Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China.
Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China.
PLoS One. 2019 Jul 18;14(7):e0219939. doi: 10.1371/journal.pone.0219939. eCollection 2019.
The main objective of this study was to explore the associations of family relationships and negative life events with depressive symptoms among Chinese adolescents.
A cross-sectional study of 3081 middle school students was conducted in Ganzhou City, Jiangxi Province, China. Students were asked to complete questionnaires regarding family relationships, negative life events, and depressive symptoms. A mediation analysis was carried out using a multiple regression analysis and the PROCESS macro method.
Of all participants, 19.9% reported experiencing depressive symptoms. The prevalence of depressive symptoms was 13.0% and 29.2% in participants with good and poor parental relationships, and the prevalence of depressive symptoms was 11.4% and 30.9% in participants with closed and alienated parental-child relationships, respectively. Parental relationships, parental-child relationships, and negative life events were positively correlated with depressive symptoms. The effect of parental relationships on depressive symptoms was fully mediated by negative life events (Effect = 0.052, 95% CI = [0.023, 0.082]), while the effect of parent-child relationships on adolescent depressive symptoms was partially mediated by negative life events (Effect = 0.075, 95% CI = [0.048, 0.104]).
Our results showed a high prevalence of depressive symptoms in Chinese adolescents. Poor family relationships may have the potential to increase the risk of depressive symptoms, and they could affect depressive symptoms through negative life events.
本研究的主要目的是探讨家庭关系和负性生活事件与中国青少年抑郁症状之间的关系。
在中国江西省赣州市进行了一项横断面研究，共纳入 3081 名中学生。学生被要求完成关于家庭关系、负性生活事件和抑郁症状的问卷。使用多元回归分析和 PROCESS 宏方法进行中介分析。
所有参与者中，19.9%报告出现抑郁症状。在亲子关系良好和较差的参与者中，抑郁症状的患病率分别为 13.0%和 29.2%，在亲子关系封闭和疏远的参与者中，抑郁症状的患病率分别为 11.4%和 30.9%。亲子关系、亲子关系和负性生活事件与抑郁症状呈正相关。亲子关系对抑郁症状的影响完全通过负性生活事件中介（效应=0.052，95%置信区间[0.023，0.082]），而亲子关系对青少年抑郁症状的影响部分通过负性生活事件中介（效应=0.075，95%置信区间[0.048，0.104]）。
我们的研究结果表明，中国青少年抑郁症状的患病率较高。不良的家庭关系可能增加抑郁症状的风险，并且可能通过负性生活事件影响抑郁症状。
