Yang Xi, Li Peng, Liu Gui-Ying, Shan Dan
Department of Pediatrics, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing Hospital/National Center of Gerontology of National Health Commission, Beijing 100730, China.
World J Psychiatry. 2025 Apr 19;15(4):100758. doi: 10.5498/wjp.v15.i4.100758.
Adolescent depressive symptoms represent a significant public health concern, with negative life events and dysfunctional attitudes playing pivotal roles in their development. A cross-sectional study by Yu assessed the interplay between dysfunctional attitudes, social support, and depressive symptoms in 795 Chinese adolescents (49.9% male, mean age 15.2 ± 1.8 years, age range 11-18 years) from five middle schools in Shandong Province. Using the Dysfunctional Attitudes Scale, Adolescent Life Events Scale, Beck Depression Inventory, and Social Support Rating Scale, the study identified that dysfunctional attitudes, particularly over-autonomy and over-perfectionism, mediate the relationship between negative life events and depressive symptoms. Social support moderated this relationship, significantly reducing depressive symptoms. These findings underscore the need for preventive and therapeutic strategies targeting dysfunctional attitudes and enhancing social support to address adolescent depressive symptoms. In this article, we extend their findings to highlight the significance of culturally tailored interventions that incorporate familial and community dynamics in mitigating depressive symptoms, particularly in collectivist societies.
青少年抑郁症状是一个重大的公共卫生问题，负面生活事件和功能失调的态度在其发展过程中起着关键作用。Yu进行的一项横断面研究评估了山东省五所中学的795名中国青少年（男性占49.9%，平均年龄15.2±1.8岁，年龄范围11 - 18岁）功能失调的态度、社会支持和抑郁症状之间的相互作用。该研究使用功能失调态度量表、青少年生活事件量表、贝克抑郁量表和社会支持评定量表，发现功能失调的态度，特别是过度自主和过度完美主义，在负面生活事件和抑郁症状之间起中介作用。社会支持调节了这种关系，显著减轻了抑郁症状。这些发现强调了针对功能失调态度并加强社会支持以解决青少年抑郁症状的预防和治疗策略的必要性。在本文中，我们扩展了他们的研究结果，以强调文化定制干预措施的重要性，这些措施将家庭和社区动态纳入减轻抑郁症状，特别是在集体主义社会中。
