CAJ | 학술논문

目的探讨青少年抑郁症的依恋模式与父母依恋模式、教养方式的关系.方法选取36名安徽省精神卫生中心门诊及住院的青少年抑郁症患者及其父母亲作为研究组,以33名年龄性别教育年限匹配的青少年及其父母亲作为正常对照组,采用亲密关系经历量表和父母教养方式量表为研究工具进行施测.结果 ①青少年抑郁症患者在依恋回避、依恋焦虑维度上得分[(73.19 ±16.63)分,(62.25±12.91)分]均显著高于正常对照组[(62.76±13.90)分,(51.97±13.69)分](P＜0.01)；青少年抑郁症患者的母亲在依恋焦虑维度上得分[(72,06± 14.23)分]显著高于正常对照组[(57.42±12.81)分],差异具有统计学意义(P＜0.01).②青少年抑郁症患者依恋回避与父母亲依恋回避呈显著正相关(r =0.534,r=0.488; P＜0.01),青少年抑郁症患者依恋焦虑与母亲自身的依恋焦虑呈显著正相关(r=0.532,P＜0.01)；青少年抑郁症依恋回避与父母教养方式中父母亲情感温暖呈显著负相关(r=-0.406,r=-0.462; P＜0.01),而与父亲惩罚严厉、母亲拒绝否认呈正相关(r=0.395,r=0.468; P＜0.05)；青少年抑郁症研究组中,父亲自身依恋回避与父亲情感温暖呈显著负相关(r=-0.527,P＜0.01),母亲自身依恋回避与母亲情感温暖呈显著负相关(r=-0.491,P＜0.01),而与母亲拒绝否认呈正相关(r=0.392,P＜0.05).③母亲情感温暖教养方式在母亲依恋回避和青少年抑郁症依恋回避之间起完全中介作用,母亲拒绝否认教养方式在母亲依恋回避和青少年抑郁症依恋回避之间起部分中介作用,但是父亲情感温暖在父亲依恋回避和青少年抑郁症依恋回避之间不起中介作用.结论青少年抑郁症患者具有不安全型依恋特征,父母亲的依恋模式、教养方式对青少年抑郁症患者的依恋模式存在显著影响,并且母亲的教养方式在其中起到中介作用.
목적 탐토청소년억욱증적의련모식여부모의련모식、교양방식적관계.방법 선취36명안휘성정신위생중심문진급주원적청소년억욱증환자급기부모친작위연구조,이33명년령성별교육년한필배적청소년급기부모친작위정상대조조,채용친밀관계경력량표화부모교양방식량표위연구공구진행시측.결과 ①청소년억욱증환자재의련회피、의련초필유도상득분[(73.19 ±16.63)분,(62.25±12.91)분]균현저고우정상대조조[(62.76±13.90)분,(51.97±13.69)분](P＜0.01)；청소년억욱증환자적모친재의련초필유도상득분[(72,06± 14.23)분]현저고우정상대조조[(57.42±12.81)분],차이구유통계학의의(P＜0.01).②청소년억욱증환자의련회피여부모친의련회피정현저정상관(r =0.534,r=0.488; P＜0.01),청소년억욱증환자의련초필여모친자신적의련초필정현저정상관(r=0.532,P＜0.01)；청소년억욱증의련회피여부모교양방식중부모친정감온난정현저부상관(r=-0.406,r=-0.462; P＜0.01),이여부친징벌엄려、모친거절부인정정상관(r=0.395,r=0.468; P＜0.05)；청소년억욱증연구조중,부친자신의련회피여부친정감온난정현저부상관(r=-0.527,P＜0.01),모친자신의련회피여모친정감온난정현저부상관(r=-0.491,P＜0.01),이여모친거절부인정정상관(r=0.392,P＜0.05).③모친정감온난교양방식재모친의련회피화청소년억욱증의련회피지간기완전중개작용,모친거절부인교양방식재모친의련회피화청소년억욱증의련회피지간기부분중개작용,단시부친정감온난재부친의련회피화청소년억욱증의련회피지간불기중개작용.결론 청소년억욱증환자구유불안전형의련특정,부모친적의련모식、교양방식대청소년억욱증환자적의련모식존재현저영향,병차모친적교양방식재기중기도중개작용.
Objective To explore the relationships among attachment,parental attachment and parental rearing style of adolescent depression.Methods 36 outpatients and hospital patients in Anhui Mental Health Center with depression and their parents were involved as the case group,33 age-,gender-,and education-matched high school students and their parents as the normal controls.The case group and control group were assessed with Experiences in Close Relationships Inventory (ECR) and Parental Rearing Pattern Questionnaire (EMBU).Results ① The score of attachment avoidance and anxiety dimension in the depression group were obviously higher than that of the control group(73.19 ± 16.63 vs 66.25 ± 12.91,62.76 ± 13.90 vs 51.97 ± 13.69,P ＜ 0.01) ;the score of mother's attachment anxiety in the depression group were significantly higher than that of the control group (72.06 ± 14.23 vs 57.42 ± 12.81),and there were significant differences between two groups (P ＜ 0.01).②The attachment avoidance was positively correlated with parental attachment avoidance in the depression group (r =0.534,r=0.488 ; P＜ 0.01).The attachment anxiety dimension was positively correlated with mother's attachment anxiety in depression group (r =0.532,P ＜ 0.01).Attachment avoidance was negatively correlated with parental warmness(r =-0.406,r =-0.462,P ＜ 0.01),however attachment avoidance had positive correlation with father's punishment and mother's rejection in depression group (r=0.395,r=0.468; P＜0.05).Father's attachment avoidance was negatively correlated with father's warmness(r =-0.527,P＜ 0.01),and mother's attachment avoidance was negatively correlated with mother's warmness (r =-0.491,P ＜ 0.01),which was positively correlated with mother's rejection (r =0.392,P ＜ 0.05).③ Regression analysis showed that mother's warmness rearing style had full mediating effect on the relationship between mother's attachment avoidance and attachment avoidance in depression group,and then mother's refused rearing style partly mediated the relationship between them.But father's warmness didn(t) have mediating effect on the relationship between father's attachment avoidance and attachment avoidance in depression group.Conclusion The attachment pattern is insecure in the depression group.Parenting attachment and rearing style significantly influence on adolescent depression attachment patterns,and mother's rearing style has mediating effect on the relationship between mother's attachment and depression attachment.