Specificity of Stress Generation: A Comparison of Adolescents with Depressive, Anxiety, and Comorbid Diagnoses
Specificity of Stress Generation: A Comparison of Adolescents with Depressive, Anxiety, and Comorbid Diagnoses
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DOI：
10.1521/ijct.2010.3.4.368
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发表时间：
2010-12-01
影响因子：
2.6
通讯作者：
Brennan, Patricia A.
中科院分区：
文献类型：
--
作者：
Connolly, Nicole P.;Eberhart, Nicole K.;Brennan, Patricia A.
有抑郁史的人会经历更多的压力，这部分取决于他们自己的行为。然而，目前尚不清楚压力的产生是抑郁症的独特特征，还是存在于其他类型的精神病理（如焦虑症）中的普遍过程。目前的研究通过比较有“纯粹”（即非共病）抑郁症、纯粹焦虑症、共病抑郁和焦虑以及无障碍病史的青少年，来解决这一问题，以及他们的依赖和独立压力水平。结果表明，单纯抑郁的青少年比单纯焦虑的青少年有更多的依赖压力，而任何内化诊断的青少年比对照组有更多的依赖压力。此外，患有抑郁症和焦虑症的青少年报告的压力产生水平最高。研究结果表明，虽然压力的产生与青春期抑郁的关系可能比焦虑更密切，但这并不是抑郁症所独有的。
Individuals with a history of depression experience more stress that is dependent in part on their own actions. However, it is unclear whether stress generation is a unique feature of depression, or a universal process that is also present in other types of psychopathology, such as anxiety disorders. The current study addressed this issue by comparing adolescents with a history of "pure" (i.e., non-comorbid) depressive disorders, pure anxiety disorders, comorbid depression and anxiety, and no disorder, on their levels of dependent and independent stress. Results indicated that adolescents with pure depression experienced more dependent stress than adolescents with pure anxiety, and adolescents with any internalizing diagnosis experienced more dependent stress than controls. Further, adolescents with comorbid depression and anxiety reported the highest levels of stress generation. The results suggest that while stress generation may be more strongly associated with depression than anxiety in adolescence, it is not unique to depression.