Stressbezogene Determinanten für die Aufrechterhaltung von Depressionen bei Mädchen
Stressbezogene Determinanten für die Aufrechterhaltung von Depressionen bei Mädchen
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女孩维持抑郁症的与压力相关的决定因素
DOI：
10.1024/1422-4917/a000285
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发表时间：
2014
影响因子：
1.2
通讯作者：
Reinhold Laessle
中科院分区：
文献类型：
--
作者：
Ulrike Schmidt;Reinhold Laessle
重度抑郁症是青少年常见的精神障碍。青少年抑郁症的压力相关治疗方法假定急性或慢性应激源是抑郁症状的原因和结果。压力状况之所以持续存在，是因为孩子主要使用不利的压力应对策略。本研究采用两个测量点的纵向设计，调查了68名年轻女孩抑郁持续的压力相关危险因素。应激负荷和应激应对方式采用Frgebogen zur Ehebung von Stress and Stressbewältigung im Kindes-und Jugendalt(SSKJ)进行评估。关于压力诱导的唾液皮质醇和第一个测量点的皮质醇唤醒反应的数据也是可用的。Logistic回归模型检验了压力相关风险因素的相对贡献。回避性应对、较高的心理压力负荷和较高的压力易损性的效果显著，而躯体抱怨和皮质醇的影响不显著。这些结果证实了压力负荷和压力应对是青年抑郁症维持的因果联系的理论。
Major depression is a frequent psychiatric disorder among adolescents. Stress-related approaches to adolescent depression postulate acute or chronic stressors as a cause of as well as a consequence of depressive symptomatology. Stress situations persist because the child uses mainly unfavorable stress-coping strategies. The present study investigates stress-related risk factors for the maintenance of depression in 68 young girls in a longitudinal design with two measurement points. Stress load and stress coping were assessed by the Fragebogen zur Erhebung von Stress und Stressbewältigung im Kindes-und Jugendalter (SSKJ). Data on stress-induced salivary cortisol and cortisol-awakening response at first measurement point were also available. A logistic regression model tested the relative contribution of stress-related risk factors. Significant effects were obtained for avoidant coping, a high psychological stress load, and a high stress vulnerability, while physical complaints and cortisol were not relevant. These results confirm theories that postulate stress load and stress coping as causal links for maintenance of depression in youth.