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家庭结构在入住精神科住院治疗的青少年抑郁症中起作用吗?

Does Family Structure Play a Role in Depression in Adolescents Admitted to Psychiatric Inpatient Care?

作者信息

Laukkanen Matti, Hakko Helinä, Riipinen Pirkko, Riala Kaisa

机构信息

Department of Psychiatry, Oulu University Hospital, PO Box 26, 90029 OYS, Oulu, Finland.

Department of Psychiatry, Institute of Clinical Medicine, University of Oulu, Oulu, Finland.

出版信息

Child Psychiatry Hum Dev. 2016 Dec;47(6):918-924. doi: 10.1007/s10578-015-0622-3.

Abstract

We examined whether adolescents' family structure associate with depression in a clinical sample of 508 adolescents (age 13-17 years) treated in psychiatric hospital between April 2001 and March 2006. Psychiatric disorders of adolescents were based on the K-SADS-PL-interview. Adolescents with depression were characterized by a single parent family background (58 %), but less commonly by a child welfare placement (37 %). Depression in adolescents was significantly related to female gender and a single parent family background, but less significantly related to comorbid psychotic or conducts disorders. The association between family structure and depression presents a challenge to mental health services. Early screening for depression in adolescents admitted for psychiatric treatment from "at risk" family types is important to enhance their future wellbeing and coping strategies.

摘要

我们在一个临床样本中研究了青少年的家庭结构与抑郁症之间的关联,该样本包含2001年4月至2006年3月期间在精神病医院接受治疗的508名青少年(年龄在13至17岁之间)。青少年的精神疾病基于K-SADS-PL访谈得出。患有抑郁症的青少年的特征是单亲家庭背景(58%),但较少是儿童福利安置背景(37%)。青少年抑郁症与女性性别和单亲家庭背景显著相关,但与共病的精神病性或行为障碍的相关性较弱。家庭结构与抑郁症之间的关联对心理健康服务构成了挑战。对来自“有风险”家庭类型、因精神疾病接受治疗的青少年进行抑郁症早期筛查,对于提高他们未来的幸福感和应对策略至关重要。

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