■探讨移情对青少年抑郁症状的影响,并探讨家庭功能在移情对抑郁症状影响中的潜在中介作用。
■在研究中分析了来自成都积极儿童发展(CPCD)队列的2022年横截面数据。2022年6月在成都进行了一项调查,涉及3所随机选择的分层学校的3020名5-8年级学生。人际反应指数(IRI-C),中国家庭评估工具(C-FAI)和流行病学研究中心儿童抑郁量表(CES-DC)用于调查。进行卡方检验或单向方差分析,以检查各种人口统计学特征(性别,grade,区域,和家庭月总收入)受访者群体之间,以及家庭功能的差异,同理心,和抑郁症。皮尔逊相关系数用于检验家庭功能之间的相关性,同理心,和抑郁症状。使用结构方程模型和SPSSPROCESS组件模型4来分析家庭功能是否在移情对青少年抑郁症状的影响中起中介作用。
■调查对象中抑郁症状的检出率为25.40%。差异分析结果显示,不同年级被调查者抑郁症状检出率存在显著差异,regions,家庭月收入(P<0.05)。男女学生抑郁症状检出率差异无统计学意义。家庭功能障碍和共情能力评分不同的被调查者抑郁症状检出率差异有统计学意义(P<0.001)。相关分析结果显示,共情得分与抑郁呈负相关(r=-0.11,P<0.001),家庭功能障碍与抑郁呈正相关(r=0.29,P<0.001),同理心评分与家庭功能呈负相关(r=-0.37,P<0.001)。建立了家庭功能障碍在共情与抑郁症状关系中的中介作用,直接效应为0.039(95%置信区间[CI]:0.010-0.069,P<0.001),间接效应值为-0.096(95%CI:-0.115--0.079,P<0.001)。直接效应值占总效应值的28.89%,而中介效应值占总效应值的71.11%。
■青少年的移情能力与抑郁症状相关,家庭功能在青少年共情和抑郁症状之间起着中介作用。建议通过多种途径增强青少年的共情能力和家庭功能,以减少抑郁症状的发生。
UNASSIGNED: To investigate the effect of
empathy on depressive symptoms in adolescents and to explore the potential mediating role of family functioning in the effect of
empathy on depressive symptoms.
UNASSIGNED: The 2022 cross-sectional data from the Chengdu Positive Child Development (CPCD) cohort were analyzed in the study. A survey was conducted in Chengdu in June 2022, involving 3020 students in grades 5-8 from three randomly selected stratified schools. The Interpersonal Reactivity Index (IRI-C), the Chinese Family Assessment Instrument (C-FAI), and the Center for Epidemiologic Studies Depression Scale for Children (CES-DC) were used in the survey. Chi-square test or one-way analysis of variance was performed to examine the differences in various demographic characteristics (sex, grade, region, and total monthly household income) between groups of respondents, as well as the differences in family functioning, empathy, and depression. Pearson correlation coefficient was used to examine the correlation between family functioning,
empathy, and depressive symptoms. Structural equation modeling and SPSS PROCESS component Model 4 were used to analyze whether family functioning played a mediating role in the effect of empathy on depressive symptoms in adolescents.
UNASSIGNED: The detection rate of depressive symptoms among survey respondents was 25.40%. The results of the difference analysis revealed significant differences in the detection rates of depressive symptoms among respondents of different grades, regions, and monthly household incomes (P<0.05). There was no significant difference in the detection rates of depressive symptoms between male and female students. There was a significant difference in the detection rate of depressive symptoms between respondents with different scores for family dysfunction and empathy ability (P<0.001). Correlation analysis results showed that
empathy scores were negatively correlated with depression (r=-0.11, P<0.001), that family dysfunction was positively correlated with depression (r=0.29, P<0.001), and that empathy scores were negatively correlated with family functioning (r=-0.37, P<0.001). The mediating role of family dysfunction in the relationship between empathy and depressive symptoms was established, with the direct effect being 0.039 (95% confidence interval [CI]: 0.010-0.069, P<0.001) and the indirect effect value being -0.096 (95% CI: -0.115--0.079, P<0.001). The direct effect value accounted for 28.89% of the total effect value, while the mediation effect value accounted for 71.11% of the total effect value.
UNASSIGNED: The empathy ability of adolescents is correlated to depressive symptoms, and family functioning plays a mediating role between
empathy and depressive symptoms in adolescents. It is suggested that adolescents\' empathy ability and family functioning should be enhanced through multiple channels to reduce the occurrence of depressive symptoms.