Repetitive Negative Thinking As a Transdiagnostic Prospective Predictor of Depression and Anxiety Symptoms in Neurodiverse First-Semester College Students.
Repetitive Negative Thinking As a Transdiagnostic Prospective Predictor of Depression and Anxiety Symptoms in Neurodiverse First-Semester College Students.
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重复的消极思维是神经多样性第一学期大学生抑郁和焦虑症状的跨诊断前瞻性预测因子。
DOI：
10.1089/aut.2022.0078
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Gotham,KatherineO
中科院分区：
文献类型：
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作者：
McKenney,ErinE;Brunwasser,StevenM;Richards,JaredK;Day,TalenaC;Kofner,Bella;McDonald,RachelG;Williams,ZacharyJ;Gillespie-Lynch,Kristen;Kang,Erin;Lerner,MatthewD;Gotham,KatherineO
背景：提高对心理健康问题的理解和治疗，包括抑郁和焦虑，是自闭症成年人的重要优先事项。虽然已经提出了几种理论来解释自闭症人群中内化症状的高患病率，但很少有纵向研究来调查潜在的因果机制。需要进一步的研究来探索从一般人群研究中提出的抑郁因素如何预测和/或缓和自闭症个体内化症状的发展。在本研究中，我们调查了一个已确立的风险因素，重复性消极思维（RNT），在大学生第一学期的过程中与内化症状的关系，并研究了这种关联是否被自闭症特征的测量所缓和。方法：从美国东北部的4所大学招募学生：144名参与研究的学生中包括97名非自闭症学生和47名报告了正式的自闭症诊断（n= 15）或承认自己和/或他人认为他们可能患有自闭症的历史（n= 32）的参与者。参与者在开始上大学的前两周内完成了一个基线调查，在他们的第一个学期（12周内多达24次）完成了一个简短的两周调查，并完成了一个终点包。结果：基线时的特征样RNT升高与整个学期的抑郁和焦虑症状双周评分有前瞻性关联。此外，在整个学期中，更大的RNT与更高的悲伤、快感缺乏和焦虑同步相关。与假设相反，一个时间点的RNT与下一个时间点的情绪症状之间的短期预测关系在很大程度上是不受支持的。虽然这些模式在不同的神经类型中都有观察到，但自我报告的自闭症特征较高的学生更有可能经历RNT，以及抑郁和焦虑症状。结论：这些初步发现强调RNT是一种特殊的机制，可能是一种有效的预防和/或干预目标，以减少自闭症社区中抑郁和焦虑发生率的升高。
Background:Improving the understanding and treatment of mental health concerns, including depression and anxiety, are significant priorities for autistic adults. While several theories have been proposed to explain the high prevalence of internalizing symptoms in autistic populations, little longitudinal research has been done to investigate potential causal mechanisms. Additional research is needed to explore how proposed contributors to depression from general population research predict and/or moderate the development of internalizing symptoms in autistic individuals. In this study, we investigated the relation of one established risk factor, repetitive negative thinking (RNT), to internalizing symptoms over the course of college students' first semester, additionally examining whether this association is moderated by a measure of autistic traits.Methods:Students were recruited from 4 northeastern U.S. universities: 144 participating students included 97 nonautistic students and 47 participants who either reported a formal autism diagnosis (n= 15)or endorsed a history of self and/or others thinking that they may be autistic (n= 32). Participants completed a baseline survey battery within their first 2 weeks of starting college, a brief biweekly survey throughout their first semester (up to 24 times across 12 weeks), and an endpoint packet.Results:Elevated trait-like RNT at baseline was prospectively associated with biweekly ratings of depression and anxiety symptoms across the semester. In addition, greater RNT was synchronously related to elevated sadness, anhedonia, and anxiety throughout the semester. Contrary to hypotheses, a shorter term predictive relationship between RNT at one timepoint and mood symptoms at the next was largely unsupported. While these patterns were observed across neurotypes, students with higher self-reported autistic traits were more likely to experience RNT, as well as depressive and anxiety symptoms.Conclusions:These preliminary findings highlight RNT as a specific mechanism that may be a useful prevention and/or intervention target toward reducing the elevated depression and anxiety rates in the autistic community.