Comparing chronic interpersonal and noninterpersonal stress domains as predictors of depression recurrence in emerging adults.
Comparing chronic interpersonal and noninterpersonal stress domains as predictors of depression recurrence in emerging adults.
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比较慢性人际和非人际压力领域作为新兴成年人抑郁症复发的预测因素。
DOI：
10.1016/j.brat.2014.09.001
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发表时间：
2014
影响因子：
4.1
通讯作者：
Craighead,WEdward
中科院分区：
文献类型：
--
作者：
Sheets,ErinS;Craighead,WEdward
了解持续的人际关系困难如何明显影响成年期重性抑郁症（MDD）的病程是至关重要的，因为早期经历会影响未来的应对资源和功能。关于压力和抑郁症的研究大多集中在压力性生活事件上，而慢性压力在很大程度上还没有被探索。本研究探讨了人际（亲密关系，亲密的友谊，社会生活，家庭关系）和非人际（学术，工作，财务，个人健康和家庭成员的健康）领域的慢性压力作为随时间变化的预测抑郁症复发的新兴成年人。基线评估确定了先前抑郁的新兴成年人（N= 119），随后完成了6个月，12个月和18个月的随访访谈，以确定慢性压力的经验和新的严重抑郁发作的发作。生存分析表明，随时间变化的总慢性压力和慢性人际压力预测抑郁症复发的风险较高，然而，慢性非人际压力与复发无关。亲密关系压力、亲密友谊压力、家庭关系压力、个人健康和家庭成员健康独立预测MDD复发，超过了功能障碍性认知和人格障碍症状的公认抑郁症危险因素。人际压力可能对抑郁症产生实质性影响的证据与成年初显期的理论是一致的，成年初显期是年轻人从家庭中独立出来并经历重大社会转型的时期。
Understanding how persistent interpersonal difficulties distinctly affect the course of major depressive disorder (MDD) during emerging adulthood is critical, given that early experiences impact future coping resources and functioning. Research on stress and MDD has mostly concentrated on stressful life events, while chronic stress largely has not been explored. The present study examined interpersonal (intimate relationship, close friendships, social life, family relationships) and noninterpersonal (academic, work, financial, personal health, and family members' health) domains of chronic stress as time-varying predictors of depressive recurrence in emerging adults. Baseline assessments identified previously depressed emerging adults (N= 119), who subsequently completed 6-month, 12-month and 18-month follow-up interviews to determine chronic stress experiences and onset of new major depressive episodes. Survival analyses indicated that time-varying total chronic stress and chronic interpersonal stress predicted higher risk for depression recurrence; however, chronic noninterpersonal stress was not associated with recurrence. Intimate relationship stress, close friendship stress, family relationship stress, personal health, and family members' health independently predicted MDD recurrence, over and above well-established depression risk factors of dysfunctional cognitions and personality disorder symptoms. Evidence that interpersonal stress could have substantial impact on course of depression is consistent with theories of emerging adulthood, a time when young people are individuating from the family and experiencing significant social transition.
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