摘要

【摘要】
目的 分析青年人群中情绪正常、单纯焦虑、单纯抑郁及焦虑抑郁共病不同情绪状态与心理弹性特征的相关性。

方法 回顾性收集了我院心理科门诊在2022年1月至2025年1月期间招募的共计100例青年的临床数据，依据焦虑自评量表（Self-rating anxiety scale，SAS）和抑郁自评量表（Self-rating depression Scale，SDS）进行评估，将SAS＜50分且SDS＜53分的青年归为正常组（n=32），将SAS≥50分且SDS＜53分的青年归为单纯焦虑组（n=23），将SAS＜50分且SDS≥53分的青年归为单纯抑郁组（n=20），将SAS≥50分且SDS≥53分的青年归为共病组（n=25）。比较四组青年基线资料及心理弹性量表（Connor-David-son Resilience Scale，CD-RISC）评分，相关性分析心理弹性与焦虑、抑郁风险的关系。

结果 四组性别、年龄、体质量指数、文化程度比较无显著差异（P＞0.05）；四组CD-RISC总分、坚韧、自强、乐观评分比较，共病组＜单纯抑郁组＜单纯焦虑组＜正常组（P＜0.05）。相关性分析表明，焦虑、抑郁、二者共病与CD-RISC总分、坚韧、自强、乐观评分均呈负相关（P＜0.05）。

结论 青年人群心理弹性水平与焦虑、抑郁风险存在显著负相关，且共病状态下的心理弹性损伤最为明显，对于临床症状不同的青年群体，心理弹性干预策略应有所侧重。

关键词：【关键词】青年人群；心理弹性；焦虑；抑郁；共病

ABSTRACT

【Abstract】
Objective To analyze the correlation between different emotional states such as normal emotions, simple anxiety, simple depression, and comorbidities of anxiety and depression and psychological resilience characteristics in the young population.

Methods A retrospective collection was made of the clinical data of a total of 100 young people recruited by the psychology outpatient department of our hospital from January 2022 to January 2025. Based on the Self-rating anxiety scale (SAS) and the Self-rating depression Scale (SDS) were used for assessment. Young people with SAS < 50 points and SDS < 53 points were classified as the normal group (n=32), and those with SAS≥50 points and SDS < 53 points were classified as the simple anxiety group (n=23). Young people with SAS < 50 points and SDS≥53 points were classified as the simple depression group (n=20), and those with SAS≥50 points and SDS≥53 points were classified as the comorbidity group (n=25). The baseline data and the scores of the Connor-David-son Resilience Scale (CD-RISC) of the four groups of young people were compared, and the relationship between resilience and the risks of anxiety and depression was analyzed through correlation.

Results There were no significant differences in gender, age, body mass index and educational level among the four groups (P>0.05). The comparison of the total score of CD-RISC, tenacity, self-improvement and optimism scores among the four groups showed that the comorbidity group < the simple depression group < the simple anxiety group < the normal group (P<0.05). Correlation analysis indicated that anxiety, depression, and their comorbidities were negatively correlated with the total score of CD-RISC, as well as the scores of resilience, self-improvement, and optimism (P<0.05).

Conclusion   The level of psychological resilience among young people is significantly negatively correlated with the risks of anxiety and depression, and the impairment of psychological resilience is most obvious in comorbidities. For young people with different clinical symptoms, psychological resilience intervention strategies should be focused on.

Key words: 【Key words】Young people; Psychological resilience; Anxiety; Depression; Comorbidity