Early Life Stress Predicts Depressive Symptoms in Adolescents During the COVID-19 Pandemic: The Mediating Role of Perceived Stress.
Early Life Stress Predicts Depressive Symptoms in Adolescents During the COVID-19 Pandemic: The Mediating Role of Perceived Stress.
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DOI：
10.3389/fpsyg.2020.603748
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发表时间：
2020
影响因子：
3.8
通讯作者：
Ho TC
中科院分区：
文献类型：
--
作者：
Gotlib IH;Borchers LR;Chahal R;Gifuni AJ;Teresi GI;Ho TC
暴露于早期生活压力（ELS）是惊人的普遍，并已被链接到记录在青春期抑郁症的高发病率。研究人员认为，ELS可能会增加青少年对后续压力源影响的脆弱性或反应性，使他们更容易出现抑郁症状。我们在一项纵向研究中测试了这种制剂，方法是评估来自旧金山弗朗西斯科湾区青少年样本（N = 109; 43名男性;年龄13-20岁）在COVID-19大流行期间的压力和抑郁水平，这些青少年在3-7年前（M = 5.06，SD = 0.86年）就暴露于ELS和抑郁症状进行了表征。正如预期的那样，ELS的严重程度可以预测大流行期间的抑郁症状水平[r（107）= 0.26，p = 0.006]，女性的抑郁症状水平高于男性[t（107）=-3.56，p < 0.001]。重要的是，ELS和抑郁症之间的关联是由青少年报告的压力水平介导的，即使在控制了人口统计学变量之后。这些发现强调了在这一流行病期间监测脆弱儿童和青少年心理健康的重要性，并针对高危青年的感知压力。
Exposure to early life stress (ELS) is alarmingly prevalent and has been linked to the high rates of depression documented in adolescence. Researchers have theorized that ELS may increase adolescents’ vulnerability or reactivity to the effects of subsequent stressors, placing them at higher risk for developing symptoms of depression. We tested this formulation in a longitudinal study by assessing levels of stress and depression during the COVID-19 pandemic in a sample of adolescents from the San Francisco Bay Area (N = 109; 43 male; ages 13–20 years) who had been characterized 3–7 years earlier (M = 5.06, SD = 0.86 years) with respect to exposure to ELS and symptoms of depression. As expected, severity of ELS predicted levels of depressive symptoms during the pandemic [r(107) = 0.26, p = 0.006], which were higher in females than in males [t(107) = −3.56, p < 0.001]. Importantly, the association between ELS and depression was mediated by adolescents’ reported levels of stress, even after controlling for demographic variables. These findings underscore the importance of monitoring the mental health of vulnerable children and adolescents during this pandemic and targeting perceived stress in high-risk youth.