目的 探讨中学生生活事件、认知情绪调节与抑郁的关系,为改善中学生心理健康提供依据。方法 采用自编负性生活事件、认知情绪调节问卷(CERQ)和抑郁自评问卷(BDI)对184名中学生进行了问卷调查。结果 中学生在重新关注计划(14.36±3.48)和积极重新评价(13.92±3.65)得分最高,而灾难化(6.73±3.45)和责难他人(7.89±2.38)策略得分最低;相关分析显示,负性生活事件数与抑郁得分、灾难化和责难他人显著正相关(r=0.26、0.19、0.26,P均＜0.01),抑郁得分与沉思、灾难化、责难他人和自责显著正相关(r=0.45、0.44、0.25、0.25,P均＜0.01);层次回归模型表明,负性生活事件、沉思、灾难化对抑郁症状有显著的正向预测作用,其中沉思和灾难化两个变量解释抑郁症状总方差的22.3%。结论 负性生活事件对中学生抑郁具有显著影响,而沉思和灾难化的应对策略可能扮演着更为重要的角色。
Abstract
Objective To explore the relationships between the negative life events,cognitive emotion regulation and depression in high school students,and to provide basis for students' mental health improvement. Method A sample of 184 high school students were surveyed by using questionnaires on the self-rated Negative Life Events (NLE),Cognitive Emotion Regulation Questionnaire (CERQ),and Beck Depression Inventory (BDI). Results The highest scores were refocus on planning (14.36±3.48) and positive reappraisal (13.92±3.65),while the lowest scores were catastrophizing and self-blame in the high school students.Pearson correlation analysis showed that the numbers of NLE had significant positive correlations with depressive symptoms,catastrophizing and self-blame (r=0.26,0.19,0.26,respectively,P<0.01),and the cognitive emotion regulation strategies of rumination,catastrophizing,other-blame and self-blame had significantly positive correlations with depressive symptoms (r=0.45,0.44,0.25 and 0.25,respectively,P<0.01).Hierarchical regression analysis showed that NLE entered on the first step were a significant predictor of depressive symptoms (P<0.01),Rumination and catastrophizing entered on the second step were more strongly associated with depressive symptoms,and these two variables explained 22.3% of the variance. Conclusion Negative life events and depression are closely related,however,the use of maladaptive strategies of rumination and catastrophizing might play a more importance role in depressive symptoms.
关键词
负性生活事件 /
认知情绪调节策略 /
抑郁症状 /
中学生
Key words
negative life events /
cognitive emotion regulation strategy /
depressive symptom /
high school students
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 陈海燕,姚树桥,明庆森,等.中学生的抑郁症状与生活事件:非适应性策略的中介作用[J].中国心理卫生杂志,2012,26(10):786-790.
[2] Garnefski N,Kraaij V,Spinhoven P.Negative life events,cognitive emotion regulation and emotional problems[J].Pers Individ Dif,2001,30(8):1311-1327.
[3] Aldao A,Nolen-Hoeksema S,Schweizer S.Emotion-regulation strategies across psychopathology:A meta-analytic review[J].Clin Psychol Rev,2010,30(2):217-237.
[4] 张作记.行为医学量表手册[M/CD].北京:中华医学电子音像出版社,2005:222-223.
[5] 朱熊兆,罗伏生,姚树桥,等.认知情绪调节问卷(CERQ-C)的信效度研究[J].中国临床心理学杂志,2007,15(2):121-124.
[6] 蚁金瑶,钟明天,罗英姿,等.述情障碍者的情绪认知与认知性调节特征[J].中国心理卫生杂志,2009,23(2):118-122.
[7] 刘启刚,李飞.大学生认知情绪调节策略对抑郁焦虑的影响[J].中国健康心理学杂志,2007,15 (7):604-605.
[8] 魏义梅,张剑.大学生生活事件、认知情绪调节与抑郁的关系[J].中国临床心理学杂志,2008,16 (6):582-583.
[9] 汪向东,王希林,马弘.心理卫生评定量表手册[J].中国心理卫生杂志,1999,11(增刊):101-108.
[10] Maciejewski PK,Prigerson HG,Mazure CM.Self-efficacy as a mdiator between stressful life events and depressive symptoms:Differences based on history of prior depression[J].Br J Psychiatry,2000,176(4):373-378
. [11] 周琳琳,范娟,杜亚松.上海市中学生抑郁症状现状及其与生活事件关系的研究[J].上海精神医学,2009,23 (3):133-135.
[12] 吴国兰,傅茂笋,刘丹,等.中学生抑郁情绪与家庭环境的关系研究[J].中国儿童保健杂志,2013,21(1):76-79.
[13] 刘贤臣,嘛登岱,刘连启,等.生活事件、应对方式与青少年抑郁的相关性研究[J].中国临床心理学杂志,1997,5 (3):166-169.
[14] Compare A,Zarbo C,Shonin E,et al.Emotional regulation and depression:A potential mediator between Heart and Mind [J/OL].Cardiovasc Psychiatry Neurol,2014,Article ID 324374,10 pages http:// dx.doi.org/10.1155/2014/324374.
[15] Garnefski N,Kraaij V.Relationships between cognitive emotion regulation strategies and depressive symptoms:A comparative study of five specific samples [J].Pers Individ Dif,2006,40(8):1659-1669.
基金
河北省医学研究重点课题(ZL20140255)
PDF(547 KB)
