青少年抑郁障碍与多种心理行为问题的网络分析

doi:10.6040/j.issn.1671-7554.0.2024.0641

摘要/Abstract

摘要： 目的构建青少年抑郁障碍及多种心理行为问题网络,探索网络中的核心症状,推断因果关联。方法选取320例抑郁障碍青少年,采用儿童抑郁量表、Young网络成瘾量表、社交回避及苦恼问卷和匹兹堡睡眠质量指数量表进行调查。使用无向网络分析及有向贝叶斯网络分析症状之间的关联并推定因果方向。结果在青少年抑郁障碍-心理行为问题网络中,戒断&社交问题以及消极情绪最为核心,睡眠障碍桥接强度最强;快感缺乏和睡眠障碍的关系最强。贝叶斯网络中,消极情绪有最高因果优先性,易诱发多种心理行为问题;低效能和人际问题位于网络底部,相对依赖其他症状。结论消极情绪是青少年抑郁障碍-心理行为问题中的关键症状且易诱发青少年多种心理行为问题。

关键词: 抑郁障碍, 网络成瘾, 睡眠障碍, 网络分析, 青少年

Abstract: Objective To construct a network of depressive disorders and multiple psycho-behavioural problems in adolescents, so as to identify core symptoms and infer potential causal associations. Methods A total of 320 adolescents diagnosed with depressive disorders were assessed using the childrens depression inventory, the young internet addiction scale, the social avoidance and distress questionnaire, and the pittsburgh sleep quality index. Undirected network analysis was used to identify the most relevant connections between symptoms. Bayesian network analysis was used to estimate a directed acyclic graph and infer the likely direction of causal associations. Results The network analysis revealed that withdrawal & social problems and negative mood were central symptoms in adolescent depressive disorders and psycho-behavioural problems. Sleep disorders were recognized as having the highest bridging effect between symptoms. The strongest associations were found between depressive symptoms, particularly anhedonia and sleep disturbances. In the Bayesian network model, negative mood serves as a pivotal symptom, significantly influencing a range of psycho-behavioural problems. Symptoms such as ineffectiveness and interpersonal problems were more reactive, positioned at the networks periphery, and influenced by other central symptoms. Conclusion Negative mood is a key symptom in adolescent depressive disorders and psycho-behavioural problems, and it can easily trigger various psychological and behavioural problems in adolescents. Targeting negative mood in interventions may help mitigate the development of these related issues.

Key words: Depressive disorder, Internet addiction, Sleep disorder, Network analysis, Adolescent

中图分类号:

R574

解欣然,禚凤,杨楹,孔令华. 青少年抑郁障碍与多种心理行为问题的网络分析[J]. 山东大学学报 (医学版), 2024, 62(12): 49-58.

XIE Xinran, ZHUO Feng, YANG Ying, KONG Linghua. A network analysis of adolescent depressive disorders and multiple psycho-behavioural problems[J]. Journal of Shandong University (Health Sciences), 2024, 62(12): 49-58.

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