摘要目的 探讨青少年抑郁症患者心理控制源及与父母养育行为的关系.方法 使用控制圈量表和父母养育方式评价量表对98例青少年抑郁症患者及98例正常青少年进行测验并进行对照与相关性分析.结果 在控制圈量表评分对照中发现,研究组个人实力量表分、人际控制量表分[分别为(37.47±13.66)分和(38.65±13.39)分]均低于对照组[分别为(45.39±12.84)分和(45.90±11.20)分],差异具有显著性(P<0.05),而社会政治控制量表分2组[分别为(39.01±10.28)分和(39.12±9.50)分]差异无显著性(P>0.05).在父母养育方式评价量表评分对照中发现,除父亲的过分干涉因子、母亲的过度干涉/过度保护因子和拒绝/否认因子外[分别为(2.66±0.49)分,(2.79±0.55)分,(2.55±0.39)分和(2.17±0.58)分,(2.17±0.49)分,(1.75±0.51)分,差异有显著性(P<0.05)],2组其他因子之间差异无显著性(P>0.05).对研究组控制圈量表和父母养育方式评价量表评分的相关性分析表明,父亲的因子Ⅰ与人际控制存在显著的正相关(r=0.27,P<0.05),而母亲的因子Ⅰ与个人实力(r=0.21,P<0.05)及人际控制(r=0.23,P<0.05)存在显著的正相关,因子Ⅱ与个人实力(r=-0.24,P<0.05)、人际控制(r=-0.22,P< 0.05),因子Ⅲ与个人实力(r=-0.26,P<0.05)存在显著的负相关.结论 青少年抑郁症患者存在心理控制源的异常,这种异常与父母养育方式存在一定联系.

abstractsObjective To explore the locus of control and the relationship with parenting patterns of ado-lescents with first-onset major depressive disorder (MDD). Methods Patients with first-onset MDD (n= 98) and controls (n=98) were investigated by Sphere of Control Questionaire and EMBU, the results were compared and analyzed correlatively. Results The scores of the individual strength scale ( 37.47±13.66) and the relations with people scale ( 38.65±13.19 ) of patients were significantly lower(P<0.05 ) than the controls [(45.39± 12.84) and (45.90±11.20 ) each], while the scores of social-political management (39.01±10.28) were not significantly lower (P>0.05)than the controls' (39.12±9.50). The scores of patients' paternal excessive inter-ference factor(2.66±0.49) , maternal excessive protection/interference (2.79±0.55 ) and rejection/denial fac-tor(2.55±0.39) of EMBU were significantly higher(P<0.05)than controls' [(2.17±0.58),(2.17±0.49) and( 1.75±0.51 ) each]. The scores of patients' paternal affection/understanding factor were significantly posi-tively correlative with patients' scores of relations with people (r=0.27, P<0.05), maternal affection/under-standing factor was significantly positively correlative with patients' scores of individual strength (r=0.21, P <0.05) and relations with people(r=0.23, P<0.05 ) , while maternal excessive interference/excessive protection and individual strength (r=-0.24, P<0.05 ) and relations with people (r=-0.22, P<0.05), maternal rejec-tion/denial and individual strength (r=-0.26, P<0.05) were significantly negatively correlative. Conclusion Adolescents with MDD have abnormal locus of control,which might be correlative with their parenting patterns.