青少年住院抑郁患者自尊与抑郁严重度的关系
Self-Esteem and Depression Severity in Hospitalized Adolescents with Depression
DOI: 10.12677/ap.2026.164213, PDF,   
作者: 程静涵, 陈 晶：西南医科大学附属医院心身医学科，四川 泸州；西南医科大学临床医学院，四川 泸州
关键词: 重性抑郁障碍；自尊；青少年；住院患者；多元回归；Major Depressive Disorder； Self-Esteem； Adolescent； Hospitalized Patients； Multiple Regression
摘要: 目的：探讨青少年住院抑郁患者自尊水平与抑郁严重度的关系及自尊的独立预测作用。方法：选取47例住院重性抑郁障碍患者(MDD组)及49例健康对照(HC组)，年龄15~24岁。采用贝克抑郁量表(Beck Depression Inventory, BDI)和自尊量表(Self-Esteem Scale, SES)评估抑郁严重度及自尊水平，通过独立样本t检验、Pearson相关及多元线性回归分析处理数据。结果：重性抑郁组SES得分显著低于健康对照组(p < 0.001, d = −1.19)。在重性抑郁组内，自尊与抑郁严重度呈显著负相关(r = −0.52, p < 0.001)。多元线性回归分析显示，在控制年龄与性别后，自尊仍对抑郁严重度具有显著的独立预测作用(β = −0.51, p < 0.001)。结论：自尊水平是青少年住院抑郁患者病情严重度的重要预测因子。临床干预应关注自尊这一核心认知变量，以优化治疗方案。
Abstract: Objective: To explore the relationship between self-esteem and depression severity in hospitalized adolescents with depression and to examine the independent predictive role of self-esteem. Methods: Forty-seven hospitalized patients with major depressive disorder (MDD group) and 49 healthy controls (HC group), aged 15~24 years, were enrolled. The Beck Depression Inventory (BDI) and Self-Esteem Scale (SES) were used to assess depression severity and self-esteem levels. Data were analyzed using independent samples t-tests, Pearson correlation, and multiple linear regression. Results: SES scores in the MDD group were significantly lower than those in the HC group (p < 0.001, d = −1.19). Within the MDD group, self-esteem was significantly negatively correlated with depression severity (r = −0.52, p < 0.001). Multiple linear regression revealed that self-esteem remained a significant independent predictor of depression severity after controlling for age and sex (β = −0.51, p < 0.001). Conclusion: Self-esteem is a robust predictor of depression severity among hospitalized adolescents. Clinical interventions should target self-esteem as a core cognitive variable to optimize treatment outcomes.
文章引用：程静涵, 陈晶 (2026). 青少年住院抑郁患者自尊与抑郁严重度的关系. 心理学进展, 16(4), 400-408. https://doi.org/10.12677/ap.2026.164213

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