Relationships among sense of coherence, social avoidance and distress, and severity of depressive symptoms in adolescent patients with depression
10.3760/cma.j.cn115682-20250411-01856
- VernacularTitle:青少年抑郁症患者心理一致感、社交回避及苦恼与抑郁症状严重程度的关系研究
- Author:
Xiaoyu HUANG
1
;
Yanhong LAI
;
Wenru XIE
Author Information
1. 浙江大学医学院附属精神卫生中心（杭州市第七人民医院）护理部，杭州 310013
- Publication Type:Journal Article
- Keywords:
Depression;
Adolescents;
Sense of coherence;
Social avoidance and distress;
Correlation
- From:
Chinese Journal of Modern Nursing
2025;31(29):4030-4034
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the relationships among sense of coherence, social avoidance and distress, and severity of depressive symptoms in adolescent patients with depression.Methods:A total of 98 adolescent patients with depression hospitalized at the Affiliated Mental Health Center of Zhejiang University School of Medicine (Hangzhou Seventh People's Hospital) from June 2023 to January 2024 were selected by convenience sampling. The Center for Epidemiologic Studies Depression Scale (CES-D), the Sense of Coherence Scale-13 (SOC-13), and the Social Avoidance and Distress Scale (SADS) were used for assessment. Pearson correlation analysis was conducted to examine the correlations among severity of depressive symptoms, sense of coherence, and social avoidance and distress. A structural equation model was established using AMOS 23.0 software, and the mediating effect was verified by the percentile Bootstrap method with the PROCESS macro.Results:The CES-D total score of the 98 patients was (22.36±1.75) ; the SOC-13 total score was (55.02±3.38), with the highest dimension score in manageability (mean 4.38±0.52 per item). The SADS total score was (19.40±1.39), including a score of (10.26±0.98) for social avoidance and (9.14±1.01) for social distress. Pearson correlation analysis indicated that CES-D total score was negatively correlated with SOC-13 total score and positively correlated with SADS total score ( P<0.05). Mediation analysis showed that social avoidance and distress partially mediated the relationship between sense of coherence and severity of depressive symptoms in adolescents with depression, with a mediation effect value of -0.333, accounting for 62.95% of the total effect (-0.333/-0.529) . Conclusions:Adolescent patients with depression had a generally low level of sense of coherence and a high level of social avoidance and distress. Sense of coherence was negatively correlated with social avoidance and distress.
