期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Advances in International Psychology. 2024; 6: (1) ; 13-22 ; DOI: 10.12208/j.aip.20240003.

A review of domestic and international studies on factors influencing adolescent depression and their intervention methods
国内外关于青少年抑郁症影响因素及其干预方法的研究综述

作者: 汤雅诗 *, 洪显利, 姚彦岐

重庆师范大学教育科学学院应用心理学重点实验室 重庆

*通讯作者: 汤雅诗,单位:重庆师范大学教育科学学院应用心理学重点实验室 重庆;

发布时间: 2024-06-28 总浏览量: 642

摘要

抑郁症作为一种普遍且严重的心理障碍,其核心症状涵盖自我憎恨、孤独感及悲观情绪等。近年来,青少年群体逐渐成为抑郁症的高发人群,这一现象不仅严重阻碍了青少年的健康成长,还给家庭与社会带来了深远的影响。鉴于此,本文系统综述了近十年来国内、国外关于青少年抑郁症的研究文献,重点探讨了青少年抑郁症的影响因素及其干预方法,并进行了对比分析。研究结果发现,在影响因素方面,国内外研究都表明青少年抑郁症主要受环境因素和遗传因素影响,但国外研究侧重于社交媒体过度使用与抑郁症关联及遗传生物机制,而国内则更聚焦本土化因素;在干预方法上,尽管药物治疗与心理干预均为主流,但国外倾向于创新综合手段,国内则偏重传统心理疗法。最后,虽然国内外关于青少年抑郁症的研究取得了显著的进展,但是仍然存在不足,未来关于青少年抑郁症的研究应进一步探讨不同干预措施的效果及其机制,更加注重多维度、综合性的干预策略等。

关键词: 青少年抑郁;影响因素;干预

Abstract

Depression is a common and serious psychological disorder, and its core symptoms include self-hatred, loneliness and pessimism. In recent years, adolescents have gradually become a high prevalence of depression, which not only seriously impedes the healthy growth of adolescents, but also brings about far-reaching impacts on families and society. In view of this, this paper systematically reviewed the domestic and foreign research literature on adolescent depression in the past ten years, focusing on the influencing factors of adolescent depression and its intervention methods, and carried out a comparative analysis, and found that, in terms of influencing factors, both domestic and foreign studies show that adolescent depression is mainly affected by environmental and genetic factors, but foreign studies focus on the association between social media overuse and depression and genetic-biological mechanisms, while domestic studies focus more on localized factors and the association between social media overuse and depression; in terms of intervention methods, although both medication and psychological interventions are mainstream, foreign studies tend to favor innovative and comprehensive means, while domestic studies favor traditional psychological therapies. Finally, although significant progress has been made in the research on adolescent depression at home and abroad, there are still deficiencies, and future research on adolescent depression should further explore the effects of different interventions and their mechanisms, and pay more attention to multidimensional and comprehensive intervention strategies.

Key words: Adolescent depression; Influencing factors; Intervention

参考文献 References

[1] BERNARD J E R. Depression: A review of its definition [J]. MOJ Addict Med Ther, 2018, 5(1): 6-7.

[2] SHOREY S, NG E D, WONG C H. Global prevalence of depression and elevated depressive symptoms among adolescents: A systematic review and meta‐analysis [J]. British Journal of Clinical Psychology, 2022, 61(2): 287-305.

[3] STRINGARIS A. What is depression? [M]. Wiley Online Library. 2017: 1287-9.

[4] 周秋玥,李辉,杨莉. 近五年青少年抑郁症治疗研究进展 [J]. 心理月刊, 2023, 18 (15): 237-240. DOI:10.19738/j.cnki.psy.2023.15.072.

[5] YOU Y, WEI M, CHEN Y, et al. The association between recreational physical activity and depression in the short sleep population: a cross-sectional study [J]. Frontiers in neuroscience, 2023, 17(1016619.

[6] BAUM K T, DESAI A, FIELD J, et al. Sleep restriction worsens mood and emotion regulation in adolescents [J]. Journal of Child Psychology and Psychiatry, 2014, 55(2): 180-90.

