在青少年学生中抑郁症状的纵向轨迹
Mian Li1, Zejun Huang2, Jinqi Ding1
1Affiliated Mental Health Centre & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, 305 Tianmushan Road, Hangzhou, 310013, China.
BMC psychology
|December 17, 2025
概括
青少年抑郁的轨迹揭示了不同的风险模式. 心理社会因素,如学习焦虑增加风险,而家庭温暖和寻求帮助提供保护,指导针对性的学校干预.
科学领域:
- 青少年心理健康研究研究
- 发展心理学是发展心理学.
- 心理社会流行病学心理学
背景情况:
- 关于青少年抑郁症状轨迹的纵向研究很少,特别是在学校环境中.
- 了解影响这些轨迹的心理社会因素对于早期干预至关重要.
研究的目的:
- 确定中国青少年抑郁症状轨迹的心理社会风险和保护因素.
- 在这个人群中划出抑郁症状的不同发育模式.
主要方法:
- 一项为期四个学期的纵向调查,使用PHQ-9和MHT对1,145名学生进行.
- 潜在类混合模型确定了抑郁症状轨迹.
- 回归分析检查了高风险群体的预测因素和按组时间的相互作用.
主要成果:
- 27.9%-32.2%的青少年显示抑郁症风险较高 (PHQ-9 ≥5).
- 学习焦虑,绝望,人际焦虑,敏感性,冲动性和气丧失是危险因素;家庭温暖和寻求帮助是保护性的.
- 两个轨迹出现了:稳定的低风险和高风险,症状恶化,特别是在六年级的学生中,与孤独,绝望和体质焦虑有关.
结论:
- 确定了与青少年高风险抑郁症状模式相关的可修改的心理社会因素.
- 强调需要早期识别和基于学校的干预措施,以提高青少年心理健康结果.
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