Kaltiala-Heino R, Rimpelä M, Rantanen P, Laippala P
University of Tampere, Tampere School of Public Health and Tampere University Hospital, Box 607, 33101, Tampere, Finland.
J Affect Disord. 2001 May;64(2-3):155-66. doi: 10.1016/s0165-0327(00)00233-0.
To study sociodemographic determinants of depression among 14-16 years old girls and boys, and the role of perceived social support in mediating the effects of the background variables.
16464 adolescents aged 14-16 participated the School Health Promotion Study, a survey about health, health behaviour and school behaviour. Depression was measured by the Finnish modification of the 13-item Beck Depression Inventory. Moderate to severe symptoms in this scale were recorded as depression.
Depression was associated with family structure in both sexes. Among girls, having moved recently and low parental education increased the risk for depression, among boys, unemployment in the family. Accumulating number of discontinuities in life course increased the proportion of the depressed among both girls and boys. Perceived lack of social support had the same effect. Lack of support did not explain the effect on depression of the discontinuities in life course.
To detect risk groups for adolescent depressive disorders, health services should pay attention to adolescents who have experienced life changes. Perceived social support should be enquired.
研究14至16岁青少年抑郁的社会人口学决定因素,以及感知到的社会支持在调节背景变量影响方面的作用。
16464名14至16岁的青少年参与了学校健康促进研究,这是一项关于健康、健康行为和学校行为的调查。抑郁通过对13项贝克抑郁量表的芬兰语版本进行测量。该量表中中度至重度症状被记录为抑郁。
抑郁在两性中均与家庭结构有关。在女孩中,近期搬家和父母低教育水平会增加抑郁风险,在男孩中,家庭失业会增加抑郁风险。生活历程中不连续事件数量的累积增加了女孩和男孩中抑郁者的比例。感知到缺乏社会支持也有同样的效果。缺乏支持并不能解释生活历程中的不连续事件对抑郁的影响。
为了检测青少年抑郁障碍的风险群体,卫生服务机构应关注经历过生活变化的青少年。应询问其感知到的社会支持情况。