Article(id=1240738482621043097, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240738480549065614, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202410054, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1727971200000, receivedDateStr=2024-10-04, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773744706063, onlineDateStr=2026-03-17, pubDate=1746806400000, pubDateStr=2025-05-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773744706063, onlineIssueDateStr=2026-03-17, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773744706063, creator=13701087609, updateTime=1773744706063, updator=13701087609, issue=Issue{id=1240738480549065614, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='9', pageStart='1537', pageEnd='1728', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773744705569, creator=13701087609, updateTime=1773744787657, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1240738824918192654, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240738480549065614, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1240738824922386959, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240738480549065614, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=1583, endPage=1588, ext={EN=ArticleExt(id=1240738482906255774, articleId=1240738482621043097, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Research on the relationship between parental emotional expression and adolescent depression symptoms, columnId=1228016568949474136, journalTitle=Modern Preventive Medicine, columnName=Child and Adolescent Health, Maternal and Child Health, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the relationship between parental emotional expression and depression symptoms in adolescents.
Methods A random cluster sampling method was employed to select 13 240 adolescents from Pidu District, Chengdu. A general demographic questionnaire, the Chinese version of the Emotional Expression Scale, and the Chinese version of the Kutcher Adolescent Depression Scale were used for investigation and psychological assessment. Binary logistic regression analysis was conducted to examine the association between parental emotional expression and adolescent depression symptoms, with subgroup analysis based on factors such as gender, region, family economic status, only-child status, and primary caregiver.
Results The study found that 2 726 adolescents (20.6%) exhibited depression symptoms. Among the participants, 6 697 adolescents (50.6%) reported high levels of parental emotional expression. The incidence of depression symptoms was significantly higher in the group with high parental emotional expression compared to the group with low parental emotional expression (P < 0.001). Logistic regression analysis indicated that high parental emotional expression was a risk factor for depression symptoms in adolescents, even after controlling for multiple confounding factors (OR=2.08, 95%CI: 1.87-2.30). Subgroup analysis did not reveal any interaction between parental emotional expression and factors such as gender, region, or family economic status (Pinteraction > 0.05).
Conclusion Adolescent depression symptoms are closely associated with high parental emotional expression. Reducing negative emotional expression from parents may improve depression symptoms in adolescents and promote their psychological well-being.
