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An Ecological Momentary Assessment of Adolescents' Response to Targeted Rejection/Humiliation in Daily Life

青少年对日常生活中有针对性的拒绝/羞辱反应的生态瞬时评估

基本信息

批准号：
10305589
负责人：
Erin Elizabeth Long
金额：
$ 1.12万
依托单位：
UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-15 至 2021-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10305589
关键词：
Acute Address Adolescence Adolescent Adult Advanced Development Affect Age Area Cellular Phone Child Childhood Clinical Clinical assessments Consultations Depressed mood Depression and Suicide Desire for food Development Early Diagnosis Ecological momentary assessment Event Feeling Female Adolescents Frequencies Gender Goals Individual Interpersonal Relations Intervention Knowledge Life Life Experience Life Stress Literature Maintenance Major Depressive Disorder Measures Mental Depression Methodology Methods Modernization Moods Nature Onset of illness Parent-Child Relations Parents Participant Patient Self-Report Prevention program Protocols documentation Reporting Research Personnel Risk School-Age Population Scientist Severities Sleeplessness Social status Stress Technology Time Training Training Activity Visit Work Youth adolescent-onset depression age difference boys burden of illness career child depression depression prevention depressive symptoms experience follow-up gender difference girls high school humiliation intervention program longitudinal design mood symptom peer prospective recruit response skills social stress social stressor stressor

项目摘要

Adolescence is a period of heightened vulnerability to depression and increased flux in interpersonal relationships. Interpersonal stress is one of the strongest predictors of adolescent depression. Interpersonal stressors involving targeted rejection and humiliation, in which an individual is rejected and their social status is threatened, are especially potent predictors of depression in adults. However, there are several gaps in our understanding of the impact of targeted rejection/humiliation on adolescents’ depressed mood. First, we lack knowledge of important descriptive information about the nature of these events in daily life during adolescence, including their frequency, severity, and with whom they occur. Second, it is unknown how targeted rejection/humiliation experiences affect momentary change in depressed mood as compared to long-term change in depression symptoms. Third, age and gender differences in momentary responses to targeted rejection/humiliation remain underexplored. Ecological momentary assessment (EMA) is an ideal methodology with which to examine these questions about adolescents’ momentary and longitudinal changes in depressed mood and depression symptoms in response to targeted rejection/humiliation in the flow of daily life. The proposed study will use EMA in a longitudinal design to (1) descriptively characterize adolescents’ targeted rejection/humiliation experiences in peer and parent-child relationships; (2) examine how targeted rejection/humiliation in these relationships differentially predicts momentary and longitudinal change in depressed mood and symptoms relative to other forms of interpersonal and non-interpersonal stressors; and (3) investigate age and gender differences in targeted rejection/humiliation, and whether age and gender interact with these experiences to predict momentary and longitudinal change in depressed mood and symptoms. Adolescents (N=180) will complete measures of depression and stressful life events at a baseline visit, followed by a 9-day EMA protocol assessing experience of interpersonal stressors and depressed mood; participants will repeat both the baseline visit and EMA protocol at a 6-month follow-up. It is hypothesized that targeted rejection/humiliation will predict momentary and longitudinal increases in depressed mood and symptoms. By using EMA methods and sophisticated analyses, results from the proposed project will address longstanding theoretical issues of adolescence as a period of “storm and stress,” and identify targets for more effective depression prevention and intervention. The hands-on experience gained through this project and training plan will advance the development of the applicant as an independent scientist who investigates how the experience of interpersonal stress contributes to the development and maintenance of internalizing problems during adolescence. The execution of this study, combined with the training activities and consultation with collaborators, will strengthen the applicant’s methodological and quantitative skills, her knowledge of the interpersonal stress literature, and will further her career goal of becoming an academic researcher.

青春期是一个易患抑郁症和人际关系变化增加的时期