Yan Yiwen, Duan Xiang, Tan Yuxin, Wu Taimin, Yang Bing Xiang, Luo Dan, Liu Lianzhong
Department of Psychology, Institute of Education, China University of Geosciences, Wuhan 430074, China.
Department of Psychology, Institute of Education, China University of Geosciences, Wuhan 430074, China.
J Affect Disord. 2025 Sep 15;385:119383. doi: 10.1016/j.jad.2025.119383. Epub 2025 May 9.
This study explores the relationship between family functioning and depressive symptoms, emphasizing the mediating effects of psychological resilience and parent-child interactions. According to Family Systems Theory, interactions and emotional connections within the family have a profound impact on an individual's mental health. Understanding how family dynamics contribute to depressive symptoms and resilience has become a key focus in mental health research.
A total of 7092 participants, including middle school students and their parents, were selected for the study using cluster sampling. Data were analyzed using the Actor-Partner Interdependence Model extended to mediation (APIMeM). The model tested the effects of family functioning on depressive symptoms and psychological resilience, accounting for both actor and partner effects.
Family functioning was negatively associated with depressive symptoms in both parents and children, partially mediated by psychological resilience. The strongest mediation occurred in the student pathway (indirect effect = -0.311, 95 % CI [-0.367, -0.258], 38.6 % of total effect). Mothers' family functioning had a stronger indirect effect on depressive symptoms compared to fathers. Higher parental resilience related to fewer depressive symptoms and positively influenced children's mental health.
Family functioning significantly relates to depressive symptoms, with notable differences between parental roles. Mothers' family functioning perceptions showed stronger associations with their own and their children's mental health than fathers'. Interventions enhancing family communication and emotional support may be particularly effective when targeting mothers.
本研究探讨家庭功能与抑郁症状之间的关系，重点强调心理韧性和亲子互动的中介作用。根据家庭系统理论，家庭内部的互动和情感联系对个体心理健康有着深远影响。了解家庭动态如何影响抑郁症状和心理韧性已成为心理健康研究的关键焦点。
采用整群抽样法选取了包括中学生及其父母在内的7092名参与者进行研究。使用扩展到中介作用的行为者-伙伴相互依赖模型（APIMeM）对数据进行分析。该模型检验了家庭功能对抑郁症状和心理韧性的影响，同时考虑了行为者和伙伴效应。
家庭功能与父母和孩子的抑郁症状均呈负相关，心理韧性起到部分中介作用。最强的中介作用出现在学生路径中（间接效应=-0.311，95%置信区间[-0.367，-0.258]，占总效应的38.6%）。与父亲相比，母亲的家庭功能对抑郁症状的间接影响更强。父母心理韧性越高，抑郁症状越少，且对孩子的心理健康有积极影响。
家庭功能与抑郁症状显著相关，父母角色之间存在显著差异。母亲对家庭功能的认知与其自身及孩子心理健康的关联比父亲更强。针对母亲加强家庭沟通和情感支持的干预措施可能会特别有效。
