Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents

Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents
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DOI:
10.1037/0021-843x.110.2.203
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发表时间:
2001-05-01
影响因子:
4.6
通讯作者:
Rohde, P
Rohde, P
中科院分区:
心理学1区
文献类型:
--
作者:
Lewinsohn, PM;Joiner, TE;Rohde, P

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对青少年抑郁症和非心境障碍的发病进行了素质压力预测。青少年(N = 1,507)进行了功能失调的态度和消极的归因方式,以及目前的抑郁症状,目前的抑郁和非抑郁的诊断,过去和家族史的精神病理学。大约1年后,对参与者的所有措施进行了重新评估。分析支持A. T. Beck(1976)的抑郁理论(在趋势的水平上),但不是抑郁的绝望理论。研究结果提示抑郁易感性的阈值观点;对于那些经历过负性生活事件的人,抑郁发作与功能失调的态度有关,但只有当功能失调的态度超过一定水平时(低=中等<高),对于在功能失调的态度和消极归因风格上得分很高或很低的参与者,获得了不显著的结果。
Diathesis-stress predictions regarding the onset of adolescent major depression and nonmood disorders were tested. Adolescents (N = 1,507) were assessed for dysfunctional attitudes and negative attributional style, as well as current depressive symptoms, current depressive and nondepressive diagnoses, and past and family histories of psychopathology. Approximately 1 year later, participants were reassessed on all measures. Analyses supported A. T. Beck's (1976) theory of depression (at the level of a trend) but not the hopelessness theory of depression. Findings were suggestive of a threshold view of vulnerability to depression; for those who experienced negative life events, depressive onset was related to dysfunctional attitudes but only when dysfunctional attitudes exceeded a certain level (low = intermediate < high), For participants who scored either very high or very low on both dysfunctional attitudes and negative attributional style, nonsignificant findings were obtained.