成年早期个体心理韧性与抑郁的关系及面子的调节作用研究

Objective To explore the relationship between resilience and depression in emerging adulthood(18-35 years old), and to investigate the moderating role of face between the two. Methods We enrolled 142 emerging adult patients with depressive disorder(clinical group) from a mental hospital in Beijing and 356 normal emerging adults(normal group) from Beijing Psychological Health Promotion Association in 2016. The Center for Epidemiological Studies Depression Scale(CES-D), the 10-item Connor-davidson Resilience Scale(CD-RISC10) and the face scale from Chinese Personality Assessment Inventory-2(CPAI-2) were used to assess the mental state of the participants. Hierarchical regression was used to examine the moderating effect of face on the relationship between resilience and depression. Results(1) The resilience score was much lower while depression score was significantly higher in the clinical group compared with the normal group(P<0.05). No significant difference was detected in terms of the face score between the two groups(P>0.05).(2)Hierarchical regression analysis found that, after controlling for sex, age, educational attainment and marital status, it was detected that the resilience score negatively predicted the depression score in both the normal and clinical groups(b1=-0.317, P<0.05; b2=-0.524, P<0.05).(3)Theface score showed a non-significant effect on the depression score in both the normal and clinical groups(b1=0.012, P>0.05; b2=0.043, P>0.05).(4)For the normal group, after bringing resilience score × face score into the regression model, it was identified that the marginal effects for resilience score × face score were significant(b=-0.049, P<0.10). The moderating effect of face score on the relationship between resilience score and depression score was significant(ΔR~2=0.007, P<0.05). For the clinical group, after bringing resilience score ×face score into the regression model, it was noted that the interacting effects of resilience score × face score were significant(b=0.088, P<0.05). Face significantly moderated the relationship between resilience and depression( ΔR~2=0.025,P<0.05). Conclusion For the normal individuals, reducing the face-saving level of can alleviate the risk of low resilience level on depressive symptoms, and thus help prevent depressive symptoms. For the depressive patients, reducing the face-saving level can improve the protecting effect of high resilience level on depressive symptoms, and thus help alleviate and adjust the depressive level effectively.