A prospective study of the cognitive-stress model of depressive symptoms in adolescents.

A prospective study of the cognitive-stress model of depressive symptoms in adolescents.
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DOI:
10.1037/a0013741
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发表时间:
2008-11
影响因子:
4.6
通讯作者:
Garber J
Garber J
中科院分区:
心理学1区
文献类型:
--
作者:
Morris MC;Ciesla JA;Garber J

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这项前瞻性研究调查了从六年级到七年级过渡的青少年抑郁症的认知素质-压力模型,使用个体、加法、最薄弱环节和关键方法来操作认知脆弱性。参与者为 240 名青少年(平均年龄 = 11.87 岁,SD = 0.57),根据其母亲的抑郁史,他们患情绪障碍的风险有所不同。层次多元回归分析的结果表明对个体、加性、最薄弱环节和关键素质的一些支持。特别是,最薄弱的环节素质与压力和性别相互作用,可以预测七年级抑郁症状的增加;这种互动的形式与男孩的认知素质-压力模型一致,而对于女孩来说,关系模式更多地反映了双重脆弱性模型。也就是说,除了那些认知方式更积极、压力水平较低的女孩之外,所有女孩都患有高水平的抑郁症状。这些发现强调了检查将认知脆弱性与压力结合起来的不同方法在预测抑郁症状中的效用,以及探索认知素质-压力模型中性别差异的重要性。
This prospective study investigated a cognitive diathesis–stress model of depression in adolescents across the transition from 6th to 7th grade using individual, additive, weakest link, and keystone approaches to operationalizing the cognitive vulnerability. Participants were 240 young adolescents (mean age = 11.87 years, SD = 0.57) who differed in risk for mood disorders based on their mother’s history of depression. Results of the hierarchical multiple regression analyses indicated some support for the individual, additive, weakest link, and keystone diatheses. In particular, the weakest link diathesis interacted with stress and gender to predict increases in depressive symptoms in 7th grade; the form of this interaction was consistent with the cognitive diathesis–stress model for boys, whereas for girls the pattern of relations reflected more of a dual-vulnerability model. That is, high levels of depressive symptoms were found for all girls except those with more positive cognitive styles and low stress levels. These findings highlight the utility of examining different approaches to combining measures of cognitive vulnerability in conjunction with stress in predicting depressive symptoms, and the importance of exploring gender differences with regard to the cognitive diathesis–stress model.
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