心理发展与教育 ›› 2018, Vol. 34 ›› Issue (2): 200-209.doi: 10.16187/j.cnki.issn1001-4918.2018.02.09

• 灾后学生心理健康专题 • 上一篇    下一篇


苏志强1, 王钢2, 刘传星3, 张大均4   

  1. 1. 长江师范学院教师教育学院, 重庆 408100;
    2. 成都学院师范学院, 成都 610106;
    3. 四川省教育科学研究所, 成都 610225;
    4. 西南大学心理学部, 重庆 400715
  • 出版日期:2018-03-15 发布日期:2018-03-15
  • 通讯作者: 王钢,E-mail:943359807@qq.com E-mail:943359807@qq.com
  • 基金资助:


The Development Trend of Depression and Its Concurrency with Problem Behaviors during Middle and Late Childhood: A Two-year Longitudinal Study

SU Zhiqiang1, WANG Gang2, LIU Chuanxing3, ZHANG Dajun4   

  1. 1. Faculty of Teacher Education, Yangtze Normal University, Chongqing 408100;
    2. College of Teachers, Chengdu University, Chengdu 610106;
    3. Sichuan Research Institute of Educational Science, Chengdu 610225;
    4. Faculty of Psychology, Southwest university, Chongqing 400715
  • Online:2018-03-15 Published:2018-03-15

摘要: 采用儿童抑郁量表和问题行为量表对771名小学3、4年级儿童进行了2年追踪调查,考察了童年中晚期抑郁的发展轨迹及其性别差异,并探讨了童年期中晚期抑郁与问题行为的并发。结果表明:(1)童年中晚期抑郁的发展轨迹为非线性曲线,其随着时间的推移而逐步下降,但在童年晚期阶段,呈现出逐步上升趋势;(2)童年中晚期抑郁的发展轨迹,在初始水平和发展速度上均不存在显著的性别差异;(3)童年中晚期抑郁的发展,常伴随着问题行为的并发。

关键词: 抑郁, 问题行为, 并发, 追踪研究

Abstract: This study was conducted to explore the development trend of depression and the sex difference of this trend during Middle and Late Childhood. Besides, Comorbidity of depression and problem behaviors was also being explored in this research. 771 students in grades 3~4 were investigated by Children Depression Scale and Behavior Problem Scale in the time of 2 years. The results indicated as follows:(1) The developmental trajectory of depression during middle and late childhood was non-linear conversion, it is on the decline with the time passed by. However, child's depression showed a upward trend during the late of childhood. (2) The multi-group LGM analysis indicated the gender differences were not significant in the initial level and development speed of depression. (3) The development of depression during middle and late childhood was often accompanied by the problem behaviors.

Key words: depression, problem behaviors, co-occurrence, a longitudinal study


  • B844

Abela, J. R., Stolow, D., Mineka, S., Yao, S., Zhu, X. Z., & Hankin, B. L. (2011). Cognitive vulnerability to depressive symptoms in adolescents in urban and rural Hunan, China:A multiwave longitudinal study. Journal of Abnormal Psychology, 120(4), 765-778.

Achenbach, T. M., & Edelbrock, C. S. (1987). Mannual for the adolescents self-report and profile. University of Vermont:Department of psychiatry.

Anagnostopoulos, D. (2008). Depression in children and adolescents. Annals of General Psychiatry, 7(1), 1-2.

Angold, A., & Rutter, M. (1992). Effects of age and pubertal status on depression in a large clinical sample. Development & Psychopathology, 4(1), 5-28.

Axelson, D. A., & Birmaher, B. (2001). Relation between anxiety and depressive disorders in childhood and adolescence. Depression & Anxiety, 14(2), 67-78.

Beck, A. T. (1983). Cognitive therapy of depression:New perspectives.In Clayton, R., & Barrett, J., Treatment of depression:Old controversies and new approaches. New York:Raven Press.

