Abstract：
Depressive and anxiety symptoms in adolescents have experienced increase their risk of peripheral mental health and social problems. For adolescents, the role of family environmental factors should be taken into consideration. This study aimed to explore the association between resilience and depressive and anxiety symptoms in adolescents and to extend the findings by examining the moderating effects of family environment. A total of 35,573 adolescents in middle schools were recruited in China. Childhood abuse, resilience, and symptoms of depression and anxiety were evaluated in adolescents. We found a significant association between resilience and symptoms of depression and anxiety [OR = 0.976 (0.975-0.978), P < 0.001; OR = 0.980 (0.978-0.981), P < 0.001]. The adjusted ORs (95 % CIs) for mental health across the categories of resilience were as follows: 1 (reference) for low resilience, 0.660 (0.620-0.703) for medium resilience, 0.309 (0.286-0.333) for high resilience. The relationship between resilience and depressive symptoms was stronger for girls, non-only children, and those without child abuse experience compared to boys, only child, and those with child abuse experience (all p < 0.05). Our findings of a nationally representative sample in China suggest that gender, only child, parent-child relationship and child abuse moderated the relationship between resilience and symptoms of depression and anxiety.
摘要：
青少年的抑郁和焦虑症状增加了他们周围心理健康和社会问题的风险。对于青少年来说，应考虑家庭环境因素的作用。这项研究旨在探讨青少年的韧性与抑郁和焦虑症状之间的关系，并通过检查家庭环境的调节作用来扩展研究结果。在中国总共招募了35,573名中学青少年。童年虐待，弹性，并对青少年的抑郁和焦虑症状进行了评估。我们发现韧性与抑郁和焦虑症状之间存在显着关联[OR=0.976（0.975-0.978），P<0.001;OR=0.980(0.978-0.981),P<0.001]。不同弹性类别的心理健康调整后的OR(95%CI)如下：1(参考)低弹性，中等弹性为0.660(0.620-0.703)，0.309（0.286-0.333）为高弹性。女孩的弹性和抑郁症状之间的关系更强，非独生子女,和那些没有虐待儿童经历的男孩相比，只有孩子,以及有虐待儿童经历的人(均p<0.05)。我们对中国具有全国代表性的样本的研究结果表明，性别，只有孩子,亲子关系和虐待儿童减轻了韧性与抑郁和焦虑症状之间的关系。
