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A Clinical Study of the Relationship between School Refusal and Depression

拒绝上学与抑郁关系的临床研究

基本信息

批准号：
07610122
负责人：
HONJO Shuji
金额：
$ 1.15万
依托单位：
Nagoya University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1995
资助国家：
日本
起止时间：
1995 至 1997
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07610122/
关键词：
school refusal depression CDI school avoidance feeling character traits 抗うつ

项目摘要

The subject of this study were cases exhibiting school inattendance directly examined by one of the authors between 1989 and 1997, on whom the CDI,a self-rating scale on depression could be employed. From among these cases, subjects fulfillling the criteria of school refusa or depressive disorders were selected. The number of school refusal cases is 44 (29boys, 15girls), and the number of depressive disorder cases is 12(5boys, 7girls), total 56(34boys, 22girls). Mean CDI scores for school refusal cases was 20.9(]SY.+-。[) 7.07, that for depressive disorder cases was 27.3(]SY.+-。[)6.92, and that for normal controls was 19.9(]SY.+-。[)7.50, showing significantly higher CDI scores for depressive disorder cases in comparison to school refusal cases and normal controls. According to a study by Tsujii, the CDI is constructed of the 3 subordinate scales of "feelings of interpersonal maladaptation", "core depression", and "self revulsion". The difference between school refusal cases and normaol controls in terms of the three subordinate scales was not significant. There were significant differences in terms of "feeling of interpersonal maladaptation"and"core depression"between depressive disorder cases and two other groups. We conclude these results support our belief that school refusal cases and depressive disorder cases that both complain of school inattendance should be differenciated clinically, though both cases appear same clinically.

本研究的对象是1989年至1997年期间由作者之一直接检查的缺课病例，可以使用CDI，一种抑郁自评量表。从这些病例中，选择符合拒绝上学或抑郁症标准的受试者。拒绝入学的个案有44宗（29名男生，15名女生），抑郁症个案有12宗（5名男生，7名女生），共56宗（34名男生，22名女生）。拒绝入学者的CDI平均得分为20.9分。抑郁症组为27.3（±）SY。正常对照组为19.9（± SD）。[）7.50，显示抑郁症病例的CDI得分显著高于学校拒绝病例和正常对照。根据Tsujii的研究，CDI由“人际适应不良的感觉”、“核心抑郁”和“自我厌恶”3个次级量表构成。拒绝入学者与正常对照组在三个分量表上的差异均不显著。抑郁症患者在“人际适应不良感”和“核心抑郁”方面与其他两组比较差异有统计学意义。我们的结论是，这些结果支持我们的信念，学校拒绝的情况下，抑郁症的情况下，都抱怨上学缺课应区分临床，虽然这两种情况下出现相同的临床。