Depression in Early, Middle and Late Adolescence: Differential Evidence for the Cognitive Diathesis-Stress Model
Depression in Early, Middle and Late Adolescence: Differential Evidence for the Cognitive Diathesis-Stress Model
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DOI：
10.1002/cpp.1789
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发表时间：
2013-09-01
影响因子：
3.6
通讯作者：
Bosmans, Guy
中科院分区：
文献类型：
--
作者：
Braet, Caroline;Van Vlierberghe, Leen;Bosmans, Guy
认知理论是研究成年人和青少年抑郁症的重要框架。这一理论指出，功能障碍图式是当前压力和精神病理联系的调节因素(称为素质)。然而，在青少年中，到目前为止还没有发现更少的证据来证实这些图式的重要性。本研究旨在采用横断面设计研究青少年早期适应不良图式(EMS)对抑郁症状的调节作用。这将与重要的日常压力源(即母亲、父亲和同伴拒绝)和应激性生活事件进行研究。方法青少年(N=228，年龄12-18岁)，从住院和门诊的临床环境中选择，非参考样本，完成问卷和访谈，测量精神病理学、认知图式、同伴拒绝、母亲和父亲的拒绝，以及应激性生活事件。父母完成了关于青少年的问卷调查，测量了精神病理、应激性生活事件和同伴拒绝，以及他们自己的父母行为。结果相关分析表明，研究变量之间存在显著关联。有证据表明，在解释抑郁症状时，青少年的EMS和同伴拒绝之间存在交互作用，但仅限于青少年后期。版权所有(C)2012 John Wiley&Sons，Ltd.
Cognitive theory is a prominent framework to study depression in both adults and adolescents. This theory stated that dysfunctional schemas are moderators (known as diathesis) in the association of current stress and psychopathology. However, in adolescents, less evidence has been found so far to corroborate the importance of these schemas. This study aimed to investigate in a cross-sectional design the moderating role of adolescents' early maladaptive schemas (EMS) on depressive symptoms. This will be studied in relation to both important daily stressors (i.e., maternal, paternal and peer rejection) and stressful life events.METHODAdolescents (N=228, age 12-18years), selected from inpatient and outpatient clinical settings and a non-referred sample, completed questionnaires and interviews measuring psychopathology, cognitive schemas, peer rejection, maternal and paternal rejection, and stressful life events. Parents completed questionnaires about their adolescent measuring psychopathology, stressful life events and peer rejection, as well as their own parental behaviour.RESULTSCorrelational analyses revealed significant associations between the study variables. Evidence was found for an interaction effect between the adolescents' EMS and peer rejection in explaining depressive symptoms, but only in late adolescents. Copyright (c) 2012 John Wiley & Sons, Ltd.