The Impact of Parents' Autonomous Support on the Self-Identity of Adolescent Patients With Depression
Abstract
Objective
From the perspective of patients' self-identity, this article explores the correlations among coping strategies of adolescent patients with depression, parents' autonomous support, and self-identity, and also examines the mediating role of coping strategies.
Methods
A total of 240 adolescent patients with depression from the First Hospital of Hebei Medical University were selected between August 2023 and July 2024. Basic information questionnaires, the Simplified Coping Style Questionnaire (SCSQ), the Parental Autonomy Support Scale (PASS), and the Self-Identity Scale (SIS) were used for the survey. Pearson correlation analysis was conducted to examine the relationships among coping styles of adolescent patients with depression, parental autonomy support, and self-identity. The SPSS macro program Process 4.1 was used to analyze the mediating role of coping styles between parental autonomy support and self-identity.
Results
A total of 240 questionnaires were distributed in this study, and 236 valid questionnaires were collected, resulting in a recovery rate of 98.33%. The mean score for positive coping strategies among 236 adolescent patients with depression was (19.45 ± 2.68) points, while the mean score for negative coping strategies was (18.97 ± 5.04) points. The mean PASS score was (42.73 ± 9.98) points, and the mean SIS score was (48.64 ± 7.73) points. Pearson correlation analysis showed that positive coping strategies were positively correlated with parental autonomous support and self-identity (r = 0.267, 95% CI: 0.154-0.381; r = 0.207, 95% CI: 0.098-0.317). Negative coping strategies were negatively correlated with parental autonomous support and self-identity (r = －0.173, 95% CI: －0.290 to －0.054; r = －0.153, 95% CI: －0.265 to －0.039). Parental autonomous support was positively correlated with self-identity (r = 0.182, 95% CI: 0.052-0.313). The bootstrap method confirmed three mediating paths: Path 1 (parental autonomous support → positive coping → self-identity) had an effect value of 0.070 (95% CI: 0.021-0.162), accounting for 17.68% of the effect; Path 2 (parental autonomous support → negative coping → self-identity) had an effect value of 0.020 (95% CI: 0.005-0.042), accounting for 5.05% of the effect; Path 3 (parental autonomous support → positive coping → negative coping → self-identity) had an effect value of 0.017 (95% CI: 0.005-0.033), accounting for 4.29% of the effect. The 95% confidence intervals did not include 0, indicating that the indirect effects were significant.
Conclusion
Parental autonomous support can directly affect the self-identity of adolescent patients with depression and can also indirectly influence it through coping strategies. Positive coping strategies mediate the beneficial effect of parental autonomous support on self-identity and play a protective role.
Keywords: Depression, Adolescent, Mediating effect
Full Text:
PDFReferences
ZHUO Y, SUN Y, YAN K, et al. Predictive value of the Huaxi Emotional Index in assessing and identifying high suicide risk among inpatientswith depression. J Sichuan Univ (Med Sci), 2024, 55(3): 739-743. doi: 10.12182/ 20240560505.
PAGANIN W. Viewpoint: difficult-to-treat depression versus treatment-resistant depression: a new integrative perspective for managing depression. Eur Psychiatry, 2023, 66(1): e73. doi: 10.1192/j.eurpsy.2023.2448.
BARBERIO B, BLACK C J, FORD A C. Editorial: will clusters for anxiety, depression, sleep disturbance and fatigue symptoms predict treatment outcomes in functional dyspepsia? Authors' reply. Aliment Pharmacol Ther, 2021, 53(5): 652-653. doi: 10.1111/apt.16247.
SHOREY S, NG E D, WONG C H J. Global prevalence of depression and elevated depressive symptoms among adolescents: a systematic review and meta-analysis. Br J Clin Psychol, 2022, 61(2): 287-305. doi: 10.1111/bjc.12333.
LAM C, HAN L, MCINTYRE R S, et al. Comparative efficacy of omega-3 fatty acid with other interventions for depression in children and adolescents: a systematic review and network meta-analysis. J Child Adolesc Psychopharmacol, 2024, 34(7): 282-291. doi: 10.1089/cap.2024.0017.
LI X, DENG F, MA L L, et al. Effect of childhood maltreatment on whole-brain gray matter volume in adolescents with major depressive disorder: a study of voxel-based morphometry. Journal of Chongqing Medical University, 2024, 49(10): 1102-1109. doi: 10.13406/j.cnki.cyxb.003593.
DADEMATTHEWS A, NZEAKAH C, ONOFA L, et al. Teenage blues: predictors of depression among adolescents in Nigeria. PLoS One, 2024, 19(4): e0293995. doi: 10.1371/journal.pone.0293995.
ZHAO W, WANG X, LI J, et al. "Time is my own treasure": parental autonomy support and academic procrastination among chinese adolescents. Psychol Res Behav Manag, 2022, 15: 2773-2782. doi: 10.2147/ PRBM.S373033.
