He Qianqian, Hu Xiaofen, Chen Yunzhe, Li Yan, Zhao Yunhan, Zhou Yongjie, Liu Liang
Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, People's Republic of China.
Brain Regulation and Mental Rehabilitation Laboratory, Shenzhen Mental Health Center/ Shenzhen Kangning Hospital, Shenzhen, People's Republic of China.
Psychol Res Behav Manag. 2024 Dec 14;17:4281-4290. doi: 10.2147/PRBM.S489357. eCollection 2024.
Negative parenting styles, peer victimization, and mobile phone dependence (MPD) are prevalent public health problems among adolescents. Parenting styles and peer victimization were reported to affect MPD, but their interaction and the mechanism underlying this association still need to be explored. This study aimed to examine how these factors affect MPD in adolescents with depression.
Data was collected from 2324 participants diagnosed with depression aged 12-18 years in 11 provinces in China in the cross-sectional study. The scales of Mobile Phone Addiction Index, Patient Health Questionnaire-9, Parental Bonding Instrument, and Multidimensional Peer Victimization were adopted to measure the smartphone dependence, the severity of depressive symptoms, parenting styles, and multiple facets of peer victimization, respectively, for all adolescents. Hierarchical regressions were used to explore the main effect and interaction of parenting styles and peer-victimization on depression and MPD. A structural equation model was constructed to examine the direct and indirect effects of parenting styles and peer-victimization on MPD and the role of depression severity.
After controlling for gender, age, education, parental education, the study found that parental overprotection and peer victimization significantly predict higher levels of depression and higher risk of MPD. Parental care significantly predicts lower levels of depression. Higher levels of depression were associated with a higher risk of MPD. Further, depression partially mediated the relationship between parental overprotection, peer victimization, and MPD, and fully mediated the relationship between parental care and MPD. These results showed the pathway how parenting styles and peer victimization affect MPD directly and indirectly.
Adolescents who experienced negative parenting styles and peer victimization were prone to develop serious depression, then leading to MPD, providing possible intervention directions by changing parenting styles and avoid peer victimization in depression adolescents with MPD.
消极的养育方式、同伴欺凌和手机依赖（MPD）是青少年中普遍存在的公共卫生问题。据报道，养育方式和同伴欺凌会影响MPD，但它们之间的相互作用以及这种关联背后的机制仍有待探索。本研究旨在探讨这些因素如何影响患有抑郁症的青少年的MPD。
在这项横断面研究中，收集了来自中国11个省份的2324名年龄在12至18岁之间被诊断为抑郁症的参与者的数据。采用手机成瘾指数量表、患者健康问卷-9、父母养育方式问卷和多维同伴欺凌量表，分别测量所有青少年的智能手机依赖程度、抑郁症状严重程度、养育方式以及同伴欺凌的多个方面。采用分层回归分析来探讨养育方式和同伴欺凌对抑郁和MPD的主效应及相互作用。构建结构方程模型以检验养育方式和同伴欺凌对MPD的直接和间接效应以及抑郁严重程度的作用。
在控制了性别、年龄、教育程度、父母教育程度后，研究发现父母过度保护和同伴欺凌显著预测了更高水平的抑郁和更高的MPD风险。父母关爱显著预测了较低水平的抑郁。较高水平的抑郁与较高的MPD风险相关。此外，抑郁部分介导了父母过度保护、同伴欺凌与MPD之间的关系，并完全介导了父母关爱与MPD之间的关系。这些结果显示了养育方式和同伴欺凌直接和间接影响MPD的途径。
经历消极养育方式和同伴欺凌的青少年容易患上严重抑郁症，进而导致MPD，这为通过改变养育方式以及避免MPD抑郁青少年遭受同伴欺凌提供了可能的干预方向。
