Reassurance seeking and depression in adults with mild intellectual disability.
Reassurance seeking and depression in adults with mild intellectual disability.
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患有轻度智力障碍的成年人寻求安慰和抑郁。
DOI：
10.1111/j.1365-2788.2008.01126.x
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
MacLeanJr,WE
中科院分区：
文献类型：
--
作者：
Hartley,SL;Lickel,AHayes;MacLeanJr,WE
背景：智力残疾（ID）的成年人患抑郁症的比例很高。然而，很少有研究调查这一人群中与抑郁症相关的人际关系过程。在一般人群中，抑郁症患者的行为方式会引起他人的负面和排斥反应。特别是，过度寻求安慰，定义为过度和持续地从他人那里寻求自己是可爱的和有价值的保证，通过引发负面和拒绝社会互动间接地导致抑郁症状。我们研究了过度寻求安慰、消极和拒绝社会互动与轻度本我成人抑郁症之间的关系。方法87名患有轻度ID的成年人和工作人员完成了格拉斯哥学习障碍患者抑郁量表和寻求安慰量表。此外，轻度ID的成年人报告了他们的负面社会互动经历，工作人员评估了他们与轻度ID的成年人互动的相对偏好。通过消极和拒绝的社会互动，过度寻求安慰对抑郁症状的间接影响的冥想模型进行了测试。结果过度寻求安慰与抑郁症状呈正相关。消极和拒绝互动部分介导过度安慰寻求与抑郁症状之间的关系。结论发现抑郁症中存在一个重要的人际关系过程。努力教育员工和轻度本我的成年人关于过度寻求安慰和改变它的方法可能对治疗抑郁症有用。
BackgroundAdults with intellectual disability (ID) experience a high prevalence of depression. Yet, little research has investigated interpersonal processes related to depression in this population. In the general population, depressed persons behave in ways that elicit negative and rejecting reactions from others. In particular, excessive reassurance seeking, defined as excessively and persistently seeking assurance from others that one is lovable and worthy, indirectly contributes to depressive symptoms through evoking negative and rejecting social interactions. We examined the relation between excessive reassurance seeking, negative and rejecting social interactions and depression in adults with mild ID.MethodEighty‐seven adults with mild ID and staff completed the Glasgow Depression Scale for people with a Learning Disorder and the Reassurance‐Seeking Scale. In addition, adults with mild ID reported on their experience of negative social interactions, and staff rated their relative preference to interact with the adult with mild ID. A meditational model of the indirect effect of excessive reassurance seeking on depressive symptoms via negative and rejecting social interactions was tested.ResultsExcessive reassurance seeking was positively related to depressive symptoms. Negative and rejecting interactions partially mediated the relation between excessive reassurance seeking and depressive symptoms.ConclusionsFindings identify an important interpersonal process in depression. Efforts to educate staff and adults with mild ID about excessive reassurance seeking and ways to alter it may be useful in treating depression.
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DOI：
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发表时间：
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American journal of mental retardation : AJMR
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