He Kongliang, Ji Sifan, Sun Lingmin, Yang Tingting, Chen Lu, Liu Huanzhong, Wang Kai
Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, 230022, People's Republic of China.
Psychological Counseling Department, Hefei Fourth People's Hospital, Hefei, 230022, People's Republic of China.
Psychol Res Behav Manag. 2023 Sep 1;16:3531-3539. doi: 10.2147/PRBM.S418966. eCollection 2023.
Despite the perception that healthy female are superior at emotional identification, it remains unclear whether gender-specific differences exist in adolescent depression and whether such specific differences in emotional recognition are associated with the most salient feature of adolescent depression---non-suicidal self-injury (NSSI).
In this study, 1428 adolescents (1136 females and 292 males) with depression and NSSI were examined using the Facial Emotion Recognition Task, Patient Health Questionnaire-9 (PHQ-9), and Functional Assessment of Self-mutilation questionnaire (FASM). This study was grouped by gender. Data were analyzed using the descriptive statistics, independent sample -test, chi-square test, non-parametric test (Mann-Whitney -test), Spearman correlation and Multiple linear regression analysis.
Depressed females reported a significantly greater frequency of self-injurious behaviour and more severe depressive symptoms than males. Face emotion recognition was also significantly more accurate in females and was positively correlated with levels of self-injury and depression, whereas no such correlations were found in males. Among depressed adolescents, face emotion recognition is better in females and is associated with self-injurious behaviour.
This study found that the greater susceptibility to depression and NSSI among adolescent females may stem in part from superior recognition and sensitivity to the negative emotions of others.
尽管人们认为健康女性在情绪识别方面更具优势,但尚不清楚青少年抑郁症中是否存在性别差异,以及这种情绪识别方面的特定差异是否与青少年抑郁症最突出的特征——非自杀性自伤(NSSI)相关。
在本研究中,使用面部情绪识别任务、患者健康问卷-9(PHQ-9)和自残功能评估问卷(FASM)对1428名患有抑郁症和NSSI的青少年(1136名女性和292名男性)进行了检查。本研究按性别分组。使用描述性统计、独立样本t检验、卡方检验、非参数检验(曼-惠特尼U检验)、斯皮尔曼相关性分析和多元线性回归分析对数据进行分析。
与男性相比,抑郁女性报告的自伤行为频率显著更高,抑郁症状也更严重。女性的面部情绪识别也明显更准确,并且与自伤和抑郁水平呈正相关,而在男性中未发现此类相关性。在抑郁青少年中,女性的面部情绪识别更好,并且与自伤行为相关。
本研究发现,青少年女性对抑郁症和NSSI的易感性更高,这可能部分源于对他人负面情绪的更好识别和更高敏感性。