Family Cohesion and Depression: The Role of Social Anxiety and Gratitude

doi:10.12139/j.1672-0628.2023.04.017

Abstract

Abstract:

This study aimed to explore the relationship between family closeness and depression, and to examine the mediating effect of social anxiety and the moderating effect of gratitude. A total of 1027 university students participated in the questionnaire survey. The results showed that: 1) social anxiety partially mediated the association between family cohesion and depression among college students; 2) the direct effect of family cohesion on depression and the path from family cohesion to social anxiety, and the path from social anxiety to depression were all moderated by gratitude. Specifically, the effect of family cohesion on social anxiety and depression was enhanced with the increase of gratitude. The association between social anxiety and depression was weaker for university students with higher gratitude. This study reveals the effect of family closeness on college students’ depression, which has implications for the prevention of college students’ depression.

Key words: family cohesion, depression, social anxiety, gratitude, college students

摘要：

为探讨家庭亲密度对大学生抑郁的影响及社交焦虑和感恩在其中的作用，本研究构建了一个有调节的中介模型。采用问卷法对1027名中国大学生进行调查，结果发现：(1)社交焦虑在家庭亲密度与大学生抑郁之间起部分中介作用。(2)感恩调节了家庭亲密度对大学生抑郁的直接作用以及社交焦虑的中介作用。与感恩水平较低的大学生相比，家庭亲密度对抑郁和社交焦虑的负向预测作用在感恩水平较高的大学生中更强；同时，与感恩水平较低的大学生相比，社交焦虑对抑郁的正向预测作用在感恩水平较高的大学生中更弱。本研究揭示了家庭亲密度对大学生抑郁的影响，对预防大学生抑郁具有启示意义。

关键词: 家庭亲密度, 抑郁, 社交焦虑, 感恩, 大学生

CLC Number:

B849

Haidong LIU, Zhijun YU, Baojuan YE, Qiang YANG. Family Cohesion and Depression: The Role of Social Anxiety and Gratitude[J]. Studies of Psychology and Behavior, 2023, 21(4): 556-563.

刘海东, 虞芷筠, 叶宝娟, 杨强. 家庭亲密度与大学生抑郁：社交焦虑和感恩的作用[J]. 心理与行为研究, 2023, 21(4): 556-563.

