self-esteem will be significantly higher than those with higher self-esteem, and with the increase of stress level of life events, depression with lower self-esteem rate will be significantly faster than self-confidence Heart higher. Conclusions Life events can aggravate depressive symptoms, while lower self-esteem can reinforce this effect.