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青少年抑郁症与家庭功能

[Depression in adolescents and family functioning].

作者信息

Leyva-Jiménez Rafael, Hernández-Juárez Ana María, Nava-Jiménez Gabriela, López-Gaona Verónica

机构信息

Unidad de Medicina Familiar (UMF) 53, León, Instituto Mexicano del Seguro Social, Guanajuato, Mexico.

出版信息

Rev Med Inst Mex Seguro Soc. 2007 May-Jun;45(3):225-32.

PMID:17692159
Abstract

OBJECTIVE

to determine the frequency of depression and family function in adolescents.

METHODOLOGY

252 students participated in the study, 134 males and 118 females; the average age was 16 years. The Birleson depression self-rating scale and the Family Adaptability and Cohesion Scale III (FACES III) served to assess depression and family functionality.

RESULTS

the overall depression was 29.8%, although in young males was 18.7% and in young females was 42.4% (p < 0.05, OR = 3.2). The rigidly dispersed family was more frequently found in the group of adolescents with depression (p < 0.05, OR = 6.3). While in the group of adolescents without depression the most frequent were, the flexible agglutinated (p < 0.05; OR = 0.215), structurally agglutinated (p < 0.05, OR = 0.215) and rigidly agglutinated families (p < 0.05, OR = 0.106).

CONCLUSIONS

this study showed that a significant percentage of adolescents suffer depression. This finding should prompt to further actions to detect adolescents' depression in primary care settings to provide timely care and to avert its severe consequences such as suicide, drug and alcohol use.

摘要

目的

确定青少年抑郁症的发病率及家庭功能状况。

方法

252名学生参与了本研究,其中男性134名,女性118名;平均年龄为16岁。采用伯利森抑郁自评量表和家庭适应性与凝聚性量表III(FACES III)来评估抑郁情况和家庭功能。

结果

总体抑郁症发病率为29.8%,其中年轻男性为18.7%,年轻女性为42.4%(p<0.05,OR=3.2)。在患有抑郁症的青少年群体中,僵硬分散型家庭更为常见(p<0.05,OR=6.3)。而在无抑郁症的青少年群体中,最常见的是灵活凝聚型(p<0.05;OR=0.215)、结构凝聚型(p<0.05,OR=0.215)和僵硬凝聚型家庭(p<0.05,OR=0.106)。

结论

本研究表明,相当比例的青少年患有抑郁症。这一发现应促使采取进一步行动,在初级保健机构中检测青少年抑郁症,以便及时提供治疗,避免诸如自杀、吸毒和酗酒等严重后果。

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