Locus of Control and Negative Cognitive Styles in Adolescence as Risk Factors for Depression Onset in Young Adulthood: Findings From a Prospective Birth Cohort Study.
Locus of Control and Negative Cognitive Styles in Adolescence as Risk Factors for Depression Onset in Young Adulthood: Findings From a Prospective Birth Cohort Study.
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DOI：
10.3389/fpsyg.2021.599240
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发表时间：
2021
影响因子：
3.8
通讯作者：
Pearson RM
中科院分区：
文献类型：
--
作者：
Costantini I;Kwong ASF;Smith D;Lewcock M;Lawlor DA;Moran P;Tilling K;Golding J;Pearson RM
虽然以前的观察性研究已经将消极的思维过程（如外部控制点和消极的认知方式）与抑郁症联系起来，但这些关联的方向性以及这些因素在向成年和父母过渡中所起的潜在作用尚未被研究。本研究探讨了控制点和消极的认知风格在青春期和可能的抑郁症在年轻的成年人之间的关联，以及是否父母调节这些协会。使用一项英国前瞻性基于人群的出生队列研究：雅芳父母和儿童纵向研究（ALSPAC），我们使用未调整和调整潜在混杂因素的logistic回归模型，在4，301名年轻人中检查了青少年外部控制点和消极认知方式与抑郁症几率之间的关联。互动条款被用来检查父母身份（即，成为父母或没有）缓和这些协会。在我们的样本中，超过20%的年轻人处于或高于临床阈值，表明可能患有抑郁症。在调整了各种混杂因素（包括基线情绪和不同的人口统计学和生活事件变量）后，对于青春期外部控制点的每一个标准差（SD）增加，在成年早期可能患有抑郁症的几率增加19%（95%CI：8-32%）。同样，在调整后的模型中，青春期消极认知方式每增加一个SD，可能患抑郁症的几率就增加29%（95% CI：16-44%）。我们发现，很少有证据表明，父母身份调节外部控制点或消极的认知方式在青春期和可能的抑郁症的混杂因素调整后的关系。当在完整病例数据集中进行时，效应估计值相当。这些发现表明，在青春期中后期拥有外部控制点和持有消极的认知方式与成年后可能患抑郁症的可能性增加有关。
Whilst previous observational studies have linked negative thought processes such as an external locus of control and holding negative cognitive styles with depression, the directionality of these associations and the potential role that these factors play in the transition to adulthood and parenthood has not yet been investigated. This study examined the association between locus of control and negative cognitive styles in adolescence and probable depression in young adulthood and whether parenthood moderated these associations. Using a UK prospective population-based birth cohort study: the Avon Longitudinal Study of Parents and Children (ALSPAC), we examined the association between external locus of control and negative cognitive styles in adolescence with odds of depression in 4,301 young adults using logistic regression models unadjusted and adjusted for potential confounding factors. Interaction terms were employed to examine whether parenthood (i.e., having become a parent or not) moderated these associations. Over 20% of young adults in our sample were at or above the clinical threshold indicating probable depression. For each standard deviation (SD) increase in external locus of control in adolescence, there was a 19% (95% CI: 8–32%) higher odds of having probable depression in young adulthood, after adjusting for various confounding factors including baseline mood and different demographic and life events variables. Similarly, for each SD increase in negative cognitive styles in adolescence, there was a 29% (95% CI: 16–44%) higher odds of having probable depression in the adjusted model. We found little evidence that parenthood status moderated the relationship between external locus of control or negative cognitive styles in adolescence and probable depression following adjustment for confounding factors. Effect estimates were comparable when performed in the complete case dataset. These findings suggest that having an external locus of control and holding negative cognitive styles in mid- to late adolescence is associated with an increased likelihood of probable depression in young adulthood.
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2.8
作者：
Abramson, LY;Alloy, LB;Hogan, ME
通讯作者：
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作者：
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