| Objective: Investigating the personality traits of first-episode teenager with depression,Psychological flexibility,characteristics of coping styles and their influence on the severity of depression and clinical efficacy.Methods: A total of 129 first-onset Teenage depression patients admitted to the Second People’s Hospital of Guizhou Province were recruited as the patient group,and another 129 healthy volunteers with general demographic data matching the patient group,such as gender,age,and years of education,were recruited as the control group.The general demographic questionnaire,Big Five Personality Scale,Adolescent Mental Resilience Scale and Middle School Students Coping Style Scale were used as the research tools.All data were statistically analyzed using SPSS23.0 version,and differences between groups were compared using independent sample T test,one-factor analysis of variance or Chi-square test.Pearson correlation analysis method was used to analyze the correlation between personality traits,mental resilience,coping styles and the severity and clinical efficacy of teenager depression and anxiety.Furthermore,multiple stepwise regression method was used to analyze the influence of personality traits,mental resilience,coping styles on the severity and clinical efficacy of adolescent depression and anxiety.Results:(1)The characteristics of personality traits,mental resilience and coping styles of adolescent depression patients: in the Big Five Personality Scale,the neuroticism score of the patient group was higher than that of the control group(P < 0.01),and the extroversion,openness,agreeability and conscientiousness score of the patient group was lower than that of the control group(P<0.01).The scores of target focus,emotion control,positive cognition,family support and interpersonal assistance in the patient group were lower than those in the control group(P<0.01).In the coping style scale of middle school students,the scores of problem solving,seeking support and reasonable explanation in the patient group were lower than those in the control group(P < 0.01),and the scores of patience,escape and fantasy denial were higher than those in the control group(P<0.01).(2)The influence of personality traits,mental resilience and coping styles on the severity of anxiety and depression in adolescent patients with depression: Pearson correlation analysis and multiple stepwise regression analysis showed that neuroticism(β=0.48,P<0.01),extraversion(β=-0.31,P<0.01),conscientiousness(β=0.67,P<0.01)and positive cognition(β=-0.19,P=0.04)of patients had significant influence on HAMA score in baseline period;neuroticism(β=0.50,P<0.01),extraversion(β=-0.18,P=0.015),positive cognition(β =-0.13,P=0.041)and family support(β =-0.13,P < 0.01)had significant effects on HAMD-17 score.(3)The influence of personality traits,mental resilience and coping styles on clinical efficacy of adolescent patients with depression: Pearson correlation analysis and multiple stepwise regression analysis showed that at the end of 2 weeks of treatment,patients’ extraversion(β=0.27,P<0.01),goal focus(β=0.21,P=0.048),emotion control(β=0.54,P< 0.01),positive cognition(β =0.17,P=0.03)and avoidance(β =0.16,P=0.02)had significant effects on the reduction rate of HAMA;Patients’ neuroticism(β=-0.61,P<0.01),agreeableness(β=0.14,P=0.036),positive cognition(β=0.26,P<0.01)and problem solving(β=0.20,P=0.029)had significant effects on the reduction rate of HAMD-17.At the end of 4 weeks of treatment,the patients’ extraversion(β=0.37,P<0.01),openness(β=0.13,P=0.023),goal focus(β=0.19,P=0.036),emotion control(β=0.47,P<0.01)and positive cognition(β=0.17,P=0.019)had significant effects on the score reduction rate of HAMA;Patients’ neuroticism(β =-0.53,P < 0.01),agreeableness(β =0.22,P < 0.01),positive cognition(β=0.36,P<0.01),family support(β=0.13,P=0.019),problem solving(β=0.32,P<0.01)and venting emotions(β=-0.15,P=0.021)had significant effects on the reduction rate of HAMD-17.Conclusion:(1)High neuroticism,low extroversion,openness,agreeableness,conscientiousness;Low goal focus,emotional control,positive cognition,family support,interpersonal assistance;Low problem solving,seeking support,rationalization,and high tolerance,avoidance,and fantasy denial may be clinical characteristics of adolescent depression.(2)Neuroticism,extraversion,conscientiousness and positive cognition can predict the severity of anxiety symptoms in adolescent patients with depression.Neuroticism,extraversion,positive cognition and family support can predict the severity of depressive symptoms in adolescent patients with depression.(3)In terms of coping style,low problem solving,seeking support,reasonable explanation,high patience,escape and fantasy denial may be the clinical characteristics of adolescent patients with depression.Escape coping style can predict the improvement of anxiety in adolescent patients with depression in the short term,while problem-solving and venting emotion can predict the improvement of depression in adolescent patients with depression. |
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