精神科医 : 臨床および治療ジャーナル

抽象的な

A study of a female adolescent depression in rural areas of India.

Soumen Acharya

The study sought to identify the role of cognitive distortion and parental bonding in depressive symptoms among Female adolescents l in rural India. The study also aims to ascertain the extent to which parent-child relationship, specifically father care and mother care; and, father overprotection and mother overprotection differ in the way they contribute to depressive symptoms of adolescents. Materials and Methods: A total of 150Fe male adolescents aged 18- 19 were drawn through random sampling. The educational institution was randomly selected from a list of higher educational institutions in India. The subject chosen for the study were also randomly selected from a class of 40-50 students. All tests were administered in the group of 20- 30 students. Stepwise multiple regression analysis was carried out to ascertain the contribution of cognitive distortion (selfcriticism, self-blame, helplessness, hopelessness, and preoccupation with danger); parent-child relationship (mother care, mother overprotection, father care, father overprotection) towards depressive symptoms. Survey Instrument: Reynolds Adolescent Depression Scale (RADS-2) was developed by William Reynolds (2010) to measure the severity of depressive symptoms in adolescents in clinical settings. The RADS-2 is a brief, 30-item self-report measure that includes subscales which evaluate the current level of an adolescent???s depressive symptoms along four basic dimensions of depression: (1) dysphoric mood; (2) anhedonia; (3) negative self-evaluation; and, (4) somatic complaints. In addition to the four subscale scores, the RADS-2 yields a depression total score that represents the overall severity of depressive symptoms. The reliability and validity of the test are well-established with an internal consistency of 0.86, test-retest of 0.80, and a validity criterion of 0.83. Cognitive Distortion Scales (CDS) was developed by John Briere (2000). It measures distorted or negative cognitions and consists of 40 items. Each symptom item is rated according to its frequency of occurrence over the preceding month; using a five-point scale range from never to very often. The five subscales are selfcriticism, self-blame, helplessness, hopelessness, and preoccupation with danger. The score on each dimension can be added to 9, which is the total score. The reliability and validity of the test are well-established, with the reliability of 0.89 and validity of 0.94. Parental Bonding Instrument (PBI) was developed by Parker, Tupling, and Brown (1979). PBI is a 25-item instrument designed to assess the children???s perception of the parent-child relationship in terms of parental behaviors and attitudes.