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青少年负性生活事件对抑郁症状的影响：共同反刍潜在类型的调节作用
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Abstract:
为了解青少年负性生活事件与抑郁症状之间的关系，并探讨共同反刍类型的调节作用，本研究采用青少年生活事件量表、修订后的共同反刍量表中文版、9项患者健康问卷，对576名青少年进行问卷调查。结果显示：通过潜在剖面分析发现，青少年的共同反刍可以分为低、中、高三个潜在类型；青少年负性生活事件与抑郁症状显著正相关；青少年的共同反刍潜在类型在负性生活事件与抑郁症状的关系中起到调节作用。对于低共同反刍组的青少年来说，负性生活事件与抑郁症状的相关性显著大于中共同反刍组。在高共同反刍组中，存在边缘显著差异。研究结果提示，负性生活事件是青少年抑郁的重要危险因素，且这一关系的强弱会因共同反刍类型而异。高水平和低水平的共同反刍均会增加负性生活事件对抑郁症状的影响，而中等水平的共同反刍会降低负性生活事件对抑郁症状的影响。
To understand the relationship between negative life events and depressive symptoms in Chinese adolescents and to investigate the moderating effect of latent co-rumination types, survey data were collected from 576 adolescents using the Adolescent Self-Rating Life Events Checklist, the revised Chinese version of the Co-Rumination Questionnaire, and the Patient Health Questionnaire-9. The results showed that through latent profile analysis, the study identified three distinct profiles of co-rumination among Chinese adolescents: low, moderate, and high co-rumination. Negative life events were significantly positively correlated with depressive symptoms in adolescents. The latent co-rumination profiles of adolescents played a moderating role in the relationship between negative life events and depressive symptoms. For adolescents in the low co-rumination group, the correlation between negative life events and depressive symptoms was significantly larger than that in the moderate co-rumination group. In the high co-rumination group, there was also a marginal difference. The results indicated that negative life events are a crucial risk factor for depressive symptoms in adolescents, and the strength of this relationship varies depending on the type of co-rumination. High and low levels of co-rumination increase the impact of negative life events on depressive symptoms, while moderate levels reduce this impact.
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