[7] BLUTH K, EISENLOHR-MOUL T A. Response to a mindful self-compassion intervention in teens: A within-person association of mindfulness, self-compassion, and emotional well-being outcomes [J]. Journal of Adolescence, 2017, 57(108-18.

[8] QUEK Y H, TAM W W, ZHANG M W, et al. Exploring the association between childhood and adolescent obesity and depression: a meta‐analysis [J]. Obesity reviews, 2017, 18(7): 742-54.

[9] MOULTON C D, PICKUP J C, ISMAIL K. The link between depression and diabetes: the search for shared mechanisms [J]. The lancet Diabetes & endocrinology, 2015, 3(6): 461-71.

[10] JAYANTHI P, THIRUNAVUKARASU M, RAJKUMAR R. Academic stress and depression among adolescents: A cross-sectional study [J]. Indian pediatrics, 2015, 52(217-9.

[11] KELES B, MCCRAE N, GREALISH A. A systematic review: the influence of social media on depression, anxiety and psychological distress in adolescents [J]. International journal of adolescence and youth, 2020, 25(1): 79-93.

[12] FRISON E, EGGERMONT S. Browsing, posting, and liking on Instagram: The reciprocal relationships between different types of Instagram use and adolescents' depressed mood [J]. Cyberpsychology, Behavior, and Social Networking, 2017, 20(10): 603-9.

[13] OLENIK-SHEMESH D, HEIMAN T, EDEN S. Cyberbullying victimisation in adolescence: Relationships with loneliness and depressive mood [M]. Emotional and Behavioural Difficulties Associated with Bullying and Cyberbullying. Routledge. 2013: 133-46.

[14] PADILLA‐WALKER L M, CARLO G, NIELSON M G. Does helping keep teens protected? Longitudinal bidirectional relations between prosocial behavior and problem behavior [J]. Child Development, 2015, 86(6): 1759-72.

[15] MORETTI M M, CRAIG S G. Maternal versus paternal physical and emotional abuse, affect regulation and risk for depression from adolescence to early adulthood [J]. Child abuse & neglect, 2013, 37(1): 4-13.

[16] SANDAL R K, GOEL N K, SHARMA M K, et al. Prevalence of depression, anxiety and stress among school going adolescent in Chandigarh [J]. Journal of family medicine and primary care, 2017, 6(2): 405-10.

[17] 熊美佳,谢红涛,孙莉,等. 青少年抑郁症的影响因素与团体心理治疗进展 [J]. 心理月刊, 2023, 18 (24): 222-224+236. DOI:10.19738/j.cnki.psy.2023.24.069.

[18] 陈洋洁,赵娟,刘晓梅,等. 基于CiteSpace的青少年抑郁症影响因素研究的可视化分析 [J]. 循证护理, 2023, 9 (16): 2969-2977.

[19] 李晓琳,孔伶俐,王春霞. 儿童青少年抑郁症的家庭影响因素 [J]. 中国校医, 2023, 37 (08): 623-626+640.

[20] 李龙权,杨文英. 父母婚姻冲突对青少年心理适应的影响:家庭功能的中介效应 [J]. 现代基础教育研究, 2022, 47 (03): 125-132.

[21] 谢艳红,王相兰,李勇,等. 父母教养方式对青少年抑郁症的影响和作用 [J]. 右江民族医学院学报, 2015, 37 (03): 464-466.

[22] 刘浩,罗庆华. 青少年抑郁症的发病机制及治疗研究进展 [J]. 大医生, 2024, 9 (03): 141-144.

[23] 吴慧攀,干敏雷,尹小俭,等. 青少年抑郁症状影响因素研究进展 [J]. 中国学校卫生, 2023, 44 (05): 786-790. DOI:10.16835/j.cnki.1000-9817.2023.05.033.

[24] 李萍,柳雨希,陈西庆,等. 童年创伤与青少年抑郁症的关系 [J]. 中国健康心理学杂志, 2015, 23 (07): 1078-1080. DOI:10.13342/j.cnki.cjhp.2015.07.034.

[25] WALKUP J T. Antidepressant efficacy for depression in children and adolescents: industry-and NIMH-funded studies [J]. American Journal of Psychiatry, 2017, 174(5): 430-7.

