社会排斥与先天轻度肢残青少年抑郁特征的关联性：基于生成性模型与反映性模型的纵向分析

doi:10.12139/j.1672-0628.2025.02.010

心理与行为研究 ›› 2025, Vol. 23 ›› Issue (2): 216-225.DOI: 10.12139/j.1672-0628.2025.02.010

社会排斥与先天轻度肢残青少年抑郁特征的关联性：基于生成性模型与反映性模型的纵向分析

卢林鑫¹, 刘在花*^,²(), 杨爽³, 蒋政凯¹^,³, 党韦强³, 谭婧³, 班永飞¹^,³, 孙霁¹^,³^,⁴, 蔺秀云*^,⁵()

1. 安顺学院特殊儿童融合与发展实验室，安顺 561000
2. 中国教育科学研究院心理与特殊教育研究所，北京 100088
3. 安顺学院教育科学学院，安顺 561000
4. 清华大学心理与认知科学系，北京 100084
5. 北京师范大学发展心理研究院，北京 100875

收稿日期:2024-10-14 出版日期:2025-03-20 发布日期:2025-03-20
通讯作者: 刘在花, 蔺秀云
基金资助:
中国教育科学研究院2024年度中央级公益性科研院所基本科研业务费专项资助项目(GYC2024002)；2023年度北京高校卓越青年科学家计划项目(JWZQ20240201003)；2023年度北京师范大学中央高校科研创新人才培育项目(领军人才培育项目)(1233200016)。

The Association Between Social Exclusion and Depression Characteristics in Adolescents with Congenital Mild Limb Disability: A Longitudinal Analysis Based on Generative and Reflective Models

Linxin LU¹, Zaihua LIU*^,²(), Shuang YANG³, Zhengkai JIANG¹^,³, Weiqiang DANG³, Jing TAN³, Yongfei BAN¹^,³, Ji SUN¹^,³^,⁴, Xiuyun LIN*^,⁵()

1. Laboratory of Developmental and Inclusive Education for Children with Special Needs, Anshun University, Anshun 561000
2. Research Center for Psychology and Special Education, China National Academy of Educational Sciences, Beijing 100088
3. School of Educational Sciences, Anshun University, Anshun 561000
4. Department of Psychological and Cognitive Sciences, Tsinghua University, Beijing 100084
5. Institution of Developmental Psychology, Beijing Normal University, Beijing 100875

Received:2024-10-14 Online:2025-03-20 Published:2025-03-20
Contact: Zaihua LIU, Xiuyun LIN

摘要/Abstract

摘要：

为探讨先天轻度肢残青少年社会排斥与抑郁特征的纵向关联及其干预靶点，采用问卷法对1040名先天轻度肢残青少年进行了两次重复追踪测量，结果表明：(1)生成性模型与反映性模型结果均表明先天轻度肢残青少年社会排斥与抑郁相互影响。(2) T1与T2时点社会排斥与抑郁特征症候群之间存在联结桥梁的时间特异性特点。(3)抑郁子特征自杀意念是社会排斥与抑郁特征网络的活化节点，而社会排斥子特征“别人好像经常看不到我似的”、“别人总是对我很冷淡”、“别人常常对我封锁很重要的信息”以及“别人总是将我排除在外”是抑郁−人际脆弱性的重要影响靶点。

关键词: 肢体残疾青少年, 社会排斥, 抑郁, 交叉滞后面板模型, 交叉滞后面板网络模型

Abstract:

To explore the longitudinal association between social exclusion and depression characteristics of adolescents with congenital mild limb disability and to identify intervention targets, two repeated follow-up measurements were conducted on 1040 adolescents with congenital mild limb disability using a questionnaire method. The results showed that: 1) Both the generative model and the reflective model revealed an interaction between social exclusion and depression among adolescents with congenital mild limb disability. 2) Time-specific characteristics of the connection between social exclusion and depression were observed at Time Point 1 (T1) and Time Point 2 (T2). 3) Suicide ideation, a sub-characteristic of depression, was identified as the activation node within the network of social exclusion and depression characteristics. Meanwhile, certain sub-characteristics of social exclusion, such as “It seems that others often don’t see me”, “Others are always cold to me”, “Others often block important information from me”, and “Others always exclude me”, were highlighted as important intervention targets for addressing depression-interpersonal vulnerability.

