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作为严重抑郁症状预测因素的父母依恋与自尊:对挪威医生的一项10年随访研究

Parental bonding and self-esteem as predictors of severe depressive symptoms: a 10-year follow-up study of Norwegian physicians.

作者信息

Grotmol Kjersti S, Ekeberg Øivind, Finset Arnstein, Gude Tore, Moum Torbjørn, Vaglum Per, Tyssen Reidar

机构信息

Department of Behavioral Sciences in Medicine, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.

出版信息

J Nerv Ment Dis. 2010 Jan;198(1):22-7. doi: 10.1097/NMD.0b013e3181c8189c.

DOI:10.1097/NMD.0b013e3181c8189c
PMID:20061865
Abstract

Elevated rates of suicide and depression among physicians have been reported. The associations between perceived parental bonding and depressive symptoms have yet to be studied longitudinally in this occupational group. In a nationwide cohort, we sought to study parental bonding as a predictor for severe depressive symptoms and to determine whether self-esteem mediates this relationship. After graduation (T1), medical students (N = 631) were followed-up after 1 (T2), 4 (T3), and 10 (T4) years. There were no gender differences in mean depressive scores. Female physicians reported higher levels of care from their mothers (p < 0.05) and less overprotection from their fathers (p < 0.05). Low-care from the mother predicted severe depressive symptoms (p = 0.01), an effect shown to be stronger for male than for female physicians. The relationship between perceived parental bonding and depressive symptoms was partially mediated by low self-esteem for both sexes.

摘要

据报道,医生的自杀率和抑郁症发病率有所上升。在这一职业群体中,父母教养方式与抑郁症状之间的关联尚未进行纵向研究。在一项全国性队列研究中,我们试图研究父母教养方式作为严重抑郁症状的预测因素,并确定自尊是否在这种关系中起中介作用。毕业后(T1),对医学生(N = 631)在1年(T2)、4年(T3)和10年(T4)后进行随访。平均抑郁得分没有性别差异。女医生报告称从母亲那里得到的关爱更多(p < 0.05),从父亲那里得到的过度保护更少(p < 0.05)。母亲关爱不足预示着严重抑郁症状(p = 0.01),这一效应在男性医生中比在女性医生中更强。父母教养方式与抑郁症状之间的关系在两性中均部分由低自尊介导。

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