[26] HAZELL P, MIRZAIE M. Tricyclic drugs for depression in children and adolescents [J]. Cochrane Database of Systematic Reviews, 2013, 6): 

[27] RAES F, GRIFFITH J W, VAN DER GUCHT K, et al. School-based prevention and reduction of depression in adolescents: A cluster-randomized controlled trial of a mindfulness group program [J]. Mindfulness, 2014, 5(477-86.

[28] JOHNSON C, BURKE C, BRINKMAN S, et al. Effectiveness of a school-based mindfulness program for transdiagnostic prevention in young adolescents [J]. Behaviour research and therapy, 2016, 81(1-11.

[29] TRAVAGIN G, MARGOLA D, REVENSON T A. How effective are expressive writing interventions for adolescents? A meta-analytic review [J]. Clinical psychology review, 2015, 36(42-55.

[30] Livheim F, Hayes L, Ghaderi A, et al. The effectiveness of acceptance and commitment therapy for adolescent mental health: Swedish and Australian pilot outcomes[J]. Journal of Child and Family Studies, 2015, 24: 1016-1030.

[31] SPRUIT A, ASSINK M, VAN VUGT E, et al. The effects of physical activity interventions on psychosocial outcomes in adolescents: A meta-analytic review [J]. Clinical psychology review, 2016, 45(56-71.

[32] 严双琴,高国朋,顾春丽,等. 学龄前儿童哮喘与睡眠障碍对注意缺陷多动障碍症状发生的协同效应 [J]. 中国公共卫生, 2021, 37 (05): 824-828.

[33] 许慧慧,何金彩. 认知行为治疗联合家庭治疗对青少年抑郁症治疗效果的研究 [J]. 中国高等医学教育, 2018, (06): 131-132.

[34] 刘文文,王惠萍,刘庆帅. 认知行为疗法介入青少年抑郁症有效性的系统评价 [J]. 社会福利(理论版), 2022, (10): 10-19.

[35] 吴丽娜,张承楷. 认知行为治疗青少年抑郁症的效果研究 [J]. 心理月刊, 2021, 16 (05): 25-26. DOI:10.19738/j.cnki.psy.2021.05.011.

[36] 贺方,宋红静,张欣,等. 优势认知行为治疗改善青少年抑郁症患者希望感的随机对照试验 [J]. 中国心理卫生杂志, 2023, 37 (09): 758-763.

[37] 费丁家,崔艳秋,沈梦萱,等. 接纳承诺疗法治疗慢性疼痛的随机对照试验meta分析 [J]. 中国心理卫生杂志, 2020, 34 (08): 643-649.

[38] 司徒玉仪. 接纳与承诺疗法对青少年抑郁症患者的影响 [J]. 中外医学研究, 2022, 20 (03): 97-100. DOI:10.14033/j.cnki.cfmr.2022.03.026.

[39] 谢红芬,王桂梅,胡启梅,等. 以家庭为中心的协同护理对抑郁症患者照顾者家庭负担及社会支持的影响 [J]. 中华护理杂志, 2018, 53 (06): 662-667.

[40] 刘蓓蓓,肖放. 家庭治疗在青少年抑郁症治疗中的应用综述 [J]. 心理月刊, 2020, 15 (22): 234-236. DOI:10.19738/j.cnki.psy.2020.22.114.

[41] 高菲菲,延英芹,马海平,等. 以家庭为中心的心理干预在青少年抑郁症患者中的应用效果 [J]. 心理月刊, 2023, 18 (01): 121-123. DOI:10.19738/j.cnki.psy.2023.01.036.

[42] 范喜英,朱晓茜,黄淑津,等. 亲子教育和康复技能训练对青少年抑郁症患者社会功能的影响 [J]. 大众科技, 2023, 25 (05): 184-187.

[43] 孙欣,陈昊铧,申晨煜. 基于自我关怀理念的团体干预对青少年抑郁症患者的影响 [J]. 国际精神病学杂志, 2024, 51 (01): 91-94. DOI:10.13479/j.cnki.jip.2024.01.006.

[44] 姚俊瑞,李颖莹. 情绪宣泄坊团体干预在青少年抑郁症患者中的应用 [J]. 临床医学工程, 2023, 30 (08): 1155-1156.

