Zhang Yong, Li Hengfen, Zou Shaohong
Center of Mental Health, Tianjin 300222, China.
Depress Res Treat. 2011;2011:143045. doi: 10.1155/2011/143045. Epub 2011 Jul 2.
Purpose. Depression prevalence and risk increase among adolescents are related to biological, psychosocial, and cultural factors. Little is known about the association between cognitive distortion, type D personality, family environment, and depression. The aim of this paper was to examine the relationships of cognitive distortion, type D personality, family environment, and depression in a sample of Chinese adolescents. Methods. A sample of Chinese adolescents with depression and the controls were investigated cross-sectionally with life orientation test-revised (LOT-R), type D personality Scale-14 (DS14), family environment scale (FES), and Zung self-depression scale (SDS); respectively, all scales were administered in Chinese. Results. Chinese-depressed adolescents showed more cognitive distortion, type D personality, and adverse family environment than control groups. Furthermore, lower level of Optimism, negative affectivity, and poor family cohesion may increase the risk of depression in Chinese adolescents. Conclusions. Our study indicates that lower level of Optimism, Negative Affectivity, and poor Family Cohesion factors were implicated to contribute to depression in Chinese adolescents. Lower level of optimism and negative affectivity may be crucial associated factors of depression among these samples. our findings pointed to the importance of broad screening and intervention of vulnerable population.
目的。青少年中抑郁症的患病率和风险增加与生物、心理社会和文化因素有关。关于认知扭曲、D型人格、家庭环境与抑郁症之间的关联，人们所知甚少。本文旨在研究中国青少年样本中认知扭曲、D型人格、家庭环境与抑郁症之间的关系。方法。对一组患有抑郁症的中国青少年样本和对照组进行横断面调查，分别使用修订后的生活取向测试（LOT-R）、D型人格量表14（DS14）、家庭环境量表（FES）和zung自评抑郁量表（SDS）；所有量表均以中文进行施测。结果。与对照组相比，患有抑郁症的中国青少年表现出更多的认知扭曲、D型人格和不良家庭环境。此外，较低的乐观水平、消极情感性和较差的家庭凝聚力可能会增加中国青少年患抑郁症的风险。结论。我们的研究表明，较低的乐观水平、消极情感性和较差的家庭凝聚力因素与中国青少年抑郁症的发生有关。较低的乐观水平和消极情感性可能是这些样本中抑郁症的关键相关因素。我们的研究结果指出了对弱势群体进行广泛筛查和干预的重要性。