Boggiano, A. K., & Barrett, M. (1992). Gender differences in depression in children as a function of motivational orientation. Sex Roles, 26(1-2), 11-17.

Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E., et al. (1996). Childhood and adolescent depression:A review of the past 10 years. Part I. Journal of the American Academy of Child & Adolescent Psychiatry, 35(11), 1427-1439.

Cole, D. A., Jacquez, F. M., Truss, A. E., Pineda, A. Q., Weitlauf, A. S., Tilghman-Osborne, C. E., et al. (2009). Gender differences in the longitudinal structure of cognitive diatheses for depression in children and adolescents. Journal of Clinical Psychology, 65(12), 1312-1326.

Cole, D. A., Ciesla, J. A., Dallaire, D. H., Jacquez, F. M., Pineda, A. Q., Lagrange, B., et al. (2008). Emergence of attributional style and its relation to depressive symptoms. Journal of abnormal psychology, 117(1), 16-31.

Cytryn, L., & Mcknew, D. H. Jr. (1972). Proposed classification of childhood depression. American Journal of Psychiatry, 129(2), 149-155.

Chen, R., & Simonsmorton, B. (2009). Concurrent changes in conduct problems and depressive symptoms in early adolescents:A developmental person-centered approach. Development & Psychopathology, 21(1), 285-307.

Delany, F. M., Byrne, M. L., Whittle, S., Simmons, J. G., Olsson, C., Mundy, L. K., et al. (2016). Depression, immune function, and early adrenarche in children. Psychoneuroendocrinology, 63, 228-234.

Dekker, M. C., Ferdinand, R. F., Van Lang, N. D. J., Bongers, I. L., van der Ende. J., & Verhulst, F. C. (2007). Developmental trajectories of depressive symptoms from early childhood to late adolescence:Gender differences and adult outcome. Journal of Child Psychology and Psychiatry, 48(7), 657-666.

Eberhart, N. K., Shih, J. H., Hammen, C. L., & Brennan, P. A. (2006). Understanding the sex difference in vulnerability to adolescent depression:An examination of child and parent characteristics. Journal of Abnormal Child Psychology, 34(4), 495-508.

Elinoff, M. J., & Chafouleas, S. M. (2001). Helping students overcome depression and anxiety:A practical guide. Psychology in the Schools, 41(2), 277-278.

Epkins, C. C. (2016). Experiential avoidance and anxiety sensitivity:independent and specific associations with children's depression, anxiety, and social anxiety symptoms. Journal of Psychopathology & Behavioral Assessment, 38(1), 124-135.

Epkins, C. C., & Seegan, P. L. (2015). Mother-reported and children's perceived social and academic competence in clinic-referred youth:unique relations to depression and/or social anxiety and the role of self-perceptions. Child Psychiatry & Human Development, 46(5), 656-670.

Essau, C. A., Lewinsohn, P. M., Seeley, J. R., & Sasagawa, S. (2010). Gender differences in the development course of depression. Journal of Affective Disorders, 127(1-3), 185-190.

Ge. X., Conger, R. D., & Elder, G. H. (2001). Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Developmental Psychology, 37(3), 404-417.

Garber, J., Keiley, M. K., & Martin, C. (2002). Developmental trajectories of adolescents' depressive symptoms:Predictors of change. Journal of Consulting and Clinical Psychology, 70(1), 79-95.

Garber, J., Weiss, B., & Shanley, N. (1993). Cognitions, depressive symptoms, and development in adolescents. Journal of Abnormal Psychology, 102(1), 47-57.

Gibb, B. E., & Alloy, L. B. (2006). A prospective test of the hopelessness theory of depression in children. Journal of Clinical Child & Adolescent Psychology, 35(2), 264-274.

Goetz, R. R., Goetz, D. M., Hanlon, C., Davies, M., Weitzman, E. D., & Puig-Antich, J. (1983). Spindle characteristics in prepubertal major depressives during an episode and after sustained recovery:A controlled study. Sleep, 6(4), 369-375.