Key words: adolescents with congenital mild limb disabilities, social exclusion, depression, cross-lagged panel model, cross-lagged panel network model

卢林鑫, 刘在花, 杨爽, 蒋政凯, 党韦强, 谭婧, 班永飞, 孙霁, 蔺秀云. 社会排斥与先天轻度肢残青少年抑郁特征的关联性：基于生成性模型与反映性模型的纵向分析[J]. 心理与行为研究, 2025, 23(2): 216-225.

Linxin LU, Zaihua LIU, Shuang YANG, Zhengkai JIANG, Weiqiang DANG, Jing TAN, Yongfei BAN, Ji SUN, Xiuyun LIN. The Association Between Social Exclusion and Depression Characteristics in Adolescents with Congenital Mild Limb Disability: A Longitudinal Analysis Based on Generative and Reflective Models[J]. Studies of Psychology and Behavior, 2025, 23(2): 216-225.

图/表 7

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	M	SD	1	2	3	4
1. 性别	1.44	0.50
2. T1社会排斥	12.31	5.42	0.06
3. T2社会排斥	13.28	6.61	0.01	0.51^***
4. T1抑郁	6.04	4.90	0.09^*	0.51^***	0.37^***
5. T2抑郁	7.24	5.87	0.03	0.35^***	0.53^***	0.50^***

	M	SD	1	2	3	4
1. 性别	1.44	0.50
2. T1社会排斥	12.31	5.42	0.06
3. T2社会排斥	13.28	6.61	0.01	0.51^***
4. T1抑郁	6.04	4.90	0.09^*	0.51^***	0.37^***
5. T2抑郁	7.24	5.87	0.03	0.35^***	0.53^***	0.50^***

测量工具	模型	S-Bχ²	df	S-Bχ²/df	CFI	TLI	RMSEA(90%CI)	SRMR	∆CFI	∆RMSEA
青少年社会排斥量表	形态等值	480.06	95	5.05	0.927	0.915	0.074[0.068, 0.081]	0.045
	弱等值	517.39	102	5.07	0.930	0.914	0.075[0.068, 0.081]	0.060	0.003	−0.001
	强等值	548.98	109	5.04	0.925	0.915	0.074[0.068, 0.080]	0.059	−0.005	0.001
	严格等值	521.35	117	4.46	0.932	0.920	0.069[0.063, 0.075]	0.068	0.007	−0.005
病人健康问卷抑郁量表	形态等值	371.14	125	2.97	0.932	0.917	0.052[0.046, 0.058]	0.042
	弱等值	373.39	133	2.81	0.933	0.923	0.050[0.044, 0.056]	0.043	0.001	−0.002
	强等值	392.87	141	2.79	0.930	0.924	0.049[0.044, 0.055]	0.043	−0.003	−0.001
	严格等值	408.42	150	2.72	0.929	0.927	0.049[0.043, 0.054]	0.047	−0.001	0.000

测量工具	模型	S-Bχ²	df	S-Bχ²/df	CFI	TLI	RMSEA(90%CI)	SRMR	∆CFI	∆RMSEA
青少年社会排斥量表	形态等值	480.06	95	5.05	0.927	0.915	0.074[0.068, 0.081]	0.045
	弱等值	517.39	102	5.07	0.930	0.914	0.075[0.068, 0.081]	0.060	0.003	−0.001
	强等值	548.98	109	5.04	0.925	0.915	0.074[0.068, 0.080]	0.059	−0.005	0.001
	严格等值	521.35	117	4.46	0.932	0.920	0.069[0.063, 0.075]	0.068	0.007	−0.005
病人健康问卷抑郁量表	形态等值	371.14	125	2.97	0.932	0.917	0.052[0.046, 0.058]	0.042
	弱等值	373.39	133	2.81	0.933	0.923	0.050[0.044, 0.056]	0.043	0.001	−0.002
	强等值	392.87	141	2.79	0.930	0.924	0.049[0.044, 0.055]	0.043	−0.003	−0.001
	严格等值	408.42	150	2.72	0.929	0.927	0.049[0.043, 0.054]	0.047	−0.001	0.000

