Ozturk Yusuf, Onat Merve, Ozyurt Gonca, Mutlu Caner, Tufan Ali Evren, Akay Aynur Pekcanlar
Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey.
Department of Child and Adolescent Psychiatry, Nevsehir State Hospital, Nevsehir, Turkey.
North Clin Istanb. 2021 May 24;8(3):212-221. doi: 10.14744/nci.2020.36744. eCollection 2021.
Major depressive disorder (MDD) in adolescence is a prevalent mental health problem with a complex etiology and a rising incidence. The aim of the study investigated functioning of family, attitudes of parents, and peer victimization in adolescents with MDD and to compare those with healthy adolescents.
The study was designed as a multi-center, cross-sectional, case-control study. 98 adolescents diagnosed with MDD and 99 healthy controls were recruited for the study. Beck depression inventory, parental attitude research instrument (PARI) tool, family assessment device (FAD), and multidimensional peer victimization scale (MPVS) were applied to all participants. Descriptive, correlational, and bivariate group comparisons were used in analyses.
The average ages of adolescents with MDD and control adolescents were 14.7 (S.D.=1.5) and 15.0 (S.D.=1.6) years, respectively. Females formed 74.5% of youth with MDD (vs. 70.3% of controls). The groups were similar in terms of socio-demographic features (all p>0.05). Adolescents with MDD had significantly elevated scores in FAD subscales except problem solving, PARI rejection of homemaking, marital conflict, and authoritarian subscales, and all MPVS subscales. Adolescents with MDD also displayed significant positive correlations between all MPVS subscales and FAD subscales except FAD problem-solving.
This cross-sectional, multi-center study suggests that family dysfunction and peer victimization may be higher in youth with MDD. Although cross-sectional design precludes evaluation of causality, it may be prudent to evaluate family functions as well as peer victimization of depressed youth.
青少年重度抑郁症（MDD）是一个普遍存在的心理健康问题，其病因复杂且发病率呈上升趋势。本研究旨在调查患有MDD的青少年的家庭功能、父母态度和同伴受害情况，并与健康青少年进行比较。
本研究设计为多中心、横断面、病例对照研究。招募了98名被诊断为MDD的青少年和99名健康对照者参与研究。对所有参与者应用贝克抑郁量表、父母态度研究工具（PARI）、家庭评估装置（FAD）和多维同伴受害量表（MPVS）。分析中使用了描述性、相关性和双变量组比较。
患有MDD的青少年和对照青少年的平均年龄分别为14.7岁（标准差=1.5）和15.0岁（标准差=1.6）。女性在患有MDD的青少年中占74.5%（对照组为70.3%）。两组在社会人口学特征方面相似（所有p>0.05）。患有MDD的青少年在FAD子量表（除问题解决外）、PARI的持家拒绝、婚姻冲突和专制子量表以及所有MPVS子量表中的得分显著升高。患有MDD的青少年在所有MPVS子量表和FAD子量表（除FAD问题解决外）之间也显示出显著的正相关。
这项横断面、多中心研究表明，患有MDD的青少年的家庭功能障碍和同伴受害情况可能更高。尽管横断面设计无法评估因果关系，但对抑郁青少年的家庭功能和同伴受害情况进行评估可能是谨慎的做法。
