Children and adolescents; Depression; Self-injury; Family function; Parental relationship
儿童; 抑郁; 自伤; 家庭功能; 父母感情
Abstract:
Objective: To explore the impact of family functioning, parental relationship quality on depression and selfinjury behavior in children and adolescents, and to provide evidence for interventions targeting these issues. Methods: In October 2024, 320 students in grades 3-5 from Shandong Province were selected via cluster sampling. The Children’s Depression Inventory, Family Assessment Device, and a self-designed questionnaire were administered. Independent samples t-tests, ANOVA, and logistic regression analyses were used to examine associations among variables. Results: (1) 35students (11.44%) reported self-injury behavior, and 107 students (34.40%) exhibited potential depressive symptoms, with no significant gender differences; (2) The self-injury group had significantly higher depression scores than the non-self-injury group (t = 4.076, p<0.001), particularly in negative emotions, anhedonia, low self-esteem, and low self-efficacy (p< 0.05); (3) Higher family dysfunction scores (poorer functioning) were associated with more severe depression (F=20.788, p<0.001). Better parental relationships predicted lower depression scores (F =8.359, p<0.001); Better parental relationships correlated with lower rates of self-injury (χ² = 9.570, p<0.01) and reduced self-injury frequency (χ² = 39.711, p<0.001);(4) Family dysfunction and poor parental relationships positively predicted negative emotions, interpersonal issues, low self-esteem, anhedonia, and low self-efficacy (p<0.05); (5) Depression fully mediated the effects of family functioning on self-injury behavior. Conclusion: Family-related factors are critical targets for interventions addressing depression and self-injury behavior in children and adolescents.
目的:探讨家庭功能、父母感情与儿童抑郁和自伤行为的影响,为儿童抑郁和自伤行为的干预提供依据。方法:2024年10月,采用整群抽样方法选取山东省320名3~5年级学生作为研究对象,使用儿童抑郁量表、家庭功能量表、自编问卷进行调查,采用独立样本t检验、方差分析和Logistic回归分析探究各因素之间的关联。结果:(1)有自伤行为的学生35人,占比11.44%,可能存在抑郁困扰的学生107人,占比34.40%,均不存在显著的性别差异;(2)自伤组的抑郁分数显著高于非自伤组,t=4.076,p<0.001。自伤组在负性情绪、快感缺失、低自尊、低自我效能感方面的分数显著高于非自伤组,p<0.05;(3)家庭功能得分越高(功能越差),儿童的抑郁程度越严重F=20.788,p<0.001。父母感情也显著影响抑郁得分F=8.359,p<0.001,父母感情越好,抑郁分数越低;父母感情越好,发生自伤行为的比例越低,χ2=9.570,p<0.01,自伤频率越低χ2=39.711,p<0.001;(4)家庭功能、父母感情可以正向预测儿童负性情绪、人际问题、低自尊、快感缺失、低自我效能感,p<0.05;(5)抑郁在家庭功能对儿童的自伤行为影响中起到完全中介作用。结论:家庭功能、父母感情与儿童抑郁和自伤行为密切相关。