Goodyer, I. M. (2010). Depression in childhood and adolescence. In Cooper, C. L., Field, J., Goswami, U., Jenkins, R., & Sahakian, B. J., Mental capital and wellbeing. Oxford:Wiley-Blackwell.

Hankin, B. L., & Abramson, L. Y. (2001). Development of gender differences in depression:An elaborated cognitive vulnerability transactional stress theory. Psychological Bulletin, 127(6), 773-796.

Harrington, R. (2001). Adolescent depression:same or different? Archives of General Psychiatry, 58(1), 21-22.

Harrington, R., Rutter, M., & Fombonne, E. (1996). Developmental pathways in depression:Multiple meanings, antecedents, and endpoints. Development and Psychopathology, 8(4), 601-616.

Kim, J., & Cicchetti, D. (2006). Longitudinal trajectories of self-system processes and depressive symptoms among maltreated and nonmaltreated children. Child Development, 77(3), 624-639.

Kaslow, N. J., Rehm, L. P., & Siegel, A. W. (1984). Social-cognitive and cognitive correlates of depression in children. Journal of Abnormal Child Psychology, 12(4), 605-620.

Kaufman, J., Martin, A., King, R. A., & Charney, D. (2001). Are child-, adolescent-, and adult-onset depression one and the same disorder? Biological Psychiatry, 49(12), 980-1001.

Kavanaugh, B. C., Gaudet, C. E., Dupont-Frechette, J. A., Tellock, P. P., Maher, I. D., Haisley, L. D., et al. (2016). Failure to maintain set as a predictor of childhood depression within a children's psychiatric inpatient sample. Psychiatry Research, 246, 644-649.

Kelvin, R. (2016). Depression in children and young people. Paediatrics and Child Health, 9(1), 18-36.

Kerr, M., Tremblay, R. E., Pagani, L., & Vitaro, F. (1997). Boys' behavioral inhibition and the risk of later delinquency. Archives of General Psychiatry, 54(9), 809-816.

Koenig, J., Kemp, A. H., Beauchaine, T. P., Thayer, J. F., & Kaess, M. (2016). Depression and resting state rate variability in children and adolescents——A systematic review and meta-analysis. Clinical Psychology Review, 46(46), 136-150.

Korczak, D. J., Ofner, M., Leblanc, J., Wong, S., Feldman, M., & Parkin, P. C. (2016). Major depressive disorder among preadolescent canadian children:Rare disorder or rarely detected? Academic Pediatrics, 17(2), 191-197.

K öters, M. P., Chinapaw, M. J., Zwaanswijk, M., Van, M. F., & Koot, H. M. (2015). Structure, reliability, and validity of the revised child anxiety and depression scale (RCADS) in a multi-ethnic urban sample of dutch children. Bmc Psychiatry, 15(1), 1-8.

Kovacs, M. (1985). The natural history and course of depressive disorders in childhood. Journal of the American Academy of Child & Adolescent Psychiatry, 15(6), 387-389.

Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology & Psychiatry & Allied Disciplines, 39(1), 47-63.

Kovacs, M., Feinberg, T. L., Crouse-Novak, M. A., Paulauskas, S. L., & Finkelstein, R. (1984). Depressive disorders in childhood:I. A longitudinal prospective study of characteristics and recovery. Archives of General Psychiatry, 41(3), 229-237.

Lack, C. W., & Green, A. L. (2009). Mood disorders in children and adolescents. Journal of Pediatric Nursing, 24(1), 13-25.

Lahmeyer, H. W., Poznanski, E. O., & Bellur, S. N. (1983). Sleep in depressed adolescents:Comparison with age-matched controls. American Journal of Psychiatry, 140, 1150-1153.

Lakdawalla, Z., Hankin, B. L., & Mermelstein, R. (2007). Cognitive theories of depression in children and adolescents a conceptual and quantitative review. Clinical Child & Family Psychology Review, 10(1), 1-24.

