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| 伴有自杀行为的青少年抑郁症自杀态度与父母教养方式的相关性及危险因素分析 |
| The Correlation Between Suicidal Attitudes and Parenting Styles Among Depressed Adolescents with Suicidal Behaviors: An Analysis of Risk Factors |
| 投稿时间：2024-10-05 修订日期：2024-10-05 |
| DOI： |
| 中文关键词: 青少年抑郁症 自杀行为 自杀态度 父母教养方式 危险因素 |
| 英文关键词: adolescent depression Suicidal behavior Parental rearing behavior Suicidal attitude Risk factors |
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| 中文摘要: |
| 目的 探讨伴有自杀行为的青少年抑郁症患者自杀态度与父母教养方式的相关性及危险因素分析。方法 选取2020年6月至2023年5月在荆门市人民医院临床心理科住院，并愿意接受研究的197例青少年抑郁症患者进行横断面调查，采用一般情况调查表和患者健康问卷抑郁症状群量表（PHQ-9）、自杀态度问卷（QSA）、父母教育方式评价量表（EMBU）进行评估，根据近6月是否有自杀行为分为自杀组115例和非自杀组82例并进行组间比较，并将所有变量纳入多因素Logistic回归模型进行分析。结果 （1）自杀组患者的饮酒率明显高于非自杀组，年龄明显低于非自杀组，两组比较差异有统计学意义；（2）自杀组患者的对自杀行为的态度、对自杀者的态度评分明显低于非自杀组，对自杀者家属的态度评分高于非自杀组，两组比较差异均有统计学意义（P均<0.05）；（3）自杀组的EMBU总分明显高于非自杀组，在各因子比较上，自杀组母亲的情感温暖因子评分均低于非自杀组；自杀组母亲的过度保护、拒绝否认、惩罚严厉等因子评分高于非自杀组；自杀组父亲的过度保护、拒绝否认、惩罚严厉、过分干涉因子评分均高于非自杀组，两组比较差异均有统计学意义（P<0.01）；（4）父亲的惩罚、严厉及过度干涉是青少年抑郁患者自杀的危险因素（OR>1，P<0.05）。 |
| 英文摘要: |
| Objective: To explore the correlation between suicide attitude and parenting style and the analysis of risk factors in adolescents with depression who accompanied suicide behavior. Methods: A cross-sectional survey was conducted on 197 adolescent patients with depression who were hospitalized in the Department of Clinical Psychology of Jingmen City People's Hospital from June 2020 to May 2023 and were willing to accept the study. The patients were evaluated using general situation questionnaire, patient health questionnaire depression symptom group scale (PHQ-9), suicide attitude questionnaire (QSA), and parental education evaluation scale (EMBU). According to whether there was suicide behavior in the past 6 months, they were divided into suicide group (115 cases) and non-suicide group (82 cases) for comparison, and all variables were included in the multi-factor logistic regression model for analysis. Results (1)The alcohol consumption rate of the suicide group was significantly higher than that of the non-suicide group, and the age was significantly lower than that of the non-suicide group. There were significant differences between the two groups. (2)The suicide group's scores on attitude towards suicide behavior and attitude towards suicide victims were significantly lower than those of the non-suicide group, while the scores on attitude towards the families of suicide victims were higher than those of the non-suicide group. There were significant differences between the two groups (P < 0.05). (3)The total EMBU score of the suicide group was significantly higher than that of the non-suicide group. In the comparison of each factor, the scores of emotional warmth factor of mothers in the suicide group were lower than those in the non-suicide group; the scores of overprotective, rejecting denial, punishment and other factors of mothers in the suicide group were higher than those in the non-suicide group; the scores of overprotective, rejecting denial, punishment and excessive interference factors of fathers in the suicide group were higher than those in the non-suicide group. There were significant differences between the two groups (P < 0.01). (4)Father's punishment and excessive interference are risk factors for suicide in adolescent patients with depression (OR>1, P<0.05). |
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