节点	T1时点		T2时点
节点	桥接预期影响	桥接预期影响Z分数	桥接预期影响	桥接预期影响Z分数
SE1	0.11	1.00	0.07	0.12
SE2	0.08	0.22	0.05	−0.28
SE3	0.01	−1.32	0.03	−0.71
SE4	0.01	−1.21	0.03	−0.76
SE5	0.01	−1.35	0.02	−0.88
SE6	0.04	−0.54	0.03	−0.71
SE7	0.07	0.08	0.05	−0.30
SE8	0.13	1.43	0.07	0.12
DP1	0.03	−0.93	0.03	−0.71
DP2	0.05	−0.40	0.19	2.61
DP3	0.05	−0.40	0.01	−1.15
DP4	0.08	0.31	0.09	0.49
DP5	0.06	−0.13	0.06	−0.24
DP6	0.15	1.89	0.09	0.41
DP7	0.12	1.13	0.04	−0.61
DP8	0.03	−0.73	0.15	1.82
DP9	0.11	0.95	0.10	0.78

社会排斥与先天轻度肢残青少年抑郁特征的关联性：基于生成性模型与反映性模型的纵向分析

The Association Between Social Exclusion and Depression Characteristics in Adolescents with Congenital Mild Limb Disability: A Longitudinal Analysis Based on Generative and Reflective Models

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节点	SE1	SE2	SE3	SE4	SE5	SE6	SE7	SE8	DP1	DP2	DP3	DP4	DP5	DP6	DP7	DP8	DP9	性别
SE1	0.35	0.00	0.17	0.14	0.12	0.11	0.00	0.11	0.00	0.28	0.00	0.17	0.00	0.15	0.00	0.00	0.00	0.00
SE2	0.00	0.35	0.00	0.13	0.00	0.00	0.13	0.13	0.00	0.24	0.19	0.17	0.12	0.19	0.11	0.12	0.12	0.00
SE3	0.00	0.00	0.24	0.16	0.11	0.15	0.00	0.00	0.00	0.22	0.00	0.00	0.00	0.11	0.00	0.12	0.00	0.00
SE4	0.00	0.00	0.00	0.28	0.11	0.00	0.19	0.14	0.00	0.00	0.11	0.00	0.00	0.00	0.00	0.17	0.11	0.00
SE5	0.17	0.23	0.11	0.24	0.61	0.00	0.00	0.11	0.00	0.27	0.21	0.00	0.00	0.00	0.00	0.19	0.11	0.00
SE6	0.26	0.31	0.30	0.33	0.15	0.28	0.18	0.27	0.00	0.29	0.19	0.16	0.16	0.00	0.00	0.24	0.00	0.00
SE7	0.21	0.22	0.16	0.21	0.00	0.13	0.18	0.22	0.13	0.26	0.18	0.21	0.15	0.16	0.17	0.25	0.00	0.00
SE8	0.18	0.25	0.21	0.22	0.12	0.19	0.18	0.32	0.00	0.21	0.00	0.00	0.13	0.00	0.00	0.15	0.00	0.00
DP1	0.13	0.19	0.12	0.17	0.00	0.12	0.11	0.14	0.27	0.26	0.00	0.17	0.00	0.16	0.00	0.18	0.16	0.00
DP2	0.00	0.11	0.15	0.17	0.00	0.21	0.13	0.16	0.00	0.26	0.20	0.16	0.00	0.00	0.00	0.13	0.00	0.00
DP3	0.00	0.00	0.11	0.00	0.00	0.00	0.00	0.00	0.13	0.30	0.34	0.17	0.17	0.21	0.16	0.21	0.12	0.00
DP4	0.12	0.16	0.00	0.13	0.00	0.12	0.00	0.11	0.00	0.25	0.15	0.27	0.00	0.00	0.00	0.00	0.12	0.00
DP5	0.16	0.23	0.20	0.16	0.28	0.20	0.00	0.12	0.00	0.00	0.18	0.00	0.38	0.00	0.00	0.15	0.16	0.00
DP6	0.00	0.00	0.11	0.17	0.00	0.00	0.00	0.00	0.16	0.31	0.19	0.22	0.15	0.33	0.18	0.17	0.12	0.00
DP7	0.13	0.18	0.18	0.25	0.14	0.21	0.19	0.17	0.11	0.00	0.11	0.00	0.11	0.00	0.19	0.00	0.00	0.00
DP8	0.20	0.15	0.17	0.14	0.00	0.14	0.00	0.16	0.19	0.22	0.16	0.15	0.14	0.14	0.11	0.29	0.15	0.00
DP9	0.31	0.30	0.33	0.34	0.00	0.30	0.27	0.29	0.47	0.46	0.35	0.56	0.32	0.38	0.37	0.39	0.52	0.00
性别	−0.06	−0.03	−0.06	−0.07	−0.13	−0.09	−0.07	−0.14	0.00	−0.03	0.03	0.00	0.04	0.00	0.04	−0.04	0.02	0.00

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