Stressful Life Events, Worry, and Rumination Predict Depressive and Anxiety Symptoms in Young Adolescents
Stressful Life Events, Worry, and Rumination Predict Depressive and Anxiety Symptoms in Young Adolescents
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DOI：
10.1111/jcap.12102
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发表时间：
2015-02-01
影响因子：
1.5
通讯作者：
Dietrich, Mary
中科院分区：
文献类型：
--
作者：
Young, Cara;Dietrich, Mary
问题：抑郁症和焦虑症是非常普遍的，经常共病的心理健康障碍，往往表现在儿童和青少年时期。本研究的目的是前瞻性地研究预测抑郁和焦虑症状发展的潜在共同潜在机制，以确定相互潜在的可改变的风险因素，从而通过心理健康促进和预防干预措施来实现目标。以社区为基础的11至15岁青少年样本参加了一项前瞻性，纵向试点研究，在6个月的时间内进行了三波数据收集。在基线上，压力性生活事件，忧虑，和沉思占焦虑评分变异的35%（调整后的R-2 = 0.28）和58%的抑郁症状的方差（调整的R-2 = 0.53），而在时间3（T3;基线后6个月）这些变量占焦虑评分方差的63%（校正R-2 = 0.59）和抑郁症状方差的45%（校正R-2 = 0.39）。在控制了基线值后，压力、忧虑和沉思的增加可以预测T3时的抑郁和焦虑症状。结论：研究结果指出了预防和早期干预计划的重要性，包括解决压力管理、沉思和忧虑的内容。
PROBLEM: Depression and anxiety are highly prevalent and frequently comorbid mental health disorders that often manifest during childhood and adolescence. The purpose of this study was to prospectively examine potential common underlying mechanisms predicting the development of depressive and anxiety symptoms to identifymutual underlying modifiable risk factors to target with mental health promotion and prevention interventions.METHODS: A community-based sample of 11-to 15-year-old adolescents participated in a prospective, longitudinal pilot study with three waves of data collection over a 6-month period.FINDINGS: At baseline, stressful life events, worry, and rumination accounted for 35% of the variance in anxiety scores (adjusted R-2 = 0.28) and 58% of the variance in depressive symptoms (adjusted R-2 = 0.53), while at Time 3 (T3; 6months post baseline) these variables accounted for 63% of the variance in anxiety scores (adjusted R-2 = 0.59) and 45% of the variance in depressive symptoms (adjusted R-2 = 0.39). After controlling for baseline values, increases in stress, worry, and rumination were predictive of both depressive and anxiety symptoms at T3.CONCLUSIONS: Study findings point to the importance of prevention and early intervention programs including content addressing stress management, rumination, and worry.