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目的 探讨青少年父母情感表达与其抑郁症状之间的关联。
方法 采用随机整群抽样方式选取成都市郫都区13 240名青少年，应用一般情况量表、中文版情感表达水平量表、中文版Kutcher青少年抑郁量表进行调查和心理评估。采用二元logistic回归分析研究青少年父母情感表达与抑郁症状的关联。基于性别、地区、家庭经济状况、是否独生子女及主要扶养人等因素进行亚组分析。
结果 研究发现2 726名（20.6%）青少年存在抑郁症状。6 697名（50.6%）青少年存在父母高情感表达。父母高情感表达组青少年抑郁症状发生率显著高于父母低情感表达组（P<0.001）。Logistic回归分析显示，在控制了多个混杂因素后，青少年父母高情感表达是其抑郁症状的危险因素（OR=2.08, 95%CI：1.87～2.30）。亚组分析尚未发现性别、地区、家庭经济状况等因素与父母情感表达存在交互作用（P交互作用>0.05）。
结论 青少年抑郁症状与父母高情感表达密切相关，降低青少年父母不良情感表达水平可改善青少年抑郁症状，促进其心理健康发展。
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=Q8R0iK59ia3kGvY8F4XhUw==, magXml=ozYAXE8vLmJznULbbSYQdw==, pdfUrl=null, pdf=UVAF59f32mAY68swd3J98A==, pdfFileSize=703313, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=KNfa62oMxrGpnUHyiEZ98A==, mapNumber=null, authorCompany=null, fund=null, authors=
侯娇娇（1998—），女，硕士在读，研究方向：青少年心理健康
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33(9): 1037-1040.(In Chinese), articleTitle=Effects of family interaction on depression and anxiety in secondary vocational school students, refAbstract=null)], funds=[Fund(id=1241081871753343948, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, awardId=82204170, language=CN, fundingSource=国家自然科学基金青年科学基金(82204170), fundOrder=null, country=null), Fund(id=1241081871895950300, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, awardId=2024NSFTD0030, language=CN, fundingSource=四川省科技厅创新研究群体科学基金(2024NSFTD0030), fundOrder=null, country=null), Fund(id=1241081872034362345, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, awardId=H2308020, language=CN, fundingSource=成都市郫都区儿童青少年心理健康调查项目(H2308020), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1241081863079522853, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, xref=1., ext=[AuthorCompanyExt(id=1241081863087911462, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, companyId=1241081863079522853, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=West China School of Public Health, Sichuan University/West China Fourth Hospital, Chengdu, Sichuan 610041, China), AuthorCompanyExt(id=1241081863096300072, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, companyId=1241081863079522853, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
1.四川大学华西公共卫生学院/华西第四医院，四川 成都 610041)]), AuthorCompany(id=1241081863163408940, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, xref=2., ext=[AuthorCompanyExt(id=1241081863180186158, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, companyId=1241081863163408940, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
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Comparison of basic characteristics of participants ［（$ \bar{x} \pm s$），n（%）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 类别 | 总体（n=13 240） | 父母情感表达 | P值 |
|---|
| 低（n=6 543） | 高（n=6 697） |
|---|
| 年龄（岁） | | 15.4±1.6 | 15.5±1.5 | 15.3±1.6 | <0.001 |
| 性别 | 男 | 6 589 (49.8) | 3 396 (51.9) | 3 193 (47.7) | <0.001 |
| 女 | 6 651 (50.2) | 3 147 (48.1) | 3 504 (52.3) | |
| 地区 | 城镇 | 5 293 (40.0) | 2 374 (36.3) | 2 919 (43.6) | <0.001 |
| 乡村 | 7 947 (60.0) | 4 169 (63.7) | 3 778 (56.4) | |
| 家庭经济状况 | 贫穷 | 1 611 (12.2) | 691 (10.6) | 920 (13.7) | <0.001 |
| 中等及以上 | 11 629 (87.8) | 5 852 (89.4) | 5 777 (86.3) | |
| 父亲受教育程度 | 高中及以上 | 5 521 (41.7) | 2 673 (40.9) | 2 848 (42.5) | 0.053 |
