近年來青少年的憂鬱問題日益嚴重，亟需開展更多元有效的評估與處遇方式，因此本研究聚焦在自主性與青少年憂鬱的本土化探討，期望開展不同的諮商取徑。由於過去的自主性研究多是採用西方的自主性概念，直接套用在它文化的研究對象上，容易產生文化偏誤，無法提供確切有效的本土性參考資料。有鑑於此，本文引用具實徵研究支持與本土文化適用性之「雙元自主模式」，進一步探討臺灣青少年憂鬱的問題。本文在比較雙元自主性概念對憂鬱形成的觀點，與DSM-5憂鬱診斷準則及貝克憂鬱量表後，發現後二者僅評估到青少年憂鬱的內化問題（認知、情緒、行為、生理），卻疏漏了重要的外化問題（人際適應）之評估，且此部分的內涵又與青少年所成長的文化特性緊密扣連，故依此提出相關之建議：（1）研究方面，首重建立本土化資料，包括檢驗雙元自主性與青少年憂鬱之間的相關性，釐清個體化自主性與關係自主性在診斷評估上的差別；其次是藉由訪談憂鬱青少年，深入了解青少年憂鬱、自主性發展，與其所處的社會文化之間的脈絡連結與相應內涵，尤其是華人的孝道觀念及教養信念。（2）實務方面，除了發展青少年憂鬱之人際適應評量工具或評估系統，亦建議將文化特性融入於諮商處遇之中，文中亦舉例提供參考。

In recent years, the issue of depression among adolescents has become increasingly severe, necessitating more diverse and effective methods of assessment and intervention. While adolescent autonomy and depression have long been considered closely related, there is still a lack of empirical research to support this notion. Furthermore, past research on autonomy has predominantly used Western concepts, directly applying them to subjects from different cultures, which can lead to cultural bias and fail to provide accurate and effective local reference data. In light of this, this paper adopts the "dual autonomy model," which is supported by empirical research and is suitable for local culture, to further explore the issue of depression among Taiwanese adolescents. After comparing the dual autonomy concept with the DSM-5 criteria for depression and the Beck Depression Inventory, it was found that the latter two only assess the internalizing problems of adolescent depression (cognitive, emotional, behavioral, and physiological) but overlook important externalizing problems (interpersonal adaptation). These externalizing problems are closely linked to the cultural characteristics in which adolescents grow up. Based on these findings, the following recommendations are proposed: (1) Research Aspect: Primarily establish localized data, including examining the correlation between dual autonomy and adolescent depression, and clarifying the differences between individual autonomy and relational autonomy in diagnostic assessment. Conduct interviews with depressed adolescents to gain an in-depth understanding of the connections and corresponding content between adolescent depression, autonomy development, and the social and cultural contexts they live in, especially concerning Chinese values of filial piety and parenting beliefs. (2) Practical Aspect: Develop assessment tools or systems for evaluating the interpersonal adaptation of adolescents with depression. Integrate cultural characteristics into counseling interventions. For example, during the counseling process, consider the unique family values and interpersonal relationship patterns in Chinese culture.