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家庭、朋友和教师支持与青少年抑郁症状的关系。

Associations between Social Support from Family, Friends, and Teachers and depressive Symptoms in Adolescents.

机构信息

University of Louisville, Louisville, USA.

University of Adelaide, Adelaide, Australia.

出版信息

J Youth Adolesc. 2018 Feb;47(2):398-412. doi: 10.1007/s10964-017-0712-6. Epub 2017 Jul 10.

Abstract

Approximately 20% of adolescents develop depressive symptoms. Family, friends, and teachers are crucial sources of social support for adolescents, but it is unclear whether social support impacts adolescents directly (principle-effect model) or by moderating the effect of stress (stress-buffer model) and whether each source of social support remains meaningful when their influence is studied simultaneously. To help fill this gap, we followed 1452 Australian students (average age at enrollment = 13.1, SD = 0.5; range: 11-16 years; 51.9% female) for 5 years. Based on our findings, each source of support is negatively related to depressive symptoms one year later when studied independently but when combined, only family and teacher support predicted depressive symptoms. Family support in all grades and teacher support in grade 8 to 10 but not in grade 11 directly impacted adolescent depressive symptoms 1 year later. Family support in grades 8 and 11 also buffered against the negative impact of stress on depressive symptoms one year later. Based on the unexpected findings, the most important limitations seem to be that the used instruments do not allow for a separation of different groups of friends (e.g., classmates, same-gender peers, romantic partners), types of social support, and stress. In addition, the high, nonrandom attrition rate with adolescents reporting less social support, more stressful events, a higher frequency of depressive symptoms, and/or being of Torres Strait Islander or Aboriginal background limits the generalizability of our findings. Summarized, our findings demonstrate that adolescents facing stress might benefit more from family support compared to their peers without stressful life events and that friends may have a weaker presence in adolescent lives than expected.

摘要

大约 20%的青少年会出现抑郁症状。家庭、朋友和老师是青少年重要的社会支持来源,但目前尚不清楚社会支持是直接影响青少年(原则效应模型)还是通过调节压力的影响(压力缓冲模型),以及当同时研究各种社会支持来源的影响时,每个来源的社会支持是否仍然有意义。为了帮助填补这一空白,我们对 1452 名澳大利亚学生(入组时的平均年龄为 13.1 岁,标准差为 0.5;范围:11-16 岁;51.9%为女性)进行了为期 5 年的随访。根据我们的研究结果,当独立研究时,每种支持来源与一年后出现的抑郁症状呈负相关,但当组合在一起时,只有家庭和教师支持可以预测抑郁症状。在所有年级中,家庭支持以及 8 到 10 年级的教师支持(但不是 11 年级)都直接影响一年后青少年的抑郁症状。8 年级和 11 年级的家庭支持也缓冲了一年后压力对抑郁症状的负面影响。基于意外的发现,最重要的限制似乎是,所使用的工具不允许将不同群体的朋友(例如,同学、同性伙伴、恋爱伴侣)、类型的社会支持和压力分开。此外,青少年报告的社会支持较少、压力事件较多、抑郁症状发生频率较高、或属于托雷斯海峡岛民或原住民背景的青少年的高、非随机流失率限制了我们研究结果的普遍性。总之,我们的研究结果表明,面临压力的青少年可能会从家庭支持中受益更多,而不是那些没有生活压力事件的同龄人,并且朋友在青少年生活中的存在感可能比预期的要弱。

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