Lewis, C. P., Nakonezny, P. A., Ameis, S. H., Vande Voort, J. L., Husain, M. M., Emslie, G. J., et al. (2016). Cortical inhibitory and excitatory correlates of depression severity in children and adolescents. Journal of Affective Disorders, 190, 566-575.

Muthén, L. K., & Muthén, B. O. (2012). Mplus User's Guide (7 th ed.). Los Angeles, CA:Muthén & Muthén.

Martinsen, K. D., Kendall, P. C., Stark, K., & Neumer, S. P. (2016). Prevention of anxiety and depression in children:Acceptability and feasibility of the transdiagnostic emotion program. Cognitive & Behavioral Practice, 23(1), 1-13.

McGee, R., Feehan, M., Williams, S., Partridge, F., Silva, P. A., & Kelly, J. (1990). DSM-Ⅲ disorders in a large sample of adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 29(4), 611-619.

Mesman, J., Bongers, I. L., & Koot, H. M. (2001). Preschool developmental pathways to preadolescent internalizing and externalizing problems. Journal of Child Psychology & Psychiatry & Allied Disciplines, 42(5), 679-689.

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569-582.

Nolen-Hoeksema, S., Girgus, J. S., & Seligman, M. E. (1992). Predictors and consequences of childhood depressive symptoms:A 5-year longitudinal study. Journal of Abnormal Psychology, 101(3), 405-422.

Nolen-Hoeksema, S., Girgus, J. S., & Seligman, M. E. (1991). Sex differences in depression and explanatory style in children. Journal of Youth & Adolescence, 20(3), 233-245.

Ollendick,T. H., Seligman, L. D., Goza, A. B., Byrd, D. A., & Singh, K. (2003). Anxiety and depression in children an adolescents:A factor-analytic examination of the tripartitie model. Journal of Child & Family Studies, 12(2), 157-170.

Olino, T. M., Stepp, S. D., Keenan, K., Loeber, R., & Hipwell, A. (2014). Trajectories of depression and anxiety symptoms in adolescent girls:A comparison of parallel trajectory approaches. Journal of Personality Assessment, 96(3), 316-326.

Rice, F., Harold, G. T., & Thapar, A. (2002). Assessing the effects of age, sex and shared environment on the genetic aetiology of depression in childhood and adolescence. Journal of Child Psychology and Psychiatry, 43(8), 1039-1051.

Rushton, J. L., Forcier, M., & Schectman, R. M. (2003). Epidemiology of depressive symptoms in the national longitudinal study of adolescent health. Journal of the American Academy of Child & Adolescent Psychiatry, 41(2), 199-205.

Rodriguez, D., Moss, H. B., & Audrain-McGovern, J. (2005). Developmental heterogeneity in adolescent depressive symptoms:Associations with smoking behavior. Psychosomatic Medicine, 67(2), 200-210.

Ruchkin, V., Sukhodolsky, D. G., Vermeiren, R., Koposov, R. A., & Schwab-Stone, M. (2006). Depressive symptoms and associated psychopathology in urban adolescents:A cross-cultural study of three countries. The Journal of Nervous and Mental Disease, 194(2), 106-113.

Substance Abuse and Mental Health Services Administration(SAMHSA). (2016). Key Substance Use and Mental Health Indicators in the United States:Results from the 2016 National Survey on Drug Use and Health.[Date file]. Availabel from Substance Abuse and Mental Health Services Administration Web site:https://www.samhsa.gov

Scanlon, N. M., & Epkins, C. C. (2015). Aspects of mother's parenting independent and specific relations to children's depression, anxiety, and social anxiety symptoms. Journal of Child & Family Studies, 24(2), 249-263.

Schwartz, C. E., Snidman, N., & Kagan, J. (1996). Early childhood temperament as a determinant of externalizing behavior in adolescence. Development and Psychopathology, 8(3), 527-537.

