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自杀倾向青少年来自家庭和同伴的社会支持:与精神病理学的性别特异性关联。

Suicidal adolescents' social support from family and peers: gender-specific associations with psychopathology.

作者信息

Kerr David C R, Preuss Lesli J, King Cheryl A

机构信息

Department of Psychiatry, University of Michigan, Ann Arbor, 48109, USA.

出版信息

J Abnorm Child Psychol. 2006 Feb;34(1):103-114. doi: 10.1007/s10802-005-9005-8. Epub 2006 Feb 24.

Abstract

Perceptions of social support from family, non-family adults, and peers were examined in relation to the psychopathology reported by 220 suicidal adolescents (152 females) during a psychiatric hospitalization. Results of regression analyses showed that, among females, family support was negatively related to hopelessness, depressive symptoms, and suicidal ideation. Among males, peer support was positively associated with depressive symptoms and suicidal ideation. Across gender, more peer support was associated with more externalizing behavior problems; whereas, family support was negatively related to these problems and to alcohol/substance abuse. Paralleling normative findings, age was positively associated with peer support, and females perceived more peer support than did males. Findings extend previous research on social support to suicidal adolescents, and broaden the literature by examining extrafamilial support and a broader range of relevant psychopathology. That is, perceived social support relates to psychiatric impairment differentially by gender, and normative, age-related variations in perceptions of social support are detected even among highly impaired adolescents. Clinical implications and directions for future research are discussed.

摘要

研究了220名自杀未遂青少年(152名女性)在精神病住院期间,对来自家人、非家人成年人和同伴的社会支持的感知与所报告的精神病理学之间的关系。回归分析结果显示,在女性中,家庭支持与绝望感、抑郁症状和自杀意念呈负相关。在男性中,同伴支持与抑郁症状和自杀意念呈正相关。在不同性别中,更多的同伴支持与更多的外化行为问题相关;而家庭支持与这些问题以及酒精/药物滥用呈负相关。与规范性研究结果相似,年龄与同伴支持呈正相关,女性比男性感知到更多的同伴支持。研究结果扩展了先前关于自杀未遂青少年社会支持的研究,并通过考察家庭外支持和更广泛的相关精神病理学拓宽了文献。也就是说,感知到的社会支持在性别上与精神障碍存在差异关联,并且即使在高度受损的青少年中也能检测到社会支持感知方面与年龄相关的规范性差异。文中讨论了临床意义和未来研究方向。

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