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有对立违抗障碍症状的中国流动儿童抑郁的家庭及个体风险与保护因素

Family and Individual Risk and Protective Factors of Depression among Chinese Migrant Children with Oppositional Defiant Disorder Symptoms.

作者信息

Liu Xu, Lin Xiuyun, Zhou Qing, Zhou Nan, Li Yanbin, Lin Danhua

机构信息

Institute of Developmental Psychology, Beijing Normal UniversityBeijing, China.

Department of Psychology, University of CaliforniaBerkeley, CA, USA.

出版信息

Front Psychol. 2017 Apr 4;8:508. doi: 10.3389/fpsyg.2017.00508. eCollection 2017.

DOI:10.3389/fpsyg.2017.00508
PMID:28421024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5378708/
Abstract

Migrant children reached 35.81 million in China and were vulnerable to serious emotional problems including depression. The present study aimed to identify the family and individual risk and protective factors for depression in an at-risk sample of Chinese migrant children. Participants were 368 children (9.47 ± 1.46 years old, 73.4% boys) who had at least one symptom of Oppositional Defiant Disorder symptoms (ODD) and their parents in Mainland China. Risk and protective factors within both family (i.e., family maltreatment and family functioning) and individual (i.e., automatic thoughts and resilience) perspectives. Family maltreatment and negative automatic thoughts served as risk factors in relation to children's depression. Further, automatic thoughts mediated the relationship between family maltreatment and children's depression. Family functioning (cohesion, but bot adaptability) and individual resilience could buffer the effects of risk factors in the Structure Emotion Model such that both cohesion and resilience moderated the relationship between family maltreatment and children's automatic thoughts only. Our findings highlighted the urgent need to decrease risk factors and increase protective factors of both family and child individual characteristics in prevention and intervention depression among migrant children with ODD symptoms in China.

摘要

在中国,流动儿童数量达3581万,他们易出现包括抑郁在内的严重情绪问题。本研究旨在确定中国流动儿童高危样本中抑郁的家庭和个体风险及保护因素。研究对象为中国大陆368名患有对立违抗障碍(ODD)至少一种症状的儿童(9.47±1.46岁,73.4%为男孩)及其父母。从家庭(即家庭虐待和家庭功能)和个体(即自动思维和心理韧性)两个角度分析风险和保护因素。家庭虐待和消极自动思维是儿童抑郁的风险因素。此外,自动思维在家庭虐待与儿童抑郁之间起中介作用。家庭功能(亲密度而非适应性)和个体心理韧性可在结构情绪模型中缓冲风险因素的影响,即亲密度和心理韧性仅调节家庭虐待与儿童自动思维之间的关系。我们的研究结果凸显,在中国,对于有ODD症状的流动儿童,在预防和干预抑郁方面,迫切需要减少家庭和儿童个体特征方面的风险因素并增加保护因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/4b9b872374ca/fpsyg-08-00508-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/1e5f43e0e0a4/fpsyg-08-00508-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/90162d50c325/fpsyg-08-00508-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/f772d2362639/fpsyg-08-00508-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/997791a2e4fa/fpsyg-08-00508-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/6b4acb419a53/fpsyg-08-00508-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/4b9b872374ca/fpsyg-08-00508-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/1e5f43e0e0a4/fpsyg-08-00508-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/90162d50c325/fpsyg-08-00508-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/f772d2362639/fpsyg-08-00508-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/997791a2e4fa/fpsyg-08-00508-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/6b4acb419a53/fpsyg-08-00508-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3b1/5378708/4b9b872374ca/fpsyg-08-00508-g0006.jpg

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