Seligman, L. D., Goza, A. B., & Ollendick, T. H. (2005). Treatment of depression in children and adolescents. Lancet,11(3), 141-154.

Seligman, L. D., & Ollendick, T. H. (1998). Comorbidity of anxiety and depression in children and adolescents:An integrative review. Clinical Child & Family Psychology Review, 1(2), 125-144.

Thapar, A., & McGuffin, P. (1994). A twin study of depressive symptoms in childhood. British Journal of Psychiatry, 165(165), 259-65.

Wang, L., Feng, Z., Yang, G., Yang, Y., Wang, K., Dai, Q., et al. (2016). Depressive symptoms among children and adolescents in western china:An epidemiological survey of prevalence and correlates. Psychiatry Research, 246, 267-274.

Wiesner, M., Kim, H. K., & Capaldi, D. M. (2005). Developmental trajectories of offending:Validation and prediction to young adult alcohol use, drug use, and depressive symptoms. Development and Psychopathology, 17(1), 251-270.

Waters, B. G. H., & Storm, V. (1985). Depression in pre-pubertal children. Australian & New Zealand Journal of Psychiatry, 19(1), 6-17.

Weinberg, W. A., Rutman, J., Sullivan, L., Penick, E. C., & Dietz, S. G. (1973). Depression in children referred to an educational diagnostic center:Diagnosis and treatment. Journal of Pediatrics, 83(6), 1065-1072.

Wesselhoeft, R., Heiervang, E. R., Kragh-Søensen, P., Juul, S. M., & Bilenberg, N. (2016). Major depressive disorder and subthreshold depression in prepubertal children from the Danish national birth cohort. Comprehensive Psychiatry, 70, 65-76.

Zalsman, G., Oquendo, M. A., Greenhill, L., Goldberg, P. H., Kamali, M., Martin, A., et al. (2006). Neurobiology of depression in children and adolescents. Child & Adolescent Psychiatric Clinics of North America, 15(4), 843-868.

董会芹, 刘倩, 张文新. (2014). 幼儿说谎与问题行为、家庭功能的关系. 中国临床心理学杂志, 22(1), 174-177.

方晓义, 李晓铭, 董奇. (1996). 青少年吸烟及其相关因素的研究. 中国心理卫生杂志, 10(2), 77-80.

侯金芹, 陈祉妍. (2016). 青少年抑郁情绪的发展轨迹:界定亚群组及其影响因素. 心理学报, 48(8), 957-968.

侯金芹, 陈祉妍, 李新影, 杨小冬, 张建新. (2012). 青少年抑郁情绪的行为遗传学研究. 心理学报, 44(10), 1329-1338.

黎亚军. (2015). 青少年网络受欺负与传统受欺负的共发性. 中国临床心理学, 23(2), 346-349.

李玖玲, 陈星, 赵春华, 徐勇. (2016). 中国儿童青少年抑郁症状流行率的Meta分析. 中国儿童保健杂志, 24(3), 295-298.

苏志强, 张大均, 邵景进. (2015). 社会经济地位与留守儿童社会适应的关系:歧视知觉的中介作用. 心理发展与教育, 31(2), 212-219.

汪向东, 王希林, 马弘. (1999). 心理卫生评定量表手册(增订版). 北京:中国心理卫生杂志社.

王济川, 王小倩, 姜宝法. (2011). 结构方程模型:方法与应用. 北京:高等教育出版社.

俞国良, 陈诗芳. (2001). 小学生生活压力、学业成就与其适应行为的关系. 心理学报, 33(4), 344-348.

尹慧芳, 徐改玲, 甄龙, 杨桂伏, 韩通世. (2012). 儿童抑郁障碍自评量表的河南农村常模和信效度. 临床精神医学杂志, 22(5), 310-312.

邹涛, 姚树桥. (2006). 抑郁认知易感性应激模式的研究:起源、发展和整合. 心理科学进展, 14(5), 762-768.
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