CONG E Z, CAI Y Y, WANG Y, et al. Association of depression and suicidal ideation with parenting style in adolescents. Chinese Journal of Contemporary Pediatrics, 2021, 23(9): 938-943. doi: 10.7499/j.issn.1008-8830.2105124.
LIU X, CUI L, WU H, et al. Profiles and transition of mental health problems among Chinese adolescents: the predictive role of friendship quality, parental autonomy support, and psychological control. J Adolesc, 2022, 94(1): 19-33. doi: 10.1002/jad.12002.
LI Z J, LIU S H, SHI X W, et al. Advances in diagnosis and treatment of childhood and adolescent depression. Maternal and Child Health Care of China, 2020, 35(14): 2732-2734. doi: 10.19829/j.zgfybj.issn.1001-4411. 2020.14.061.
H H, CONG Y L. A review of the 2024 revision of the World Medical Association Declaration of Helsinki. Medicine & Philosophy, 2024, 45(21): 18-23. doi: 10.12014/j.issn.1002-0772.2024.21.05.
FANG J, WANG Y T, XIAO S Y, et al. Reliability and validity of Simplified Coping Style Questionnaire among adolescents. Chinese Journal of Clinical Psychology, 2018, 26(5): 905-909. doi: 10.16128/j.cnki. 1005-3611.2018.05.015.
WANG Q, POMERANTZ E M, CHEN H. The role of parents' control in early adolescents' psychological functioning: a longitudinal investigation in the United States and China. Child Dev, 2007, 78(5): 1592-1610. doi: 10.1111/j.1467-8624.2007.01085.x.
LI Y A, LOU W J. Test of reliability and validity of self-identity scale in adolescent student population. China Journal of Health Psychology, 2009, 17(2): 181-182. doi: 10.13342/j.cnki.cjhp.2009.02.057.
PENG M, ZHANG L, WU Q, et al. The effects of childhood trauma on nonsuicidal self-injury and depressive severity among adolescents with major depressive disorder: The different mediating roles of positive and negative coping styles. J Affect Disord, 2024, 361: 508-514. doi: 10.1016/j. jad.2024.06.037.
MA A, YANG Y, GUO S, et al. Adolescent resilience and mobile phone addiction in Henan Province of China: impacts of chain mediating, coping style. PLoS One, 2022, 17(12): e0278182. doi: 10.1371/journal. pone.0278182.
WONG T K Y, KONISHI C, LIU X. Conceptualizing maternal and paternal autonomy support and control among adolescents in Hong Kong. J Res Adolesc, 2023, 33(2): 701-715. doi: 10.1111/jora.12819.
YANG L, CHEN Y, ZHANG M, et al. Pathological online game use of secondary vocational school students: current situation and its relation to self-esteem and self-identity. Front Psychiatry, 2022, 13: 937841. doi: 10. 3389/fpsyt.2022.937841.
BOELE S, NELEMANS S A, DENISSEN J J A, et al. Testing transactional processes between parental support and adolescent depressive symptoms: from a daily to a biennial timescale. Dev Psychopathol, 2023, 35(4): 1656-1670. doi: 10.1017/S0954579422000360.
DING X, ZHENG L, LIU Y, et al. Parenting styles and psychological resilience: the mediating role of error monitoring. Biol Psychol, 2023, 180: 108587. doi: 10.1016/j.biopsycho.2023.108587. ÖZGÜVEN
ÖZTORNACI B, ARDAHAN AKGÜL E, YANAR N, et al. The effect of parental collaboration on diabetes self-efficacy, quality of life and hba1c level in adolescents diagnosed with type 1 diabetes. J Clin Res Pediatr Endocrinol, 2025, 17(2): 176-184. doi: 10.4274/jcrpe.galenos.2024. 2024-4-7.
ZHANG S Y, LIU Q, XU F Z. Relationships between parental autonomy support, self-acceptance, peer support, and mental health problems of hearing-impaired adolescents. Chinese Journal of Special Education, 2024(4): 30-36. doi: 10.3969/j.issn.1007-3728.2024.04.004.
CHEN X, LIU T, LUO J, et al. Data for teenagers' stressor, mental health, coping style, social support, parenting style and self-efficacy in South China. Data Brief, 2020, 29: 105202. doi: 10.1016/j.dib.2020.105202.
PENG S, NIU G F, WANG X, et al. The impact of parental self-support on adolescents' positive emotional adaptation: a model of mediation and moderation by basic psychological needs satisfaction. Psychological Development and Education, 2021, 37(2): 240-248. doi: 10.16187/j.cnki. issn1001-4918.2021.02.11. LIU J, ZHANG Y, GUAN T, et al. Quality of life and appraisal factors of patients with advanced cancer and their family caregivers. Support Care Cancer, 2025, 33(6): 471. doi: 10.1007/s00520-025-09512-8.
WANG Y L, ZHANG Z G, ZHENG D W, et al. Relationships between resilience and mental health of college students with suicidal ideation: the mediating role of coping style. Modern Preventive Medicine, 2020, 47(3): 457-461. doi: 10.20043/j.cnki.mpm.2020.03.018.
Refbacks
- There are currently no refbacks.