| 高中以下 | 7 719 (58.3) | 3 870 (59.1) | 3 849 (57.5) | |
| 母亲受教育程度 | 高中及以上 | 5 102 (38.5) | 2 550 (39.0) | 2 552 (38.1) | 0.314 |
| 高中以下 | 8 138 (61.5) | 3 993 (61.0) | 4 145 (61.9) | |
| 是否独生子女 | 是 | 4 692 (35.4) | 2 314 (35.4) | 2 378 (35.5) | 0.878 |
| 否 | 8 548 (64.6) | 4 229 (64.6) | 4 319 (64.5) | |
| 主要抚养人 | 其他 | 1 890 (14.3) | 869 (13.3) | 1 021 (15.2) | 0.001 |
| 父母 | 11 350 (85.7) | 5 674 (86.7) | 5 676 (84.8) | |
| BMI（kg/m2） | | 19.9±3.3 | 20.0±3.3 | 19.8±3.3 | 0.003 |
| 吸烟 | 是 | 1 015 (7.7) | 513 (7.8) | 502 (7.5) | 0.476 |
| 否 | 12 225 (92.3) | 6 030 (92.2) | 6 195 (92.5) | |
| 饮酒 | 是 | 1 812 (13.7) | 795 (12.2) | 1 017 (15.2) | <0.001 |
| 否 | 11 428 (86.3) | 5 748 (87.8) | 5 680 (84.8) | |
| 学业状况 | 好 | 2 759 (20.8) | 1 402 (21.4) | 1 357 (20.3) | <0.001 |
| 中 | 6 003 (45.3) | 3 147 (48.1) | 2 856 (42.6) | |
| 差 | 4 478 (33.8) | 1 994 (30.5) | 2 484 (37.1) | |
| 健康状况 | 一般 | 3 964 (29.9) | 1 658 (25.3) | 2 306 (34.4) | <0.001 |
| 健康 | 7 817 (59.0) | 4 439 (67.8) | 3 378 (50.4) | |
| 不健康 | 1 459 (11.0) | 446 (6.8) | 1 013 (15.1) | |
| 中高强度身体活动 | 达到指南推荐量 | 4 506 (34.0) | 2 187 (33.4) | 2 319 (34.6) | 0.149 |
| 未达到指南推荐量 | 8 734 (66.0) | 4 356 (66.6) | 4 378 (65.4) | |
| 抑郁症状 | 有 | 2 726 (20.6) | 729 (11.1) | 1 997 (29.8) | <0.001 |
| 无 | 10 514 (79.4) | 5 814 (88.9) | 4 700 (70.2) | |
), ArticleFig(id=1241081869601665940, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, language=CN, label=表1, caption=
研究对象的基本特征比较［（$ \bar{x} \pm s$），n（%）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 类别 | 总体（n=13 240） | 父母情感表达 | P值 |
|---|
| 低（n=6 543） | 高（n=6 697） |
|---|
| 年龄（岁） | | 15.4±1.6 | 15.5±1.5 | 15.3±1.6 | <0.001 |
| 性别 | 男 | 6 589 (49.8) | 3 396 (51.9) | 3 193 (47.7) | <0.001 |
| 女 | 6 651 (50.2) | 3 147 (48.1) | 3 504 (52.3) | |
| 地区 | 城镇 | 5 293 (40.0) | 2 374 (36.3) | 2 919 (43.6) | <0.001 |
| 乡村 | 7 947 (60.0) | 4 169 (63.7) | 3 778 (56.4) | |
| 家庭经济状况 | 贫穷 | 1 611 (12.2) | 691 (10.6) | 920 (13.7) | <0.001 |
| 中等及以上 | 11 629 (87.8) | 5 852 (89.4) | 5 777 (86.3) | |
| 父亲受教育程度 | 高中及以上 | 5 521 (41.7) | 2 673 (40.9) | 2 848 (42.5) | 0.053 |
| 高中以下 | 7 719 (58.3) | 3 870 (59.1) | 3 849 (57.5) | |
| 母亲受教育程度 | 高中及以上 | 5 102 (38.5) | 2 550 (39.0) | 2 552 (38.1) | 0.314 |
| 高中以下 | 8 138 (61.5) | 3 993 (61.0) | 4 145 (61.9) | |
| 是否独生子女 | 是 | 4 692 (35.4) | 2 314 (35.4) | 2 378 (35.5) | 0.878 |
| 否 | 8 548 (64.6) | 4 229 (64.6) | 4 319 (64.5) | |
| 主要抚养人 | 其他 | 1 890 (14.3) | 869 (13.3) | 1 021 (15.2) | 0.001 |
| 父母 | 11 350 (85.7) | 5 674 (86.7) | 5 676 (84.8) | |
| BMI（kg/m2） | | 19.9±3.3 | 20.0±3.3 | 19.8±3.3 | 0.003 |
| 吸烟 | 是 | 1 015 (7.7) | 513 (7.8) | 502 (7.5) | 0.476 |
| 否 | 12 225 (92.3) | 6 030 (92.2) | 6 195 (92.5) | |
| 饮酒 | 是 | 1 812 (13.7) | 795 (12.2) | 1 017 (15.2) | <0.001 |
| 否 | 11 428 (86.3) | 5 748 (87.8) | 5 680 (84.8) | |
| 学业状况 | 好 | 2 759 (20.8) | 1 402 (21.4) | 1 357 (20.3) | <0.001 |
| 中 | 6 003 (45.3) | 3 147 (48.1) | 2 856 (42.6) | |
| 差 | 4 478 (33.8) | 1 994 (30.5) | 2 484 (37.1) | |
| 健康状况 | 一般 | 3 964 (29.9) | 1 658 (25.3) | 2 306 (34.4) | <0.001 |
| 健康 | 7 817 (59.0) | 4 439 (67.8) | 3 378 (50.4) | |
| 不健康 | 1 459 (11.0) | 446 (6.8) | 1 013 (15.1) | |
| 中高强度身体活动 | 达到指南推荐量 | 4 506 (34.0) | 2 187 (33.4) | 2 319 (34.6) | 0.149 |
| 未达到指南推荐量 | 8 734 (66.0) | 4 356 (66.6) | 4 378 (65.4) | |
| 抑郁症状 | 有 | 2 726 (20.6) | 729 (11.1) | 1 997 (29.8) | <0.001 |
