Wang Qi, Cui Yiran, Tian Gang, Shuai Jingliang, Yang Wenyan, Ma Yulan, Deng Zhihao, Yan Yan
Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
Henan Province Hypertension Precision Prevention and Control Engineering Research Center, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, China.
Fam Process. 2025 Mar;64(1):e13084. doi: 10.1111/famp.13084. Epub 2024 Nov 23.
The rising rates of adolescent depression have become a critical concern, with family dynamics and interpersonal communication playing a significant role in this mental health issue. However, research on the combined effects of parental warmth and interpersonal trust on adolescent depressive symptoms remains limited. This study aimed to explore the association between parental warmth, interpersonal trust, and depressive symptoms in Chinese adolescents. The sample included 2745 adolescents aged 9 to 18 from the China Family Panel Studies (CFPS). Depressive symptoms were assessed using the CES-D8 scale, which yielded an average score of 4.34. Among participants, 11.3% exhibited symptoms consistent with depression. Multivariate linear regression revealed that both parental warmth (β = -0.296, p < 0.001) and interpersonal trust (β = -0.197, p < 0.001) significantly predicted lower depressive symptoms. Mediation analysis indicated that interpersonal trust partially mediated the relationship between parental warmth and depressive symptoms, explaining 17.68% of the total effect (β = -0.032, 95% CI = -0.060, -0.016). These associations remained significant even after controlling for demographic variables. Our findings suggest that parental warmth protects against depressive symptoms, with interpersonal trust enhancing this protective effect. Interventions focused on fostering parental warmth and enhancing interpersonal trust could improve adolescent mental health.
青少年抑郁症发病率的上升已成为一个关键问题，家庭动态和人际沟通在这个心理健康问题中起着重要作用。然而，关于父母温暖和人际信任对青少年抑郁症状的综合影响的研究仍然有限。本研究旨在探讨中国青少年中父母温暖、人际信任与抑郁症状之间的关联。样本包括来自中国家庭追踪调查（CFPS）的2745名9至18岁的青少年。使用CES-D8量表评估抑郁症状，平均得分为4.34。在参与者中，11.3%表现出与抑郁症相符的症状。多元线性回归显示，父母温暖（β = -0.296，p < 0.001）和人际信任（β = -0.197，p < 0.001）均显著预测较低的抑郁症状。中介分析表明，人际信任部分中介了父母温暖与抑郁症状之间的关系，解释了总效应的17.68%（β = -0.032，95%CI = -0.060，-0.016）。即使在控制了人口统计学变量后，这些关联仍然显著。我们的研究结果表明，父母温暖可预防抑郁症状，人际信任增强了这种保护作用。专注于培养父母温暖和增强人际信任的干预措施可以改善青少年心理健康。
