黎巴嫩青少年样本中的抑郁症状:尺度验证和与饮食失调相关
Dina Dagher1, Serena Samaha1, Mariam Mhanna1
1School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
概括
在黎巴嫩,青少年抑郁症很普遍,压力和暴饮暴食是重要的因素. 患者健康问卷-9 (PHQ-9) 是评估这一群体抑郁症的有效工具.
科学领域:
- 精神病学是一个精神病学.
- 青少年健康 青少年健康
- 心理健康 心理健康
背景情况:
- 青春期带来了独特的挑战,增加了对心理健康问题的脆弱性,如抑郁症和饮食障碍.
- 抑郁症是导致青少年残疾的主要原因和自杀倾向的危险因素.
- 青春期后精神疾病的患病率上升,需要强大的评估工具.
研究的目的:
- 在黎巴嫩青少年中检查患者健康问卷-9 (PHQ-9) 的心理测量特性.
- 评估这个人口群体中抑郁症,饮食障碍,压力和其他变量之间的相关性.
- 验证PHQ-9用于黎巴嫩未来的流行病学研究.
主要方法:
- 一项涉及所有省份555名黎巴嫩青少年 (年龄15-18岁) 的横截面研究.
- 使用SPSS AMOS v.24.4进行PHQ-9尺度的确认因素分析 (CFA).
- 使用了适合性指数,包括chi-square/df,CFI,TLI和RMSEA.
主要成果:
- 62.9%的青少年报告轻度至中度抑郁;14%报告中度重度至重度抑郁.
- 最初的PHQ-9因子分析得出了可以接受的适应指数 (CFI=0.92,TLI=0.90,RMSEA=0.085).
- 在对第6项和第9项进行相关联后,观察到更好的适应性指数 (CFI=0.94,TLI=0.92,RMSEA=0.074). 多变量分析表明压力 (β=0.59),女性性别 (β=1.54) 和暴饮暴食 (β=0.16) 与抑郁症有显著的相关性.
结论:
- PHQ-9证明了评估黎巴嫩青少年抑郁症的有效性和可靠性.
- 这项研究强调了这一年龄组中抑郁症的高患病率.
- 抑郁症与压力,女性性和暴饮暴食有显著的关联,为干预提供了目标.
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