Figures/Tables 8

References

	陈玉祥. (2021). 儿童社交回避与情绪适应不良的关系: 一个有调节的调节模型(硕士学位论文). 上海师范大学.
	费立鹏, 沈其杰, 郑延平, 赵靖平, 蒋少艾, 王立伟, 汪向东. (1991). “家庭亲密度和适应性量表”和“家庭环境量表”的初步评价——正常家庭与精神分裂症家庭成员对照研究. 中国心理卫生杂志, 5(5), 198–202, 238.
	侯娟, 朱英格, 方晓义. 手机成瘾与抑郁: 社交焦虑和负性情绪信息注意偏向的多重中介作用. 心理学报, 2021, 53 (4): 362- 373.
	惠秋平, 何安明, 李倩璞. 感恩与交往焦虑的交叉滞后分析. 教育研究与实验, 2018, (4): 84- 87.
	刘致宏, 张珊珊. (2022). 中学生线上社交焦虑与抑郁症状和睡眠质量的关联. 中国学校卫生, 43(1), 77–81, 86.
	汪向东, 王希林, 马弘. (1999). 心理卫生评定量表手册 (增订版). 北京: 中国心理卫生杂志社.
	王璇. (2008). 大学生社会比较倾向、自我接纳和抑郁关系研究(硕士学位论文). 西北师范大学, 兰州.
	谢氏翠. (2019). 感恩与抑郁的关系: 应对方式的并行中介作用(硕士学位论文). 南京大学.
	胥兴春. 认知情绪调节策略研究述评及其展望. 江苏师范大学学报(哲学社会科学版), 2014, 40 (1): 148- 153.
	喻承甫, 张卫, 李董平, 肖婕婷. 感恩及其与幸福感的关系. 心理科学进展, 2010, 18 (7): 1110- 1121.
	曾楚辉. (2016). 中职学生人际适应的多因素影响模型研究(硕士学位论文). 广州大学.
	周浩, 龙立荣. 共同方法偏差的统计检验与控制方法. 心理科学进展, 2004, 12 (6): 942- 950. DOI
	周亚玲. (2021). 家庭亲密度和自我分化对中职生社交焦虑的影响: 一个有调节的中介模型(硕士学位论文). 广州大学.
	朱黎君, 杨强, 叶宝娟, 陈智楠, 张丽. 自然联结对大学生抑郁的影响: 有调节的中介模型. 心理发展与教育, 2022, 38 (6): 886- 893.
	Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U., … Riemann, D. (2011). Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders, 135(1–3), 10–19.
	Beesdo, K., Bittner, A., Pine, D. S., Stein, M. B., Höfler, M., Lieb, R., & Wittchen, H. U.. Incidence of social anxiety disorder and the consistent risk for secondary depression in the first three decades of life. Archives of General Psychiatry, 2007, 64 (8): 903- 912. DOI
	Cox, M. J., & Paley, B.. Families as systems. Annual Review of Psychology, 1997, 48 (1): 243- 267. DOI
	Cummings, E. M., Davies, P. T., & Campbell, S. B. (2002). Developmental psychopathology and family process: Theory, research, and clinical implications. New York: The Guilford Press.
	Davies, P. T., & Cummings, E. M.. Marital conflict and child adjustment: An emotional security hypothesis. Psychological Bulletin, 1994, 116 (3): 387- 411. DOI
	Emmons, R. A., & Crumpler, C. A.. Gratitude as a human strength: Appraising the evidence. Journal of Social and Clinical Psychology, 2000, 19 (1): 56- 69. DOI
	Felger, J. C., Haroon, E., & Miller, A. H.. Risk and resilience: Animal models shed light on the pivotal role of inflammation in individual differences in stress-induced depression. Biological Psychiatry, 2015, 78 (1): 7- 9. DOI
	Fergus, S., & Zimmerman, M. A.. Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 2005, 26, 399- 419. DOI
	Flynn, M. K., Bordieri, M. J., & Berkout, O. V.. Symptoms of social anxiety and depression: Acceptance of socially anxious thoughts and feelings as a moderator. Journal of Contextual Behavioral Science, 2019, 11, 44- 49. DOI
	Fredrickson, B. L.. The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 2001, 56 (3): 218- 226. DOI
	Fredrickson, B. L. (2004). Gratitude, like other positive emotions, broadens and builds. In R. A. Emmons & M. E. McCullough (Eds.), The psychology of gratitude (pp. 145–166). New York: Oxford University Press.
	Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: The Guilford Press.
	Huston, A. C., & Bentley, A. C.. Human development in societal context. Annual Review of Psychology, 2010, 61, 411- 437. DOI
	Johnson, H. D., Lavoie, J. C., & Mahoney, M.. Interparental conflict and family cohesion: Predictors of loneliness, social anxiety, and social avoidance in late adolescence. Journal of Adolescent Research, 2001, 16 (3): 304- 318. DOI
	Kashdan, T. B., Uswatte, G., & Julian, T.. Gratitude and hedonic and eudaimonic well-being in Vietnam war veterans. Behaviour Research and Therapy, 2006, 44 (2): 177- 199. DOI
	Li, D. P., Zhang, W., Li, X., Li, N. N., & Ye, B. J.. Gratitude and suicidal ideation and suicide attempts among Chinese Adolescents: Direct, mediated, and moderated effects. Journal of Adolescence, 2012, 35 (1): 55- 66. DOI
	Li, X., Shao, H., Lin, L., & Yang, J. L.. Gender differences in the predictive effect of depression and aggression on suicide risk among first-year college students. Journal of Affective Disorders, 2023, 327, 1- 6. DOI
	Mattick, R. P., & Clarke, J. C.. Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 1998, 36 (4): 455- 470. DOI
	McCullough, M. E., Emmons, R. A., & Tsang, J. A.. The grateful disposition: A conceptual and empirical topography. Journal of Personality and Social Psychology, 2002, 82 (1): 112- 127. DOI
	McCullough, M. E., Kilpatrick, S. D., Emmons, R. A., & Larson, D. B. (2001). Is gratitude a moral affect? Psychological Bulletin, 127(2), 249–266.
	McCullough, M. E., Kimeldorf, M. B., & Cohen, A. D.. An adaptation for altruism? The social causes, social effects, and social evolution of gratitude. Current Directions in Psychological Science, 2008, 17 (4): 281- 285. DOI
	Olson, D. H., Russell, C. S., & Sprenkle, D. H.. Circumplex model of marital and family systems: Vl. theoretical update. Family Process, 1983, 22 (1): 69- 83. DOI
	Paykel, E. S., Brugha, T., & Fryers, T.. Size and burden of depressive disorders in Europe. European Neuropsychopharmacology, 2005, 15 (4): 411- 423. DOI
	Radloff, L. S.. The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1977, 1 (3): 385- 401. DOI
	Roley, M. E., Kawakami, R., Baker, J., Hurtado, G., Chin, A., & Hovey, J. D.. Family cohesion moderates the relationship between acculturative stress and depression in Japanese adolescent temporary residents. Journal of Immigrant and Minority Health, 2014, 16 (6): 1299- 1302. DOI
	World Health Organization. (2017). Depression and other common mental disorders: Global health estimates. Geneva, Switzerland: WHO.
	Xu, H. L., Tao, J., Yang, J. X., Su, Y. P., Xu, C. Z., Hu, M. D., … Lu, L.. Mobile phone use addiction, insomnia, and depressive symptoms in adolescents from ethnic minority areas in China: A latent variable mediation model. Journal of Affective Disorders, 2023, 320, 381- 389. DOI
	Zhang, C. Y., Zhang, Q., Zhuang, H. J., & Xu, W.. The reciprocal relationship between depression, social anxiety and aggression in Chinese adolescents: The moderating effects of family functioning. Journal of Affective Disorders, 2023, 329, 379- 384. DOI