| 无 | 10 514 (79.4) | 5 814 (88.9) | 4 700 (70.2) | |
), ArticleFig(id=1241081869706523546, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, language=EN, label=Table 2, caption=
Logistic regression analysis of parental emotional express and adolescent depressive symptoms
, figureFileSmall=null, figureFileBig=null, tableContent=
| 自变量 | 模型1 | 模型2 | 模型3 |
|---|
| OR (95%CI)P值 | P 值 | OR (95%CI) | P 值 | OR (95%CI) | P 值 |
|---|
| 年龄 | 1.05 (1.02～1.08) | <0.001 | 0.99 (0.96～1.02) | 0.566 | 1.02 (0.99～1.06) | 0.215 |
| 性别 | 0.55 (0.50～0.60) | <0.001 | 0.57 (0.52～0.63) | <0.001 | 0.57 (0.51～0.63) | <0.001 |
| 地区 | 0.93 (0.84～1.01) | 0.098 | 1.09 (0.98～1.21) | 0.099 | 1.10 (0.99～1.23) | 0.075 |
| 家庭经济状况 | 1.93 (1.71～2.18) | <0.001 | 1.54 (1.35～1.75) | <0.001 | 1.46 (1.28～1.67) | <0.001 |
| 父母情感表达 | 3.39 (3.08～3.73) | <0.001 | 2.65 (2.40～2.93) | <0.001 | 2.08 (1.87～2.30) | <0.001 |
), ArticleFig(id=1241081869815575461, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, language=CN, label=表2, caption=
父母情感表达与青少年抑郁症状的logistic回归分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 自变量 | 模型1 | 模型2 | 模型3 |
|---|
| OR (95%CI)P值 | P 值 | OR (95%CI) | P 值 | OR (95%CI) | P 值 |
|---|
| 年龄 | 1.05 (1.02～1.08) | <0.001 | 0.99 (0.96～1.02) | 0.566 | 1.02 (0.99～1.06) | 0.215 |
| 性别 | 0.55 (0.50～0.60) | <0.001 | 0.57 (0.52～0.63) | <0.001 | 0.57 (0.51～0.63) | <0.001 |
| 地区 | 0.93 (0.84～1.01) | 0.098 | 1.09 (0.98～1.21) | 0.099 | 1.10 (0.99～1.23) | 0.075 |
| 家庭经济状况 | 1.93 (1.71～2.18) | <0.001 | 1.54 (1.35～1.75) | <0.001 | 1.46 (1.28～1.67) | <0.001 |
| 父母情感表达 | 3.39 (3.08～3.73) | <0.001 | 2.65 (2.40～2.93) | <0.001 | 2.08 (1.87～2.30) | <0.001 |
), ArticleFig(id=1241081869937210288, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, language=EN, label=Table 3, caption=
Subgroup analysis of parental emotional expression and adolescent depressive symptoms
, figureFileSmall=null, figureFileBig=null, tableContent=
| 亚组 | 抑郁症状 | P交互作用 |
|---|
| OR (95%CI) | P 值 |
|---|
| 总体 | 2.08 (1.87～2.30) | <0.001 | |
| 性别 | | | 0.149 |
| 男 | 1.90 (1.62～2.22) | <0.001 | |
| 女 | 2.22 (1.93～2.55) | <0.001 | |
| 地区 | | | 0.517 |
| 乡村 | 2.05 (1.80～2.33) | <0.001 | |
| 城镇 | 2.16 (1.81～2.57) | <0.001 | |
| 家庭经济状况 | | | 0.846 |
| 贫穷 | 2.11 (1.62～2.75) | <0.001 | |
| 中等及以上 | 2.07 (1.84～2.31) | <0.001 | |
| 是否独生子女 | | | 0.693 |
| 是 | 1.92 (1.60～2.30) | <0.001 | |
| 否 | 2.17 (1.91～2.46) | <0.001 | |
| 主要抚养人 | | | 0.749 |
| 父母 | 2.08 (1.86～2.34) | <0.001 | |
| 其他 | 2.11 (1.63～2.74) | <0.001 | |
), ArticleFig(id=1241081871472325563, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240738482621043097, language=CN, label=表3, caption=
父母情感表达与青少年抑郁症状的亚组分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 亚组 | 抑郁症状 | P交互作用 |
|---|
| OR (95%CI) | P 值 |
|---|
| 总体 | 2.08 (1.87～2.30) | <0.001 | |
| 性别 | | | 0.149 |
| 男 | 1.90 (1.62～2.22) | <0.001 | |
| 女 | 2.22 (1.93～2.55) | <0.001 | |
| 地区 | | | 0.517 |
| 乡村 | 2.05 (1.80～2.33) | <0.001 | |
| 城镇 | 2.16 (1.81～2.57) | <0.001 | |
| 家庭经济状况 | | | 0.846 |
| 贫穷 | 2.11 (1.62～2.75) | <0.001 | |
| 中等及以上 | 2.07 (1.84～2.31) | <0.001 | |
| 是否独生子女 | | | 0.693 |
| 是 | 1.92 (1.60～2.30) | <0.001 | |
| 否 | 2.17 (1.91～2.46) | <0.001 | |
| 主要抚养人 | | | 0.749 |
| 父母 | 2.08 (1.86～2.34) | <0.001 | |
| 其他 | 2.11 (1.63～2.74) | <0.001 | |
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