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[母亲职业倦怠与青少年抑郁之间的关联:母亲抑郁和养育方式的链式中介作用]

[Association between maternal job burnout and adolescent depression: the chain mediating effect of maternal depression and parenting style].

作者信息

Li Yu-Ting, Zhong Ying-Yan, Chen Jian-Hua, Huang Xin-Xin, Cong En-Zhao, Xu Yi-Feng

机构信息

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine/National Medical Center for Mental Disorders, Shanghai 200030, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2023 Feb 15;25(2):186-192. doi: 10.7499/j.issn.1008-8830.2208026.

Abstract

OBJECTIVES

To investigate the association between maternal job burnout and adolescent depression and the mediating effect of maternal depression and parenting style.

METHODS

A cross-sectional study was conducted. The cluster random sampling method was used to select 2 572 adolescents from 7 middle schools in Shanghai, China, from April to May, 2021. A survey was performed for these adolescents and their mothers. The research tools included a general information questionnaire, Maslach Burnout Inventory-General Survey, Center for Epidemiologic Studies Depression Scale, short-form of Egna Minnen av Barndoms Uppfostran, and Children's Depression Inventory. A structural equation model was established, and the Bootstrap method was used to investigate the mediating effect.

RESULTS

The detection rate of depressive symptoms was 12.71% (327/2 572) among the adolescents. The scores of maternal job burnout, maternal depression, and negative parenting style were positively correlated with the score of adolescent depression (<0.05), and the score of positive parenting style was negatively correlated with the score of adolescent depression (<0.05). Maternal depression and parenting style played a mediating role between maternal job burnout and adolescent depression, including the individual mediating effect of maternal depression, the individual mediating effect of positive parenting style, and the chain mediating effect of maternal depression-negative/positive parenting style.

CONCLUSIONS

Maternal job burnout may affect adolescent depression through the mediating effect of depression, parenting style, and depression-parenting style, suggesting that the symptoms of adolescent depression can be reduced by alleviating maternal job burnout, improving maternal depression, increasing positive parenting behaviors, and reducing negative parenting behaviors.

摘要

目的

探讨母亲职业倦怠与青少年抑郁之间的关联以及母亲抑郁和养育方式的中介作用。

方法

进行一项横断面研究。采用整群随机抽样方法,于2021年4月至5月从中国上海的7所中学选取2572名青少年。对这些青少年及其母亲进行调查。研究工具包括一般信息问卷、马氏工作倦怠量表通用版、流行病学研究中心抑郁量表、父母养育方式问卷简版以及儿童抑郁量表。建立结构方程模型,并采用Bootstrap法探讨中介作用。

结果

青少年中抑郁症状检出率为12.71%(327/2572)。母亲职业倦怠、母亲抑郁和消极养育方式得分与青少年抑郁得分呈正相关(<0.05),积极养育方式得分与青少年抑郁得分呈负相关(<0.05)。母亲抑郁和养育方式在母亲职业倦怠与青少年抑郁之间起中介作用,包括母亲抑郁的个体中介作用、积极养育方式的个体中介作用以及母亲抑郁 - 消极/积极养育方式的链式中介作用。

结论

母亲职业倦怠可能通过抑郁、养育方式以及抑郁 - 养育方式的中介作用影响青少年抑郁,提示可通过减轻母亲职业倦怠、改善母亲抑郁、增加积极养育行为以及减少消极养育行为来降低青少年抑郁症状。

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Adolescent mental health in China requires more attention.中国青少年心理健康问题需要更多关注。
Lancet Public Health. 2020 Dec;5(12):e637. doi: 10.1016/S2468-2667(20)30094-3.

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