Responses to Positive Affect Predict Mood Symptoms in Children Under Conditions of Stress: A Prospective Study
Responses to Positive Affect Predict Mood Symptoms in Children Under Conditions of Stress: A Prospective Study
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DOI：
10.1007/s10802-011-9579-2
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发表时间：
2012-04-01
影响因子：
3.6
通讯作者：
Feldman, Gregory C.
中科院分区：
文献类型：
--
作者：
Bijttebier, Patricia;Raes, Filip;Feldman, Gregory C.
对负面影响的反思与成人和儿童情绪障碍的发病和维持有关。到目前为止，对积极影响的反应受到的关注要少得多。最近一些针对成年人的研究表明，对积极情绪的反应与抑郁和轻度躁狂症状的发展有关，但迄今为止还没有研究调查它们在儿童情绪问题中的作用。本研究的目的是验证积极情绪反应问卷的儿童版本，并检验积极情绪反应在3个月的时间间隔内预测情绪症状的程度。《儿童积极情绪反应问卷》主要评估儿童对积极情绪的两种反应：积极反刍反应和抑制反应。两个分量表在3个月的时间间隔内显示出足够的内部一致性和适度的稳定性。低水平的积极反刍和高水平的抑制与抑郁症状同时相关，高于对消极情绪的反应。重要的是，低水平的积极反刍也预示着在3个月的间隔内抑郁症状的增加，超过报告高水平压力的儿童的基线症状。积极反刍和抑制都与并发的轻躁狂症状呈正相关，高水平的积极反刍预示着在3个月的间隔内，报告高水平压力的儿童的轻躁狂症状会增加，超过基线症状。结果强调了评估积极情绪反应的附加价值，以及对消极情绪的反应。
Rumination to negative affect has been linked to the onset and maintenance of mood disorders in adults as well as children. Responses to positive affect have received far less attention thus far. A few recent studies in adults suggest that responses to positive affect are involved in the development of both depressive and hypomanic symptoms, but thus far no study has investigated their role in childhood mood problems. The purpose of the present study was to validate a child version of the Responses to Positive Affect questionnaire and examine the extent to which responses to positive affect prospectively predict mood symptoms over a 3-month interval. The Responses to Positive Affect questionnaire for Children was found to assess two types of responses to positive affect: Positive Rumination and Dampening. Both subscales showed sufficient internal consistency and moderate stability over a 3-month interval. Low levels of positive rumination and high levels of dampening were concurrently associated with depressive symptoms, over and above responses to negative affect. Importantly, low levels of positive rumination also predicted increases in depressive symptoms over a 3-month interval over and above baseline symptoms in children reporting high levels of stress. Both positive rumination and dampening were positively related to concurrent hypomanic symptoms and high levels of positive rumination predicted increases in hypomanic symptoms over a 3-month interval over and above baseline symptoms in children reporting high levels of stress. The results underscore the added value of assessing responses to positive affect in addition to responses to negative affect.