A longitudinal exploration of the impact of social anxiety and individual attachment on depression severity
A longitudinal exploration of the impact of social anxiety and individual attachment on depression severity
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DOI：
10.1016/j.jad.2019.07.051
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发表时间：
2019-10-01
影响因子：
6.6
通讯作者：
Alaverdashvili, Mariam
中科院分区：
文献类型：
--
作者：
Adams, G. Camelia;Wrath, Andrew J.;Alaverdashvili, Mariam
背景：研究表明，不安全的依恋和社交焦虑症（SAD）的早期发作会导致未来患抑郁症的可能性。本研究探讨了社交焦虑症状在基线和一年后依恋与抑郁关系中的中介作用。该研究还着眼于纵向影响的附件和社交焦虑的变化，对抑郁症severity.Methods：参与者（n = 162）完成了结构化的临床访谈和抑郁症，社交焦虑和成人附件的措施。参与者的子样本（n = 77）在一年后返回进行随访，并重复这些措施。中介分析和多元线性回归进行研究抑郁症，社交焦虑，和attachment.Results之间的关系：社交焦虑是一个完全的中介之间的关系，依恋回避和抑郁症的严重程度在基线，但只有部分调解人在一年的后续行动。社交焦虑是依恋焦虑和抑郁严重程度之间关系的部分中介变量。较低的基线抑郁水平，改善社交焦虑和附件避免在未来一年的改善，预测较低水平的抑郁症在follow-up.Limitations：该研究没有收集有关基线和follow-up.Conclusions之间收到的治疗信息：社交焦虑起着重要的作用，在调解的脆弱性严重抑郁症的不安全连接的个人。治疗社交焦虑，特别是那些有回避型依恋的人，可能会降低未来抑郁症的严重程度。此外，针对青少年依恋回避的干预措施可能有助于初级预防策略。
Background: Research suggests that insecure attachment and early onset of social anxiety disorder (SAD) create vulnerability for future depression. The current study explores the mediating role of social anxiety symptoms in the relationship between attachment and depression at baseline and one year later. The study also looks at the longitudinal impact of changes in attachment and social anxiety, on depression severity.Methods: Participants (n = 162) completed structured clinical interviews and measures of depression, social anxiety, and adult attachment. A subsample of the participants (n = 77) returned for a follow-up one year later and repeated the measures. Mediation analysis and multivariate linear regression were performed to examine the relationships between depression, social anxiety, and attachment.Results: Social anxiety was a full mediator of the relationship between attachment avoidance and depression severity at baseline but only a partial mediator at one-year follow-up. Social anxiety was a partial mediator of the relationship between attachment anxiety and depression severity at both baseline and follow-up. Lower baseline depression levels, improvement in social anxiety and improvement in attachment avoidance over the next year, predicted lower levels of depression at follow-up.Limitations: The study did not gather information regarding the treatments received between baseline and follow-up.Conclusions: Social anxiety plays a significant role in mediating the vulnerability towards severe depression in insecurely attached individuals. Treating social anxiety, particularly in individuals with avoidant attachment, might decrease the severity of future depression. In addition, interventions targeting attachment avoidance in youth might aid primary prevention strategies.