目的探讨青少年抑郁障碍的影响因素及其有效的干预方法。方法以永安市区2所中学高一年级学生为抽样对象。采用整群抽样方法,抽取1151名中学生进行SDS自评量表问卷调查。在确诊有抑郁障碍的142名中自愿入研究组60名,在排除抑郁障碍的学生中随机选60名作为对照组,分别用自编社会学量表对性别、年龄、居住环境、家庭收入等进行调查,用青少年生活事件量表、应对方式问卷、父母养育方式评价量表进行自评,并采用心理治疗和药物治疗进行综合干预。结果共获得有效问卷1151份,142名被确诊为抑郁障碍,抑郁障碍的发病率为12.34%。青少年抑郁障碍的产生及轻重可能与家庭关系、父母养育方式、应激性生活事件等有关。结论抑郁障碍是青少年群体的常见精神疾病,通过综合干预对青少年抑郁障碍持续有效,应及时进行干预和治疗,以促进青少年健康成长。
Objective To explore affecting factors and effective interventions of adolescents with depressive disorders. Methods Sample survey selected as subjects who were grade one in two high middle schools in Yong'an City. 1151 students were selected and did Self-rating Depression Scale (SDS). 60 students made up a observation group voluntarily in 142 students diagnosed as depressive disorder, while another 60 students in normal made up a control group randomly. They were investigated on sex, age,living environment, family income and so on by sociological scales (self made) and did self-view by adolescent self rating life events checklist (ASI.EC),coping style questionnaire (CSQ) and Egma Minnen av Bardndosnauppforstran (EMBU). In the same time they were given systemic interference using psychotherapy and drug therapy. Results 142 students diagnosed as depressive disorder in 1151, the disease rate was 12.34%. The factors related to adolescent's depression were familial relationship, parental rearing patterns and stressful life events. Conclusion Depressive disorder is one kind of common mental disorder in the adolescent. Comprehensive intervention is persistently effective to this disease. Adolescent patients should be treated in time to promote they grow healthily.