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大型抑郁症青少年及其父母的内化耻辱:与功能,寻求帮助,信仰和社会支持的关联
Hilal Nur Çalık Şentürk1, Tezan Bildik2
1Department of Child and Adolescent Psychiatry, Ministry of Health Ankara Yıldırım Beyazıt University Yenimahalle Education and Research Hospital, Türkiye.
The International journal of social psychiatry
|March 12, 2026
概括
大型抑郁症 (MDD) 青少年及其父母的内化耻辱会对他们的功能和照顾产生负面影响. 解决家庭耻辱是改善青少年抑郁症管理和治疗参与的关键.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 青少年心理学 青少年心理学
- 家庭研究 家庭研究
背景情况:
- 在患有重大抑郁症 (MDD) 的青少年中,内化污名是普遍存在的,影响了他们的功能和寻求帮助的意愿.
- 父母对与孩子MDD相关的耻辱感的内化可以影响家庭动态和对治疗的参与.
研究的目的:
- 调查MDD青少年及其父母的内化耻辱.
- 探索内化污名和青少年抑郁症严重程度,社会支持,精神疾病信仰,寻求帮助的态度和全球功能之间的关联.
主要方法:
- 一项涉及55名被诊断患有MDD的青少年 (12-18岁) 和他们的父母的横截面研究.
- 使用自我报告问卷 (例如,BDI,ISMI-CA,P-ISMI) 和临床医生评级 (GAF).
- 采用统计分析,包括组比较,相关性和多变量线性回归.
主要成果:
- 父母耻辱感 (P-ISMI) 在有自杀企图或非自杀自伤 (NSSI) 的青少年的父母中更高.
- 青少年抑郁症的严重程度与自我耻辱,更差的功能 (GAF) 和较低的社会支持 (MSPSS) 相相关.
- 父母抑郁症症状与父母内化耻辱感较高有关,而青少年年龄和教育对寻求帮助的态度产生了积极的影响.
结论:
- 青少年患有MDD及其父母的内化耻辱与临床严重程度和功能障碍有显著联系.
- 调查结果强调了内化耻辱作为一个相互关联的家庭过程.
- 建议整合家庭包容性,耻辱感知护理,以加强青少年抑郁症管理和治疗参与度.
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