目的 分析抑郁障碍青少年健康危险行为（health risk behaviors，HRBs）的潜在类别及其与童年期虐待的关系，为制订针对性干预措施提供依据。方法 2021年7月至2022年9月，采用便利抽样法选取大庆市某精神专科医院收治的413名抑郁障碍青少年为研究对象，采用患者健康问卷抑郁量表、童年期虐待量表-简版、青少年自我伤害问卷、贝克自杀意念量表中文版、网络成瘾量表、中国青少年健康相关行为调查问卷及匹兹堡睡眠质量指数量表对其进行调查。运用潜在剖面分析抑郁障碍青少年健康危险行为，二元Logistic回归分析健康危险行为类别与童年期虐待的关联。结果 抑郁障碍青少年健康危险行为分高危风险行为组（52.00%）和不良生活方式组（48.00%）；经历情感虐待的抑郁障碍青少年出现在“高危风险行为组”的风险增加3.71倍。结论 抑郁障碍青少年健康危险行为存在不同类别，经历情感虐待者出现在“高危风险行为组”的风险更高。未来应根据抑郁障碍青少年特征及童年期虐待经历，开展针对性的群组干预。

Objective To analyze the latent classes of health risk behaviors among adolescents with depressive disorders and their relationship with childhood maltreatment,so as to provide evidence for targeted interventions.Methods The convenience sampling was used to select a total of 413 adolescents with depressive disorder from a psychiatric specialty hospital in Daqing city from July 2021 to September 2022.The Patient Health Questionnaire-9,Childhood Trauma Questionnaire-Short Form,Adolescent Self-Harm Questionnaire,Beck Scale for Suicide Ideation-Chinese Version,Young Diagnostic Questionnaire,Chinese Adolescent Health-Related Behavior Questionnaire,and Pittsburgh Sleep Quality Index were used for investigation.Latent profile analysis was applied to analyze health risk behaviors of adolescents with depressive disorder, and binary logistic regression analysis was used to explore the association between the categories of health risk behaviors and childhood maltreatment.Results The health risk behaviors of adolescents with depressive disorder were divided into the high-risk behavior group（52.00%) and the unhealthy lifestyle group（48.00%).Adolescents who experienced emotional abuse had 3.71-fold higher odds of belonging to the high-risk behavior group.Conclusions There are different categories of health risk behaviors among adolescents with depressive disorder.Adolescents who have experienced emotional abuse are at a higher risk of being in the “high-risk behavior group”.In the future,targeted group interventions should be carried out according to the characteristics of adolescents with depressive disorder and their experiences of childhood abuse.

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国家社会科学基金（22BRK009）；哈尔滨医科大学大庆校区教师发展基金（JFCX202102）