[45] 胡海梅,刘倩莉,滕小芸,等. 团体接纳承诺疗法对青少年抑郁症患者的干预效果研究 [J]. 医学理论与实践, 2024, 37 (06): 1053-1055. DOI:10.19381/j.issn.1001-7585.2024.06.058.  

[46] 吴歌. 短程焦点解决辅助团体疗法对青少年焦虑、抑郁情绪的改善作用 [J]. 重庆医学, 2016, 45 (06): 787-789.

[47] 李承美,倪纯纯,肖玉昐. 团体叙事心理干预对青少年抑郁症患者的影响 [J]. 护理学杂志, 2023, 38 (10): 86-89.

[48] 陆玛丽,周丽君,刘训,等. 在青少年抑郁症患者中运用正念认知团体疗法的干预研究 [J]. 心理月刊, 2022, 17 (14): 89-91. DOI:10.19738/j.cnki.psy.2022.14.026.

[49] 金圣杰,陈祥和,刘波. 不同运动项目对青少年抑郁症防治效果的探讨 [J]. 青少年体育, 2021, (06): 42-43+73.

[50] 高佳文,王舜,王亚,等. 运动干预对青少年抑郁症影响的Meta分析 [J]. 西北民族大学学报(自然科学版), 2023, 44 (03): 62-71.  DOI:10.14084/j.cnki.cn62-1188/n.2023.03.012.

[51] 孙心语,陈超. 运动对青少年抑郁症影响的研究进展[C]// 中国体育科学学会. 第十三届全国体育科学大会论文摘要集——专题报告(体质与健康分会). 上海体育学院;, 2023: 3. DOI:10.26914/c.cnkihy.2023.065499.

[52] 包金金. 表达性艺术疗法研究综述 [J]. 现代职业教育, 2022, (38): 72-75.

[53] 杨菊丽,李玉华,赵黎萍. 角调音乐疗法对抑郁症失眠患者心理状态及生活质量的影响 [J]. 海南医学, 2021, 32 (07): 949-952.

[54] 李冬梅,潘狄,周晓梅. 音乐疗法联合正念疗法在青少年抑郁症患者中的应用价值 [J]. 中西医结合护理(中英文), 2022, 8 (04): 97-99.

[55] 万小丽. 绘画干预联合认知行为护理对青少年抑郁症患者抑郁症状及日常生活能力的影响 [J]. 基层医学论坛, 2024, 28 (06): 134-136. DOI:10.19435/j.1672-1721.2024.06.042.

[56] 周勤,庄二阳,朱相华,等. 箱庭治疗在儿童青少年抑郁症治疗中的疗效刍议 [J]. 中外医疗, 2018, 37 (24): 57-58+68. DOI:10.16662/j.cnki.1674-0742.2018.24.057.

[57] 申璎,谢光平. 家庭沙盘治疗对青少年抑郁症患者家庭功能的影响 [J]. 中国当代医药, 2022, 29 (34): 108-111.

[58] 李敏,任凯,栾悦,等. 焦点解决短程治疗对伴有非自杀性自伤青少年抑郁症患者的影响 [J]. 中国健康心理学杂志, 2024, 32 (04): 481-486. DOI:10.13342/j.cnki.cjhp.2024.04.001.

[59] 陆玛丽,周丽君,唐秋菊,等. 叙事护理对青少年抑郁症患者的影响研究 [J]. 叙事医学, 2022, 5 (04): 255-260.

[60] 张丽丽,乔玲娟,孙丽萍. 叙事护理在青少年抑郁症患者中的应用效果 [J]. 心理月刊, 2023, 18 (14): 109-111. DOI:10.19738/j.cnki.psy.2023.14.034.

[61] 张雅怡,李晓娟,李明玉,等. 叙事治疗对青少年抑郁症患者非自杀性自伤的干预效果:一项前瞻性随机对照研究 [J]. 中国当代儿科杂志, 2024, 26 (02): 124-130.

[62] 李静. 儿童和青少年抑郁症的研究进展 [J]. 中国民康医学, 2017, 29 (20): 58-60+68.

引用本文

汤雅诗, 洪显利, 姚彦岐, 国内外关于青少年抑郁症影响因素及其干预方法的研究综述[J]. 国际心理学进展, 2024; 6: (1) : 13-22.