变量	M	SD	1	2	3
1.家庭亲密度	4.15	0.68
2.感恩	5.04	0.96	0.47***
3.社交焦虑	1.52	0.70	−0.36***	−0.27***
4.抑郁	0.96	0.60	−0.46***	−0.44***	0.58***

变量	M	SD	1	2	3
1.家庭亲密度	4.15	0.68
2.感恩	5.04	0.96	0.47***
3.社交焦虑	1.52	0.70	−0.36***	−0.27***
4.抑郁	0.96	0.60	−0.46***	−0.44***	0.58***

变量	方程1(抑郁)			方程2(社交焦虑)			方程3(抑郁)
变量	β	t	95% CI	β	t	95% CI	β	t	95% CI
家庭亲密度	−0.46	−16.37***	[−0.51, −0.40]	−0.36	−12.48***	[−0.42, −0.31]	−0.28	−10.88***	[−0.33, −0.23]
社交焦虑							0.48	18.51***	[0.43, 0.53]
R²		0.21			0.13			0.41
F		267.81***			155.86***			349.87***

变量	方程1(抑郁)			方程2(社交焦虑)			方程3(抑郁)
变量	β	t	95% CI	β	t	95% CI	β	t	95% CI
家庭亲密度	−0.46	−16.37***	[−0.51, −0.40]	−0.36	−12.48***	[−0.42, −0.31]	−0.28	−10.88***	[−0.33, −0.23]
社交焦虑							0.48	18.51***	[0.43, 0.53]
R²		0.21			0.13			0.41
F		267.81***			155.86***			349.87***

	效应值	SE	相对效应值(%)
总效应	−0.45	0.03	100
直接效应	−0.28	0.03	62.22
间接效应	−0.17	0.02	37.78